Cross-sectoral synergy governance programme for antimicrobial resistance control in China using a 'One Health' approach: study protocol for a mixed-methods study

doi:10.1136/bmjopen-2024-095062

	Cross-sectoral synergy governance programme for antimicrobial resistance control in China using a 'One Health' approach: study protocol for a mixed-methods study
	Fan, Zhixin 1,2,3; Yin, Jia 1,2,3; Zhang, Zhibin 4; Wei, Xiaolin 5; Yang, Ding 6; Sun, Qiang 1,2,3,7
	2025-07-30
发表期刊	BMJ OPEN
ISSN	2044-6055
卷号	15 期号:7 页码:7
摘要	Introduction Antimicrobial resistance (AMR) is a critical global public health concern, particularly acute in rural China. Counties, which cover extensive rural regions, face major challenges in AMR governance and thus require priority attention. Yet, AMR governance efforts across sectors are fragmented, with notable gaps in translating policy objectives into sustainable, practical governance measures. This programme will entail a series of studies focusing on county-level cross-sectoral synergy governance for AMR, aiming to identify optimal synergy governance strategies to curb AMR.Methods and analysis The study comprises three phases: (1) understanding and exploring the state of cross-sectoral synergy governance and its internal mechanisms; (2) empirically evaluating AMR synergy governance capability using a developed evaluation indicator tool; and (3) identifying optimal AMR synergy governance strategies through a simulation and prediction model. Phase I involves conducting a content analysis of policy documents and semistructured interviews to understand and explore the state of cross-sectoral synergy governance and internal mechanisms. An evaluation indicator tool for AMR synergy governance capability will be developed through a two-round modified Delphi survey, hierarchical analysis process and percentage weighting method, with a typical case analysis being used for empirical evaluation in phase II. Phase III entails developing a simulation and prediction model using a series of artificial intelligence technologies, such as distributed Scrapy crawler technology, large language models, generative adversarial networks and deep multilayer models, all aimed at identifying optimal AMR synergy governance strategies.Ethics and dissemination This study was approved by the ethics committee of the Centre for Health Management and Policy Research, Shandong University (No. ECSHCMSDU20240904). The results of the studies will be submitted for publication in peer-reviewed journals, presented at national and international academic conferences.
关键词	antimicrobial resistance one health synergy governance simulation prediction China
DOI	10.1136/bmjopen-2024-095062
收录类别	SCI
语种	英语
资助项目	National Natural Science Foundation of China[72474119]
WOS研究方向	General & Internal Medicine
WOS类目	Medicine, General & Internal
WOS记录号	WOS:001539332900001
出版者	BMJ PUBLISHING GROUP
引用统计
文献类型	期刊论文
条目标识符	http://119.78.100.204/handle/2XEOYT63/42047
专题	中国科学院计算技术研究所期刊论文_英文
通讯作者	Sun, Qiang
作者单位	1.Shandong Univ, Cheeloo Coll Med, Sch Publ Hlth, Dept Social Med & Hlth Management, Jinan, Peoples R China 2.Shandong Univ, NHC Key Lab Hlth Econ & Policy Res, Jinan, Peoples R China 3.Shandong Univ, Ctr Hlth Management & Policy Res, Shandong Prov Key New Think Tank, Jinan, Peoples R China 4.Chinese Acad Sci, Inst Comp Technol, Beijing, Peoples R China 5.Univ Toronto, Dalla Lana Sch Publ Hlth, Toronto, ON, Canada 6.Karolinska Inst, Dept Global Publ Hlth, Stockholm, Sweden 7.China Natl Hlth Dev Res Ctr, Beijing, Peoples R China
推荐引用方式 GB/T 7714	Fan, Zhixin,Yin, Jia,Zhang, Zhibin,et al. Cross-sectoral synergy governance programme for antimicrobial resistance control in China using a 'One Health' approach: study protocol for a mixed-methods study[J]. BMJ OPEN,2025,15(7):7.
APA	Fan, Zhixin,Yin, Jia,Zhang, Zhibin,Wei, Xiaolin,Yang, Ding,&Sun, Qiang.(2025).Cross-sectoral synergy governance programme for antimicrobial resistance control in China using a 'One Health' approach: study protocol for a mixed-methods study.BMJ OPEN,15(7),7.
MLA	Fan, Zhixin,et al."Cross-sectoral synergy governance programme for antimicrobial resistance control in China using a 'One Health' approach: study protocol for a mixed-methods study".BMJ OPEN 15.7(2025):7.