National action on antimicrobial resistance and the political economy of health care
研究分析了191个国家2000-2018年的抗生素消费数据，发现政府在医疗保健融资中占比越大，国家行动计划在优化抗生素使用方面越成功。
Antimicrobial Resistance (AMR) is one of the biggest threats to human health in the twenty-first century.A key dimension of global governance in this domain consists of encouraging governments to create national action plans (NAPs) aimed at improving awareness of AMR, improving knowledge through surveillance and research, reducing infection, optimising the use of antimicrobial medicines, and investing in new drugs, vaccines and other interventions.The adoption and implementation of NAPs occur in the context of great political and institutional diversity across countries, and this article examines the consequences of different ways of financing health care.We expect the implementation of NAPs to be more successful in optimising antibiotics use when governments play a larger role in financing health care compared to private expenditure.An analysis of patterns of antibiotic consumption in 191 countries between 2000 and 2018 supports the hypothesis.