Department of Social Science and Business, Roskilde University, Denmark.
Scand J Public Health. 2023 Jun;51(4):535-541. doi: 10.1177/14034948211024483. Epub 2021 Jun 30.
This study examined the barriers and opportunities in Sweden for integrating One Health practices. Sweden's long tradition of working with One Health was used as a case to analyse persistent barriers as well as opportunities.
Thirteen semi-structured interviews with experts from the Swedish Veterinary Agency, Food Agency, Public Health Agency, and Environmental Protection Agency were carried out. A thematic content analysis was conducted on the interviews using inductive coding in NVivo.
The study revealed that while collaboration is the general aspiration across the Swedish agencies, barriers persist regarding the understanding of One Health, the integration of the environment sector and awareness of the different terminologies employed within the disciplines. There are legislative challenges and barriers to science to policy translation. Disease outbreak was identified as an opportunity for One Health integration.
A One Health strategy needs to be developed at agency level to define One Health and clarify the roles and responsibilities. To overcome practical challenges, experts need to be aware of different terminologies and practices when collaborating. Further prospects for One Health integration include employing policy entrepreneurs to push One Health onto the political agenda. Preparations for disease outbreaks need to focus on reducing barriers to effectively integrate One Health. Experiences of One Health projects must be disseminated, and to raise awareness, education programmes must integrate One Health into curricula.
本研究考察了瑞典整合大健康实践的障碍和机遇。以瑞典长期从事大健康工作的经验为案例，分析了持续存在的障碍和机遇。
对瑞典兽医局、食品局、公共卫生局和环境保护局的 13 名专家进行了 13 次半结构式访谈。使用 NVivo 中的归纳编码对访谈进行了主题内容分析。
研究表明，尽管各机构普遍希望合作，但对大健康的理解、环境部门的整合以及对各学科所使用的不同术语的认识仍存在障碍。立法方面存在挑战，科学转化为政策也存在障碍。疾病爆发被认为是整合大健康的一个机会。
需要在机构层面制定大健康战略，明确大健康的定义，并阐明各机构的角色和责任。为了克服实际挑战，专家在合作时需要了解不同的术语和实践。进一步整合大健康的前景包括聘请政策企业家将大健康推向政治议程。疾病爆发的准备工作需要重点减少有效整合大健康的障碍。必须传播大健康项目的经验，并通过教育计划将大健康纳入课程，提高认识。
