Rabinowitz Peter M, Natterson-Horowitz Barbara J, Kahn Laura H, Kock Richard, Pappaioanou Marguerite
Departments of Environmental and Occupational Health Sciences, Global Health, Family Medicine, University of Washington Center for One Health Research, 1959 NE Pacific Street HSB F551, Box 357234, Seattle, WA, 98195, USA.
Division of Cardiology, David Geffen School of Medicine, University of California, Los Angeles, USA.
BMC Med Educ. 2017 Feb 23;17(1):45. doi: 10.1186/s12909-017-0883-6.
One Health is an emerging concept that stresses the linkages between human, animal, and environmental health, as well as the need for interdisciplinary communication and collaboration to address health issues including emerging zoonotic diseases, climate change impacts, and the human-animal bond. It promotes complex problem solving using a systems framework that considers interactions between humans, animals, and their shared environment. While many medical educators may not yet be familiar with the concept, the One Health approach has been endorsed by a number of major medical and public health organizations and is beginning to be implemented in a number of medical schools. In the research setting, One Health opens up new avenues to understand, detect, and prevent emerging infectious diseases, and also to conduct translational studies across species. In the clinical setting, One Health provides practical ways to incorporate environmental and animal contact considerations into patient care. This paper reviews clinical and research aspects of the One Health approach through an illustrative case updating the biopsychosocial model and proposes a basic set of One Health competencies for training and education of human health care providers.
“同一健康”是一个新兴概念,强调人类、动物和环境健康之间的联系,以及跨学科交流与合作以解决包括新发人畜共患病、气候变化影响和人兽关系等健康问题的必要性。它倡导运用系统框架解决复杂问题,该框架考虑人类、动物及其共享环境之间的相互作用。虽然许多医学教育工作者可能尚未熟悉这一概念,但“同一健康”方法已得到一些主要医学和公共卫生组织的认可,并开始在一些医学院校实施。在研究领域,“同一健康”开辟了新途径,有助于理解、检测和预防新发传染病,还能开展跨物种的转化研究。在临床领域,“同一健康”提供了切实可行的方法,将环境和动物接触因素纳入患者护理。本文通过一个更新生物心理社会模型的实例,回顾了“同一健康”方法的临床和研究方面,并提出了一套针对人类医疗服务提供者培训和教育的基本“同一健康”能力要求。