Rolf Panel Ely Jin

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Conference on Health and Social Protection: Meeting the needs of the poor, 09-10 October 2008 www.povill.com

Santé & Médecine

Case study: antibiotic use in rural China Dr Adrian Ely and Prof Chenggang Jin www.povill.com

Backward mapping: a ' simple ' research methodology ... 1. Start with regulatory perspectives on the problem … … how do regulators shape user practices? Regulatory worlds 2. Start with practices and perspectives of poor users … … how do their concerns diverge from regulatory perspectives? Poor users Antibiotics in China

Pneumonia-Unnecessary care -considerable burden Drug use Unnecessary cost (RMB yuan) 6 (2.60%) Needed 231 101 (43.72%) 124 (53.68%) Total Necessary Unnecessary 0.3 Min 40.52 Median 91.16 SD 540.8 74.12 124 Max Mean N

Median unnecessary cost of antibiotics by social-economic status (RMB Yuan)

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