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Related Concept Videos

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At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
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Evaluating one health: Are we demonstrating effectiveness?

Sarah E Baum1,2, Catherine Machalaba1,3, Peter Daszak1

  • 1EcoHealth Alliance, New York, NY, United States.

One Health (Amsterdam, Netherlands)
|June 16, 2017
PubMed
Summary
This summary is machine-generated.

Evaluating One Health approaches requires standardized metrics. Current research lacks quantitative outcomes and shared methodologies, hindering widespread adoption and demonstrating effectiveness across human, animal, and ecosystem health.

Keywords:
EffectivenessEvaluationOne HealthQuantitativeReview

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Area of Science:

  • Interdisciplinary health studies
  • Public health research
  • Veterinary epidemiology

Background:

  • One Health approaches aim to improve public health efficiency and cost-effectiveness by integrating human, animal, and ecosystem health.
  • Despite perceived benefits, there's a lack of systematic metrics to evaluate the actual efficiencies and outcomes of implemented One Health interventions.
  • Existing evidence often relies on modeled projections rather than empirical data from interventions.

Purpose of the Study:

  • To review the current status of One Health frameworks and case studies reporting quantitative metrics.
  • To identify the extent to which One Health interventions report measurable outcomes.
  • To explore potential outcome metrics for future One Health evaluations.

Main Methods:

  • A systematic literature review was conducted on One Health frameworks and case studies.
  • The review screened 1839 unique papers to identify those reporting quantitative outcomes.
  • Analysis focused on the methodologies and types of outcomes reported in the selected studies.

Main Results:

  • Only 7 out of 1839 papers reported quantitative outcomes for One Health approaches.
  • The reported assessments lacked shared methodologies, and several focused only on intermediate outcomes.
  • The effectiveness of One Health interventions was frequently assumed or subjectively determined, lacking robust evidence.

Conclusions:

  • The absence of standardized metrics and frameworks hinders the widespread adoption and evaluation of One Health.
  • Future evaluations should focus on developing and implementing consistent outcome metrics, including cost-effectiveness.
  • Standardized metrics are crucial for demonstrating the tangible benefits of One Health across disciplines.