CattleFlow Consulting, Christiana, TN 37037, USA; Elanco Animal Health, Greenfield, IN, USA.
Vet Clin North Am Food Anim Pract. 2022 Jul;38(2):273-294. doi: 10.1016/j.cvfa.2022.02.007.
Despite evidence-based "improvements" in animal health products and management, losses to bovine respiratory disease have increased with associated animal wastage, welfare concerns, and antimicrobial use; questioning the fitness of current disease-centric paradigms for improving critical outcomes in complex adaptive systems. Systems thinking is used to model a paradigm shift from mental models based on management of failure outcomes in a flawed pass/fail dichotomy to one of managing success outcomes on a continuum. In the proposed wellness paradigm, the notion of health as absence of disease is rejected and replaced with perspective of disease as symptomatic of systems insufficiently supporting wellness.
尽管在动物健康产品和管理方面有基于证据的“改进”,但牛呼吸道疾病的损失却随着相关动物浪费、福利问题和抗生素的使用而增加;这对当前以疾病为中心的范式在复杂自适应系统中改善关键结果的适应性提出了质疑。系统思维被用于对范式转变进行建模,从基于管理失败结果的管理思维模式转变为基于连续成功结果的管理思维模式。在提出的健康模式中,摒弃了将健康视为无疾病的观念,代之以将疾病视为系统不足以支持健康的症状的观念。