Engaging family physicians in one health

Hodgson, Kate; Darling, Marcia; Freeman, D.A.; Monavvari, Alan

doi:10.2460/javma.254.11.1267

Cited by 3 publications

(3 citation statements)

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“…These findings were comparable with other survey‐based studies in the United States (Grant & Olsen, 1999; Hennenfent et al., 2018; Hill et al., 2012; von Matthiessen et al., 2003). This is thought by many to be a consequence of differing priorities and demands of medical and veterinary school curricula (Hodgson et al., 2019; John et al., 2008; Kahn et al., 2008; Natterson‐Horowitz, 2015; Rabinowitz & Conti, 2013; Togami et al, 2018), with medical graduates receiving less training in zoonoses, epidemiology and One Health (Chaddock, 2012; Hoff et al., 1999; John et al., 2008; Smout et al., 2017; Steele et al., 2018, 2019; Togami et al, 2018). The strategic position occupied by veterinarians and GPs in recognizing and reporting sentinel disease events (Morse et al., 2012; Rabinowitz & Conti, 2013) makes it imperative that educational interventions are put in place to improve the confidence, competence and capacity of GPs in this area.…”

Section: Discussionmentioning

confidence: 99%

“…The current lack of effective One Health practice at the clinician level stems from varying knowledge of common endemic zoonoses and an understanding of the One Health paradigm amongst veterinarians and GPs (Eussen et al., 2017; Grant & Olsen, 1999; Hodgson et al., 2019; von Matthiessen et al., 2003; Rabinowitz & Conti, 2013). Previous research conducted by us and other researchers has suggested that the genesis of this problem lies in a number of factors, including the limited coverage of these subjects in clinical degree programs as well as continuing professional education (Hodgson et al., 2019; Kahn et al., 2008; Marcotty et al., 2013; Steele et al., 2018, 2019; Togami et al, 2018). Further, the structure of medical and veterinary services and existence of professional silos results in clinicians tending to act individually rather than collaboratively and cooperatively (Rabinowitz & Conti, 2010; Speare et al., 2015).…”

Section: Introductionmentioning

confidence: 99%

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Towards One Health clinical management of zoonoses: A parallel survey of Australian general medical practitioners and veterinarians

Steele

Booy

Manocha

et al. 2020

Zoonoses and Public Health

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General medical practitioners (GPs) and veterinarians have different but complementary knowledge and skills, with potential to enhance clinical management of zoonoses in human and animal patients through taking a One Health approach that promotes cross‐professional collaboration. Ability and willingness to engage within this framework is contingent on knowledge of endemic zoonoses and an understanding of the diversity of professional roles; however, previous research suggests that this is lacking. A unique parallel survey of Australian GPs and veterinarians was implemented to ascertain clinician experience, concern, confidence and current practices regarding zoonoses management as well as willingness to engage in cross‐professional collaboration where it is beneficial to overall health outcomes. Responses from 528 GPs and 605 veterinarians were analysed. Veterinarians in clinical practice were found to more frequently diagnose zoonoses; have greater concern about zoonoses; be more confident in diagnosing, managing and giving advice about the prevention of zoonoses; more likely to give advice about managing the risk of zoonoses; and more likely to initiate cross‐professional referral compared to GPs (p < .001 in all areas, adjusted for other factors). The findings of this study indicate a need for change in both clinical and continuing professional education, especially for GPs, in order to better equip them in the area of zoonoses management. Exploration of pathways to encourage and facilitate cross‐professional referral and collaboration will further improve clinical outcomes for both human and animal patients.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Towards One Health clinical management of zoonoses: A parallel survey of Australian general medical practitioners and veterinarians

Steele

Booy

Manocha

et al. 2020

Zoonoses and Public Health

View full text Add to dashboard Cite

show abstract

“…Maintenance of global health security requires preparedness across all sectors [[4], [5], [6]] and there is clear agreement that multi-sectoral, One Health collaborations involving medical, veterinary, public health and environmental health professionals will significantly improve outcomes in the case of zoonoses [[5], [6], [7], [8], [9]]. Over the last decade significant progress has been made to build or strengthen multi-sectoral relationships at the academic, government and inter-governmental levels [[9], [10], [11], [12], [13], [14]], with considerably less activity occurring at the clinical practitioner level [[15], [16], [17], [18], [19], [20]].…”

Section: Introductionmentioning

confidence: 99%

What makes an effective One Health clinical practitioner? Opinions of Australian One Health experts

et al. 2019

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Despite agreement that One Health practices facilitate effective management of zoonoses, the pathways to a coordinated and collaborative approach by general medical practitioners (GPs) and veterinarians are hampered by limited understanding of how this can be practically incorporated in routine clinical settings. Data collected during a Delphi survey of Australian One Health ‘experts’ was used to explore opinions and insights into desired knowledge, attitudes and practices of effective One Health clinical practitioners. Five categories were identified as essential for GPs and veterinarians, namely: accurate baseline knowledge of specific zoonoses; a ‘big picture’ understanding of zoonoses; understanding of professional roles within the One Health paradigm; understanding one's own professional limitations; and collaboration and referral improve outcomes. An outline of the roles and responsibilities of GPs and veterinarians as effective One Health clinicians was determined based on the opinions of the expert panel. Educational interventions that foster interprofessional communication and collaboration will be necessary to successfully bring about the cultural change required to achieve effective One Health practice in Australia, and thus expedite improved human, animal and environmental health outcomes.

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Letters to the Editor

2019

javma

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Engaging family physicians in one health

Cited by 3 publications

References 10 publications

Towards One Health clinical management of zoonoses: A parallel survey of Australian general medical practitioners and veterinarians

Towards One Health clinical management of zoonoses: A parallel survey of Australian general medical practitioners and veterinarians

What makes an effective One Health clinical practitioner? Opinions of Australian One Health experts

Letters to the Editor

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