Meanings and mechanisms of One Health partnerships: insights from a critical review of literature on cross-government collaborations.

Meanings and mechanisms of One Health partnerships: insights from a critical review of literature on cross-government collaborations.
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DOI:
10.1093/heapol/czab134
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发表时间:
2022-03-04
影响因子:
3.2
通讯作者:
Rushton J
Rushton J
中科院分区:
医学3区
文献类型:
--
作者:
Abbas SS;Shorten T;Rushton J

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复杂的卫生政策挑战,如抗菌素耐药性和其他新出现的感染,是由多个部门的活动推动的。因此,解决这些问题还需要多个部门的共同努力,一个卫生办法就是一个例证。我们进行了一次批判性审查,以审查在多个学科和专题领域构思多部门伙伴关系的不同方式。我们首先从健康、营养和公共行政学科的六篇文章开始,这些文章回顾了各自领域的概念框架。我们利用这六篇文章的参考书目进行了反向引文追踪,以确定在相同和相关领域的其他文章,这些文章概念化了多部门伙伴关系。我们确定了1967年至2018年发表的58篇文章,这些文章来自全球健康、传染病、管理、营养和可持续发展科学领域,表明几十年来,多部门伙伴关系一直是不同领域的研究主题。对58条进行的专题分析表明,多部门伙伴关系的形式多种多样,有不同的描述方式。伙伴关系可按范围、规模、形式和力度进行分类。当所需的信息和资源超出任何个别部门的能力时,在动态不确定和部门失败的情况下,就会出现多部门伙伴关系。这种伙伴关系本质上是政治性的,包含了多个相互竞争的合作行为者议程。在很长一段时间内保持合作将需要像One Health这样的合作方法,以适应相互竞争的政治观点,并包括使多部门伙伴关系能够应对不断变化的外部动态的灵活性。
Complex health policy challenges such as antimicrobial resistance and other emerging infections are driven by activities in multiple sectors. Therefore, addressing these also requires joint efforts from multiple sectors as exemplified in the One Health approach. We undertake a critical review to examine the different ways in which multisector partnerships have been conceptualized across multiple disciplines and thematic areas. We started with a set of six articles from the disciplines of health, nutrition and public administration that reviewed conceptual frameworks within their respective fields. We conducted backward citation tracing using the bibliography of the six articles to identify other articles in the same and related fields that conceptualized multisector partnerships. We identified 58 articles published from 1967 to 2018 from the fields of global health, infectious diseases, management, nutrition and sustainability sciences indicating that multisector partnerships have been a topic of study across different fields for several decades. A thematic analysis of the 58 articles revealed that multisector partnerships assume a variety of forms and have been described in different ways. Partnerships can be categorized by scope, scale, formality and strength. Multisector partnerships emerge in conditions of dynamic uncertainty and sector failure when the information and resources required are beyond the capacities of any individual sector. Such partnerships are inherently political in nature and subsume multiple competing agendas of collaborating actors. Sustaining collaborations over a long period of time will require collaborative approaches like One Health to accommodate competing political perspectives and include flexibility to allow multisector partnerships to respond to changing external dynamics.
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