Clarke AnneMarie, More Simon J, Maher James W, Byrne Andrew W, Horan Michael, Barrett Damien
One Health One Welfare Scientific Support Unit, Department of Agriculture, Food and the Marine, Agriculture House, Dublin, Ireland.
Centre of Veterinary Epidemiology and Risk Analysis, School of Veterinary Medicine, University College Dublin, Dublin, Ireland.
Front Vet Sci. 2020 Dec 23;7:596867. doi: 10.3389/fvets.2020.596867. eCollection 2020.
Decisions around animal health management by stakeholders are often subject to resource limitation, therefore prioritization processes are required to evaluate whether effort is attributed appropriately. The objectives of this study were to develop and apply a surveillance prioritization process for animal health surveillance activities in Ireland. An exploratory sequential mixed research methods design was utilized. A prioritization tool was developed for surveillance activities and implemented over two phases. During the first phase, a survey was conducted which asked stakeholders to prioritize diseases/conditions by importance for Irish agriculture. In the second phase, experts identified the most important surveillance objectives, and allocated resources to the activities that they considered would best meet the surveillance objectives, for each disease/condition. This study developed a process and an accompanying user-friendly practical tool for animal disease surveillance prioritization which could be utilized by other competent authorities/governments. Antimicrobial resistance and bovine tuberculosis were ranked top of the endemic diseases/conditions in the Irish context, while African swine fever and foot and mouth disease were ranked top of the exotic diseases/conditions by the stakeholders. The study showed that for most of the diseases/conditions examined in the prioritization exercise, the respondents indicated a preference for a combination of active and passive surveillance activities. Future extensions of the tool could include prioritization on a per species basis.
利益相关者围绕动物健康管理所做的决策往往受到资源限制,因此需要进行优先排序流程,以评估精力是否得到合理分配。本研究的目的是为爱尔兰的动物健康监测活动开发并应用一种监测优先排序流程。采用了探索性序列混合研究方法设计。为监测活动开发了一种优先排序工具,并分两个阶段实施。在第一阶段,开展了一项调查,要求利益相关者按对爱尔兰农业的重要性对疾病/状况进行优先排序。在第二阶段,专家们确定了最重要的监测目标,并为他们认为最能实现每个疾病/状况监测目标的活动分配资源。本研究为动物疾病监测优先排序开发了一个流程及配套的用户友好型实用工具,其他主管当局/政府也可使用。在爱尔兰的背景下,抗菌药物耐药性和牛结核病在地方病/状况中排名最高,而非洲猪瘟和口蹄疫在利益相关者列出的外来病/状况中排名最高。研究表明,对于优先排序活动中所考察的大多数疾病/状况,受访者倾向于主动监测和被动监测活动相结合的方式。该工具未来的扩展内容可包括按物种进行优先排序。