在中国整合"一健康"治理:评估结构性实施和运营性入口点
Qi-Yu Zhang1,2,3,4, Yan-Yan Zhang1,2,3, Jing-Shu Liu5
1School of Global Health, Chinese Center for Tropical Diseases Research, Shanghai Jiao Tong University School of Medicine, Shanghai, People's Republic of China.
One health (Amsterdam, Netherlands)
|October 6, 2025
概括
中国中国中国中国.
科学领域:
- 一个健康治理治理
- 公共卫生政策 公共卫生政策
- 动物传染病控制和控制
背景情况:
- 中国建立了一个"一个健康"框架,以应对动物传播疾病,抗菌素耐药性 (AMR) 和环境退化.
- 有效实施面临挑战,因为大型农业部门,人口密度和多样化的生态系统需要跨部门协调.
- 在"一个健康"的方法中,在资源分配,跨部门协调和政策整合方面仍然存在差距.
研究的目的:
- 评估中国在结构领域和运营入口点的"健康一体"治理.
- 确定"一个健康"框架实施中的优势和持续存在的差距.
- 为改善中国"一健康"治理提供可行的建议.
主要方法:
- 一种使用41个深入专家访谈的定性方法.
- 政策文件的分析和系统的文献审查.
- 使用NVivo 12.0和接地理论分析进行数据的主题编码,并进行编码器间可靠性测试.
主要成果:
- 实时监控和多部门响应能力不足.
- 跨部门资源分配和协调的效率低下阻碍了应急响应.
- 碎片化的数据,孤立的部门,有限的跨学科培训和不足的财务支持阻碍了全面的"健康"实施.
结论:
- 中国在"一个健康"的实施中面临着严重的缺口,包括实时监测,跨部门协调,数据整合,劳动力能力和财政支持.
- 解决这些落实差距对于加强"健康一体"治理至关重要.
- 这项研究为其他面临类似挑战的地区在整合人类,动物和环境健康方面提供了宝贵的教训.
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