PDF(Pubmed)
Abstract：
Antimicrobial resistance (AMR) poses a multifaceted threat to the human, animal, and environment sectors. In response, China has formulated a series of policies since the 2000s. Thus far, there has been no comprehensive assessment of these policy documents. This study aims to review the content of AMR policy documents at the national level using a governance framework covering three areas: Policy Design; Implementation Tools; and Monitoring and Evaluation. We identified 44 AMR documents from 2003 to 2022 sourced from government agency websites. Our findings have revealed noticeable discrepancies across the three governance areas. The Policy Design and Monitoring and Evaluation areas should be strengthened, particularly in the domains of \'Coordination\', \'Accountability\', \'Sustainability\', and \'Effectiveness\'. From a \'One Health\' perspective, the environment sector has received less attention compared to the human and animal sectors. Effectively addressing these challenges requires a stronger commitment and widespread support from diverse stakeholders.
摘要：
抗菌素耐药性(AMR)对人类构成了多方面的威胁,动物,和环境部门。作为回应,自2000年代以来，中国制定了一系列政策。到目前为止,没有对这些政策文件进行全面评估。本研究旨在使用涵盖三个领域的治理框架在国家一级审查AMR政策文件的内容：政策设计；实施工具；以及监测和评估。从2003年到2022年，我们确定了44份来自政府机构网站的AMR文件。我们的发现揭示了三个治理领域的明显差异。应加强政策设计和监测评价领域,特别是在“协调”领域，\'问责制\'，\'可持续性\'，和“有效性”。从“一个健康”的角度来看，与人类和动物部门相比，环境部门受到的关注较少。有效应对这些挑战需要不同利益攸关方的更坚定承诺和广泛支持。
