对适用于One Health监测系统的评估工具进行系统性审查:呼吁采用适应的方法
Sarah Mediouni1,2,3, Claire Ndione4, E Jane Parmley5
1Faculté de Médecine Vétérinaire, Université de Montréal, Canada.
One health (Amsterdam, Netherlands)
|March 12, 2025
概括
传染病 (ID) 和抗菌素耐药性 (AMR) 的有效监测需要综合工具. 这次审查发现缺乏明确的指导和标准化的标准来评估这些复杂的系统,强调了需要适应的方法.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 一个健康,一个健康.
背景情况:
- 针对传染病 (ID) 和抗菌素耐药性 (AMR) 的综合监测系统对于有效的公共卫生反应至关重要.
- 在建立协作和将综合监测结果转化为可行的战略方面存在挑战.
- 对这些复杂系统的评估工具缺乏全面的理解.
研究的目的:
- 系统地绘制和探索对集成的ID和AMR监测系统的同行评审评估工具.
- 识别现有工具的局限性,发现方法或知识差距.
- 为制定更好的评估方法为One Health监测提供信息.
主要方法:
- 在四个数据库 (Medline,Embase,Web of Science,CAB摘要) 进行了系统的文献搜索,使用与评估,监测和One Health相关的关键字.
- 文章被选中,如果它们提出了一个评估工具 (方法研究) 或其应用 (案例研究) 综合ID或AMR监测.
- 在使用MetaQAT工具对选定的文章进行了质量检查.
主要成果:
- 在13个方法和12个案例研究中确定了17种评估工具,分为理论,过程和影响评估.
- 评估主要集中在组织和运营方面,经济影响分析有限.
- 只有少数研究涉及评估"健康一体化"和多部门合作.
结论:
- 显著缺乏明确的指导和标准化标准,以全面评估复杂的综合监控系统.
- 现有的工具往往忽略了诸如经济影响和多部门合作等关键方面.
- 开发,验证和应用针对综合监督评估的独特需求量身定制的方法是至关重要的.
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