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dc.contributorSaha, Sajalen_US
dc.contributorKong, David C. M.en_US
dc.contributorMazza, Danielleen_US
dc.contributorThursky, Karinen_US
dc.description.abstractIntroduction The establishment of antimicrobial stewardship (AMS) in primary care is central to substantially reduce the antimicrobial use and the associated risk of resistance. This perspective piece highlights the importance of systems thinking to set up and facilitate AMS programs in primary care. Areas covered The challenges that primary care faces to incorporate AMS programmes is multifactorial: an implementation framework, relevant resources, team composition, and system structures remain under-researched, and these issues are often overlooked and/or neglected in most parts of the world. Progress in the field remains slow in developed countries but potentially limited in low- and middle-income countries. Expert opinion The key AMS strategies to optimize antimicrobial use in primary care are increasingly known; however, health system components that impact effective implementation of AMS programs remain unclear. We highlight the importance of systems thinking to identify and understand the resource arrangements, system structures, dynamic system behaviors, and intra- and interprofessional connections to optimally design and implement AMS programs in primary care. An AMS systems thinking systemigram (i.e. a visual representation of overall architecture of a system) could be a useful tool to foster AMS implementation in primary care.en_US
dc.description.provenanceSubmitted by Gemma Siemensma ( on 2022-08-19T01:51:02Z No. of bitstreams: 0en
dc.description.provenanceApproved for entry into archive by Gemma Siemensma ( on 2022-10-25T01:54:06Z (GMT) No. of bitstreams: 0en
dc.description.provenanceMade available in DSpace on 2022-10-25T01:54:06Z (GMT). No. of bitstreams: 0 Previous issue date: 2022en
dc.titleA systems thinking approach for antimicrobial stewardship in primary care.en_US
dc.typeJournal Articleen_US
dc.bibliographicCitation.titleExpert Review of Anti-infective Therapyen_US
dc.subject.healththesaurusANTIMICROBIAL STEWARDSHIPen_US
dc.subject.healththesaurusPRIMARY CAREen_US
dc.subject.healththesaurusSYSTEMS THINKINGen_US
Appears in Collections:Research Output

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