临床一体化健康：为服务不足社区提供的新型医疗保健解决方案。
Clinical one health: A novel healthcare solution for underserved communities.
作者信息
Sweeney Joelle M, Zielinska Crook Paulina, Deeb-Sossa Natalia, Tu Brenden, Dear Jonathan D, Mazet Jonna A K
机构信息
One Health Institute, School of Veterinary Medicine, University of California, Davis, CA 95616, USA.
Global Programs, School of Veterinary Medicine, University of California, Davis, CA 95616, USA.
出版信息
One Health. 2018 Oct 19;6:34-36. doi: 10.1016/j.onehlt.2018.10.003. eCollection 2018 Dec.
Limited access to healthcare is a symptom of poverty worldwide. In Knights Landing, California, USA, an economically underserved, agricultural community, advocates recognized that integration of human and animal healthcare could provide a less intimidating gateway to services and facilitate assessments of individuals' health, not just in moments in time, but within the context of the complex interactions with other humans, animals, and their encompassing environment. Humans and animals share diseases resulting from common exposure to environmental pollutants and disease hosts and lack of adequate nutrition. Thus, a One Health-based clinic was established using an interdisciplinary approach to individual and community health. Interprofessional proximity allows veterinarians and physicians to help each other develop the full community-health picture, allowing sentinel cases to come to the forefront. With a collaborative One Health approach and clinicians adaptable to the changing needs of the population, the provision of community-centered healthcare has become more tenable.
获得医疗保健的机会有限是全球贫困的一个症状。在美国加利福尼亚州的奈茨兰丁，这是一个经济上服务不足的农业社区，倡导者们认识到，整合人类和动物医疗保健可以提供一个不那么令人生畏的服务入口，并有助于评估个人的健康状况，这不仅是在特定时刻，而且是在与其他人类、动物及其周围环境的复杂互动背景下。人类和动物会因共同接触环境污染物、疾病宿主以及缺乏充足营养而患上相同的疾病。因此，一家基于“同一健康”理念的诊所采用跨学科方法来关注个人和社区健康。跨专业的紧密合作使兽医和医生能够相互帮助，全面了解社区健康状况，让哨点病例凸显出来。通过协作性的“同一健康”方法以及适应人群不断变化需求的临床医生，以社区为中心的医疗保健服务变得更具可行性。
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