Evaluating one health: Are we demonstrating effectiveness?
Evaluating one health: Are we demonstrating effectiveness?
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DOI：
10.1016/j.onehlt.2016.10.004
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发表时间：
2017-06-01
期刊：
影响因子：
5
通讯作者：
Karesh, William B.
中科院分区：
文献类型：
--
作者：
Baum, Sarah E.;Machalab, Catherine;Karesh, William B.
“一个健康”方法的预期效益在很大程度上取决于通过更好地了解疾病风险--通过共同控制和检测努力以及惠及人类、动物和生态系统健康的结果--提高公共卫生效率和成本效益。然而，很少有人努力确定和系统化一个健康指标来评估这些感知到的效率。尽管对“一个健康”评估的重视程度有所增加，但被广泛引用的“一个健康”方法的益处主要是基于模型化的预测，而不是实施的干预措施的结果。我们对一个健康文献进行了回顾，以确定报告一个健康指标的一个健康框架和案例研究的现状。在1839篇独特的论文中，只有7篇报告了量化结果；这些评估没有遵循共同的方法，有几篇只审查了中间结果。对另一些人来说，一个健康方法的有效性通常是在没有支持证据的情况下假定的，或者是主观确定的。缺乏一个标准化框架来捕获跨学科的指标，即使是以通用的格式，可能会阻碍利益相关者更广泛地采用One Health。我们审查了适用于未来评估One Health的可能结果度量，注意到成本结果与One Health相关的三个主要学科的相关性。(C)2016年提交人。爱思唯尔出版公司(Elsevier B.V.)
The perceived benefits of a One Health approach are largely hinged on increasing public health efficiency and cost effectiveness through a better understanding of disease risk-through shared control and detection efforts, and results that benefit human, animal and ecosystem health. However, there have been few efforts to identify and systematize One Health metrics to assess these perceived efficiencies. Though emphasis on the evaluation of One Health has increased, widely cited benefits of One Health approaches have mainly been based on modeled projections, rather than outcomes of implemented interventions. We conducted a review of One Health literature to determine the current status of One Health frameworks and case studies reporting One Health metrics. Of 1839 unique papers, only 7 reported quantitative outcomes; these assessments did not follow shared methodology and several reviewed only intermediate outcomes. For others, the effectiveness of One Health approaches was often assumed without supporting evidence or determined subjectively. The absence of a standardized framework to capture metrics across disciplines, even in a generic format, may hinder the more widespread adoption of One Health among stakeholders. We review possible outcome metrics suitable for the future evaluation of One Health, noting the relevance of cost outcomes to die three main disciplines associated with One Health. (C) 2016 The Authors. Published by Elsevier B.V.