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Harnessing Medical Bioethics Mediation to Advance One Health Governance.

Olympia Lioupi1, Polychronis Kostoulas1, Gustavo Monti2

  • 1Faculty of Public and One Health, School of Health Sciences, University of Thessaly, 43100 Karditsa, Greece.

Veterinary Sciences
|January 28, 2026
PubMed
Summary

Integrating medical-bioethics mediation into One Health governance can resolve conflicts and build trust across human, animal, and environmental sectors. This approach addresses fragmentation and ethical tensions for better collaborative health outcomes.

Keywords:
antimicrobial resistanceconflict resolutionenvironmental stewardshipmedical-bioethics mediationone health governanceparticipatory decision-makingzoonotic disease control

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Area of Science:

  • Public Health
  • Bioethics
  • Environmental Health

Background:

  • One Health aims for integrated governance across human, animal, and environmental systems to address complex health threats.
  • Implementation challenges include institutional fragmentation, power imbalances, and ethical conflicts that undermine trust and cooperation.

Purpose of the Study:

  • To propose integrating medical-bioethics mediation into One Health governance.
  • To establish a structured, relational mechanism for conflict management, ethical deliberation, and trust-building.

Main Methods:

  • Developed a conceptual framework applying mediation principles (neutrality, confidentiality, respect, shared problem-solving) to multisectoral One Health contexts.
  • Illustrated the framework with examples from zoonotic disease control, antimicrobial resistance, and environmental health.

Main Results:

  • Medical bioethics mediation can transform conflicts, enhance ethical reflection, and support participatory decision-making.
  • It facilitates policy alignment and institutionalized dialogue among diverse One Health actors.

Conclusions:

  • Integrating medical bioethics mediation offers a pathway to strengthen One Health governance by addressing ethical tensions and fostering collaboration.
  • Further research should pilot and evaluate mediation-based governance models for their impact on intersectoral trust and integrated health outcomes.