A Blueprint to Evaluate One Health.
A Blueprint to Evaluate One Health.
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DOI：
10.3389/fpubh.2017.00020
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发表时间：
2017
影响因子：
5.2
通讯作者：
Lindberg A
中科院分区：
文献类型：
--
作者：
Rüegg SR;McMahon BJ;Häsler B;Esposito R;Nielsen LR;Ifejika Speranza C;Ehlinger T;Peyre M;Aragrande M;Zinsstag J;Davies P;Mihalca AD;Buttigieg SC;Rushton J;Carmo LP;De Meneghi D;Canali M;Filippitzi ME;Goutard FL;Ilieski V;Milićević D;O'Shea H;Radeski M;Kock R;Staines A;Lindberg A
同一健康（OH）将卫生专业人员定位为变革的推动者，并提供了一个平台来管理通常无法单独在医学或公共卫生中全面捕获的健康决定因素。然而，由于社会和学科的组织，以及资源的部门分配，跨学科方法的发展需要努力和毅力。因此，有必要为政府、研究人员、资助机构和利益相关者提供关于OH附加值的证据。本文概述了一个概念框架，OH方法可以包括和附加值，他们可以提供。该框架是在欧洲科学和技术合作资助的一项行动“一个健康评估网络”举办的一次讲习班上制定的。通过系统地描述OH的各个方面，我们提供了测量和监测学科，部门和利益相关者在卫生举措的整合的基础。该框架确定了导致综合健康方法的社会，经济和环境驱动因素，并说明了这些驱动因素如何引起OH操作的特征，即，思考、规划和工作，并需要支持基础设施，以允许学习、共享和系统组织。它还描述了OH结果（即，这些目标和目标（可持续性、健康和福利、物种间公平和管理、有效性和效率）不可能仅通过部门办法实现，并与基于社会、环境和经济的可持续发展的各个方面保持一致。
One Health (OH) positions health professionals as agents for change and provides a platform to manage determinants of health that are often not comprehensively captured in medicine or public health alone. However, due to the organization of societies and disciplines, and the sectoral allocation of resources, the development of transdisciplinary approaches requires effort and perseverance. Therefore, there is a need to provide evidence on the added value of OH for governments, researchers, funding bodies, and stakeholders. This paper outlines a conceptual framework of what OH approaches can encompass and the added values they can provide. The framework was developed during a workshop conducted by the “Network for Evaluation of One Health,” an Action funded by the European Cooperation in Science and Technology. By systematically describing the various aspects of OH, we provide the basis for measuring and monitoring the integration of disciplines, sectors, and stakeholders in health initiatives. The framework identifies the social, economic, and environmental drivers leading to integrated approaches to health and illustrates how these evoke characteristic OH operations, i.e., thinking, planning, and working, and require supporting infrastructures to allow learning, sharing, and systemic organization. It also describes the OH outcomes (i.e., sustainability, health and welfare, interspecies equity and stewardship, effectiveness, and efficiency), which are not possible to obtain through sectoral approaches alone, and their alignment with aspects of sustainable development based on society, environment, and economy.