全球在实现"一个健康"方面已经走了多远? 目前的证据和政策影响基于全球"一健康"指数
Qiyu Zhang1,2,3, Jingshu Liu1,2,3, Lefei Han1,2,3
1School of Global Health, Chinese Center for Tropical Diseases Research, Shanghai Jiao Tong University School of Medicine, Shanghai, People's Republic of China.
Science in One Health
|July 30, 2024
概括
全球一健康指数 (GOHI) 2022揭示了一个健康准备的全球显著差异. 该工具指导了加强能力建设和应对未来流行病的战略.
科学领域:
- 全球健康 全球健康
- 公共卫生政策 公共卫生政策
- 环境健康 环境健康
背景情况:
- 整合人类-动物-环境视角和跨学科合作的One Health方法对于应对全球卫生挑战至关重要.
- 需要一个评估工具来支持全球和国家"一个健康"倡议.
研究的目的:
- 加强全球健康指数 (GOHI) 指标系统,以进行综合评估.
- 为评估不同地区和国家的"健康"准备工作提供一个框架.
主要方法:
- 开发了一个增强的GOHI框架,包含三个指数:外部驱动器 (EDI),内在驱动器 (IDI) 和核心驱动器 (CDI).
- 使用模糊的分析层次流程来权衡13个关键指标,50个指标和170个子指标.
- 通过加权EDI,IDI和CDI的总和计算GOHI 2022分数,并比较7个地区和160个国家/地区的排名.
主要成果:
- 2022年GOHI评分差异很大 (39.03-70.61),全球平均值为54.82.61分.
- 北美,欧洲和中亚,东亚和太平洋地区的得分更高.
- 在CDI中,在抗菌素耐药性和粮食安全领域观察到的得分最低.
结论:
- 印度政府的健康计划旨在指导"一个健康"能力建设的战略.
- 完善GOHI的数据挖掘方法对于理解差异和改善实际实施至关重要,特别是对于未来的流行病准备.
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