Assessing the public acceptability of proposed policy interventions to reduce the misuse of antibiotics in Australia

a report on two community juries

Chris Degeling*, Jane Johnson, Jon Iredell, Ky-Anh Nguyen, Jacqueline M. Norris, John D. Turnidge, Angus Dawson, Stacy M. Carter, Gwendolyn L. Gilbert

*Corresponding author for this work

Research output: Contribution to journalArticle

11 Citations (Scopus)
63 Downloads (Pure)

Abstract

Objective: To elicit the views of well-informed community members on the acceptability of proposed policy interventions designed to improve community use of antibiotics in Australia. Design: Two community juries held in 2016. Setting and participants: Western Sydney and Dubbo communities in NSW, Australia. Twenty-nine participants of diverse social and cultural backgrounds, mixed genders and ages recruited via public advertising: one jury was drawn from a large metropolitan setting; the other from a regional/rural setting. Main outcome measure: Jury verdict and rationale in response to a prioritization task and structured questions. Results: Both juries concluded that potential policy interventions to curb antibiotic misuse in the community should be directed towards: (i) ensuring that the public and prescribers were better educated about the dangers of antibiotic resistance; (ii) making community-based human and animal health-care practitioners accountable for their prescribing decisions. Patient-centred approaches such as delayed prescribing were seen as less acceptable than prescriber-centred approaches; both juries completely rejected any proposal to decrease consumer demand by increasing antibiotic prices. Conclusion: These informed citizens acknowledged the importance of raising public awareness of the risks, impacts and costs of antibiotic resistance and placed a high priority on increasing social and professional accountability through restrictive measures. Their overarching aim was that policy interventions should be directed towards creating collective actions and broad social support for changing antibiotic use through establishing and explaining the need for mechanisms to control and support better prescribing by practitioners, while not transferring the burdens, costs and risks of interventions to consumers.

Original languageEnglish
Pages (from-to)90-99
Number of pages10
JournalHealth Expectations
Volume21
Issue number1
DOIs
Publication statusPublished - Feb 2018
Externally publishedYes

Bibliographical note

Copyright the Author(s) 2017. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.

Keywords

  • Antimicrobial resistance
  • Deliberative methods
  • Health policy
  • One health
  • Primary health care

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