The Diagnosis Confirmation Model (DCM) includes a dual-pricing mechanism designed to support value-based pricing of novel antibiotics while improving the alignment of financial incentives with their optimal use in patients at high risk of drug-resistant infections. DCM is a market-based model and complementary to delinked models. Policymakers interested in stimulating antibiotic innovation could consider tailoring the DCM to their reimbursement systems and incorporating it into the suite of incentives to improve the economics of antibiotics.

In this paper we seek to engage with contemporary environmental debates concerning human–nature relations at the everyday level. Our focus is on the domestic or home garden, which we argue is a significant locale for understanding human–nature relations. Secondary empirical data illustrate the growth of gardening and its connections to changes in housing tenure, consumption patterns and the ‘commodification of nature’ by the garden industry. Primary empirical data on the meanings of home and garden (and gardening activities) are utilised to understand the relations between human agency and contemporary human–nature relations. The findings suggest that a variety of social and economic processes encourage utilitarian and consumerist orderings of nature in gardens. But the meanings of gardens are also structured by personal practices, often reflecting relationships with family and friends, that produce complex and personalised connections with nature that illustrate the ambiguity of human–nature relations.