Mirko Ancillotti
Is antibiotic resistance a problem of individual behaviour, or of the systems people act within? Mirko Ancillotti answers this question working across ethics, behavioural research and policy.

Researcher
Centre for Research Ethics and Bioethics at Uppsala University
Research focus and interests
Sociocultural determinants of antimicrobial resistance
Behavioural drivers of antibiotic use
Ethics of antimicrobial resistance and stewardship
Governance and ethics of antibiotic shortages
Value frameworks for sustainable antibiotic access
Stakeholder perspectives on antibiotic access and policy
Pharmaceutical supply chains and antibiotic market incentives
Communication and public discourse on AMR
Research expertise and methodologies
My research combines qualitative, quantitative, and normative approaches to study antimicrobial resistance, antibiotic use, and health policy. I use qualitative methods such as semi-structured stakeholder interviews and thematic analysis to examine institutional, behavioural, and ethical dimensions of antibiotic access and stewardship. I also conduct quantitative studies, including survey-based research and statistical analysis of behavioural and social determinants of antimicrobial resistance. In addition, I analyse digital communication and social media discourse on AMR. These empirical approaches are integrated with normative bioethical analysis and public health ethics frameworks using integrative normative-empirical methods to inform policy and governance.
Ongoing research projects
Humanities and Social Sciences in One Health: Promoting Just and Responsible Antibiotic Behaviour in Society (VR-funded)
This project investigates how social, ethical, and behavioural factors influence antibiotic use and antimicrobial resistance. It examines how different actors in society understand the value of antibiotics and the responsibilities associated with their use from a One Health perspective. The aim is to contribute knowledge from the humanities and social sciences to support more responsible antibiotic practices and sustainable responses to antimicrobial resistance.
Countering the spread of AMR via consumer behaviour: Playing the AMR card (VR-funded, PI Anna-Carin Nordvall)
This interdisciplinary project studies the role of consumer behaviour in the spread of antimicrobial resistance. It investigates consumers’ knowledge of AMR and how purchasing habits in areas such as food production relate to antibiotic use. The project also develops educational approaches to increase awareness and support more sustainable choices that contribute to long-term public health.
Valuing sustainable access to effective antibiotics: stakeholder reasoning and cross-domain tensions in Sweden (Vinnova-funded, PI Enrico Baraldi, PLATINEA)
This study examines how key stakeholders in Sweden reason about securing sustainable access to effective antibiotics. Through qualitative interviews with healthcare professionals, health system procurers, pharmaceutical industry representatives, and public agency officials, the research explores how different actors understand the value of antibiotic access and the trade-offs involved in maintaining it. The analysis draws on the 3D Value Framework, which distinguishes patient value, population value, and preparedness value, in order to examine how these dimensions are interpreted across institutional contexts
Key Publications
- Samwel, E. V., Biasiotto, R., Mosha, M., & Ancillotti, M. (2025). Beyond symbolic participation: youth-led organisations’ voices and actions against antimicrobial resistance in Africa South of the Sahara. Global Health Action, 18(1). https://doi.org/10.1080/16549716.2025.2601409
- Nordvall, A. C., Nilsson, E., Oljans, E., & Ancillotti, M. (2025). Beyond the blame game: fostering consumer engagement in addressing antimicrobial resistance. Future Microbiology, 20(11), 711–714. https://doi.org/10.1080/17460913.2025.2528405
- Ancillotti, M., Huls, S.P.I., Krockow, E.M. et al. Prosocial Behaviour and Antibiotic Resistance: Evidence from a Discrete Choice Experiment. Patient 17, 191–202 (2024). https://doi.org/10.1007/s40271-023-00666-3
- Papadimou, D., Malmqvist, E. & Ancillotti, M. Socio-cultural determinants of antibiotic resistance: a qualitative study of Greeks’ attitudes, perceptions and values. BMC Public Health 22, 1439 (2022). https://doi.org/10.1186/s12889-022-13855-w
- Ancillotti M, Nilsson E, Nordvall A-C and Oljans E (2022) The Status Quo Problem and the Role of Consumers Against Antimicrobial Resistance. Front. Sustain. Food Syst. 6:834022. doi: 10.3389/fsufs.2022.834022
- Ancillotti, M., Nihlén Fahlquist, J., & Eriksson, S. (2022). Individual moral responsibility for antibiotic resistance. Bioethics, 36, 3–9. https://doi.org/10.1111/bioe.12958
- Ancillotti, M., Eriksson, S., Veldwijk, J. et al. Public awareness and individual responsibility needed for judicious use of antibiotics: a qualitative study of public beliefs and perceptions. BMC Public Health 18, 1153 (2018). https://doi.org/10.1186/s12889-018-6047-8
Publications
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A comparative ethical analysis of the Egyptian clinical research law
Part of BMC Medical Ethics, 2024
- DOI for A comparative ethical analysis of the Egyptian clinical research law
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An Effort Worth Making: A Qualitative Study of How Swedes Respond to Antibiotic Resistance
Part of Public Health Ethics, p. 1-11, 2021
- DOI for An Effort Worth Making: A Qualitative Study of How Swedes Respond to Antibiotic Resistance
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An Update of Public Perceptions of Synthetic Biology: Still Undecided?
Part of NanoEthics, p. 309-325, 2016
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Antibiotic Resistance: A Multimethod Investigation of Individual Responsibility and Behaviour
2021
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Antimicrobial resistance and the non-accountability effect on consumers’ behaviou
Part of Social Responsibility Journal, p. 1125-1143, 2025
- DOI for Antimicrobial resistance and the non-accountability effect on consumers’ behaviou
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Part of Global Health Action, 2025
- DOI for Beyond symbolic participation: youth-led organisations' voices and actions against antimicrobial resistance in Africa South of the Sahara
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Beyond the blame game: fostering consumer engagement in addressing antimicrobial resistance
Part of Future Microbiology, p. 711-714, 2025
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Challenges and opportunities for ELSI early career researchers
Part of BMC Medical Ethics, 2016
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Communicating Antimicrobial Resistance on Instagram: Content Analysis of #AntibioticResistance
Part of JMIR Infodemiology, 2025
- DOI for Communicating Antimicrobial Resistance on Instagram: Content Analysis of #AntibioticResistance
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Consumer Behaviour and antibiotic resistance
Part of Managing Antimicrobial Resistance Through Behaviour Change, p. 16-19, 2021
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Consumer behaviour and antibiotic resistance
Part of Managing Antimicrobial Resistance Through Behavior Change, March 2021, p. 13-14, 2021
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Part of Patient Preference and Adherence, p. 2921-2936, 2022
- DOI for Does It Matter How You Ask?: Assessing the Impact of Failure or Effectiveness Framing on Preferences for Antibiotic Treatments in a Discrete Choice Experiment
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Part of BMC Medical Informatics and Decision Making, 2025
- DOI for Exploring doctors’ perspectives on precision medicine and AI in colorectal cancer: opportunities and challenges for the doctor-patient relationship
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Framing exposure to excessive and improper lighting as light-public health
Part of Discover Public Health, 2025
- DOI for Framing exposure to excessive and improper lighting as light-public health
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Individual moral responsibility for antibiotic resistance
Part of Bioethics, p. 3-9, 2022
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Italians locked down: people's responses to early COVID-19 pandemic public health measures
Part of Humanities and Social Sciences Communications, 2022
- DOI for Italians locked down: people's responses to early COVID-19 pandemic public health measures
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John Harris. Persona, potenzialità e pre-persona
Part of Sintesi Dialettica, 2013
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Part of BMC Medical Informatics and Decision Making, 2023
- DOI for Precision cancer medicine and the doctor-patient relationship: a systematic review and narrative synthesis
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Preference Variation: Where Does Health Risk Attitude Come Into the Equation?
Part of Value in Health, p. 2044-2052, 2022
- DOI for Preference Variation: Where Does Health Risk Attitude Come Into the Equation?
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Part of International Journal of Antimicrobial Agents, 2020
- DOI for Preferences regarding antibiotic treatment and the role of antibiotic resistance: a discrete choice experiment
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Prosocial Behaviour and Antibiotic Resistance: Evidence from a Discrete Choice Experiment
Part of Patient, p. 191-202, 2023
- DOI for Prosocial Behaviour and Antibiotic Resistance: Evidence from a Discrete Choice Experiment
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Part of BMC Public Health, 2018
- DOI for Public awareness and individual responsibility needed for judicious use of antibiotics: a qualitative study of public beliefs and perceptions
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Part of Journal of Medical Internet Research, 2023
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Part of BMC Public Health, 2022
- DOI for Socio-cultural determinants of antibiotic resistance: a qualitative study of Greeks’ attitudes, perceptions and values
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Synthetic Biology in the Press: Media Portrayal in Sweden and Italy
Part of Ambivalences of Creating Life. , p. 141-156, Springer, 2016
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The Status Quo Problem and the Role of Consumers Against Antimicrobial Resistance
Part of Frontiers in Sustainable Food Systems, 2022
- DOI for The Status Quo Problem and the Role of Consumers Against Antimicrobial Resistance
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The Value of the Pre-Person: Potentiality, Person-Maker Criteria, and Social Dimension
Part of Journal of Philosophy of Life, p. 190-201, 2013
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Uncritical and unbalanced coverage of synthetic biology in the Nordic press
Part of Public Understanding of Science, p. 235-250, 2017
- DOI for Uncritical and unbalanced coverage of synthetic biology in the Nordic press
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When Does Evidence Create a Moral Obligation to Depart from Antibiotic Guidelines?
Part of American Journal of Bioethics, p. 109-111, 2026
- DOI for When Does Evidence Create a Moral Obligation to Depart from Antibiotic Guidelines?
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