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Appendix E: Executive Summary: GFHR Report
Pages 274-278

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From page 274...
... Miliar Consultant Microbiologist and Infection Control Doctor, Barts and The London NHS Trust Paula Wilton Research Associate, Health Economics Group School of Health Policy and Practice, University of East Anglia Anne-Marie Karcher Specialist Registrar in Microbiology, Department of Microbiology, Homerton Hospital 274
From page 275...
... is one of the biggest challenges to face global public health at the beginning of the third millennium. However, there is little accurate information concerning many aspects of AMR, including, in particular, the cost and/or effectiveness of various strategies which may prevent the emergence of AMR and/or limit the transmission of resistant organisms, or resistance determinants.
From page 276...
... There were few studies examining strategies to reduce AMR in developing countries, although several focusing upon prescribing were reviewed. This may be a reflection of pharmaceuticals being widely available at a community level (with few restrictions governing their availability)
From page 277...
... 7. Discussion and research agenda In terms of current literature, there is a narrow focus upon the closed hospital system and concentrating upon the effects of policies aimed at reducing transmission rather than emergence of resistance.
From page 278...
... Yet, given the increasing importance of evidence-based medicine, strategies that have been evaluated using experimental methods and well conducted economic evaluations, may be prioritised above these policies, which are much more difficult to evaluate. This is a danger that should be avoided both by awareness among policy makers of the relative challenges associated with evaluating different types of policy, and by awareness among the research community of the importance of evaluating policies which may potentially be more important, even if the rigour with which they can be evaluated is less than for the potentially less important .

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