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“同一健康”治理的策略与机制:以中国为例

Strategy and mechanism of One Health governance: case study of China.

作者信息

Li Xinchen, Zhang Yanyan, Zhang Qiyu, Liu Jingshu, Zhu Zelin, Feng Xinyu, Han Lefei, Zhang Xiaoxi

机构信息

School of Global Health, Chinese Center for Tropical Diseases Research, Shanghai Jiao Tong University School of Medicine, Shanghai, 200025, China.

Institute of One Health, Shanghai Jiao Tong University, Shanghai 200025, China.

出版信息

Sci One Health. 2024 Dec 9;4:100098. doi: 10.1016/j.soh.2024.100098. eCollection 2025.

Abstract

BACKGROUND

Strategy and mechanism are crucial components of One Health governance in China, designed to address the interconnected health issues between humans, animals, and the environment. This study aims to evaluate China's current One Health governance framework, identify key strengths and gaps, and provide recommendations for establishing a more integrated and effective system.

METHODS

A qualitative approach was employed, including in-depth interviews, policy analysis, and a review of existing literature, to evaluate the strengths and gaps in China's One Health framework.

RESULTS

The analysis identified progress and challenges in six key areas: (1) political commitment: strong national support exists, but lacks a unified strategy; (2) legislation and regulation: notable legislative efforts are in place, yet they remain fragmented; (3) leadership building: effective leadership structures have been established during crises but are not institutionalized; (4) strategic planning: initial regional planning is underway, but a comprehensive national focus is needed; (5) coordination and communication: mechanisms exist but require formalized, consistent information-sharing channels; (6) stakeholder engagement: public and academic awareness is growing, yet local community involvement needs strengthening.

CONCLUSION

To advance its One Health governance, China must focus on creating a unified strategy, enhancing interdepartmental coordination, and deepening stakeholder engagement, ensuring its alignment with international standards and improving public health outcomes.

摘要

背景

战略与机制是中国“同一健康”治理的关键组成部分,旨在应对人类、动物和环境之间相互关联的健康问题。本研究旨在评估中国当前的“同一健康”治理框架,识别关键优势与差距,并为建立一个更具综合性和有效性的体系提供建议。

方法

采用定性研究方法,包括深入访谈、政策分析以及对现有文献的回顾,以评估中国“同一健康”框架的优势与差距。

结果

分析确定了六个关键领域的进展与挑战:(1)政治承诺:国家支持力度大,但缺乏统一战略;(2)法律法规:立法工作显著,但仍零散;(3)领导力建设:危机期间建立了有效的领导结构,但未制度化;(4)战略规划:区域初步规划正在进行,但需要全国性的全面关注;(5)协调与沟通:机制存在,但需要正式、一致的信息共享渠道;(6)利益相关者参与:公众和学术意识在增强,但地方社区参与需要加强。

结论

为推进其“同一健康”治理,中国必须专注于制定统一战略、加强部门间协调以及深化利益相关者参与,确保与国际标准接轨并改善公共卫生成果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/30e7/11786842/f461ff26d78e/gr1.jpg

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