Stimulating collaboration between human and veterinary health care professionals

Abstract

BackgroundDespite the need to control outbreaks of (emerging) zoonotic diseases and the need for added value in comparative/translational medicine, jointly addressed in the One Health approach [One health Initiative (n.d.a). About the One Health Initiative. http://www.onehealthinitiative.com/about.php. Accessed 13 September 2016], collaboration between human and veterinary health care professionals is limited. This study focuses on the social dilemma experienced by health care professionals and ways in which an interdisciplinary approach could be developed.ResultsBased on Gaertner and Dovidio’s Common Ingroup Identity Model, a number of questionnaires were designed and tested; with PROGRESS, the relation between collaboration and common goal was assessed, mediated by decategorization, recategorization, mutual differentiation and knowledge sharing. This study confirms the Common Ingroup Identity Model stating that common goals stimulate collaboration. Decategorization and mutual differentiation proved to be significant in this relationship; recategorization and knowledge sharing mediate this relation.ConclusionsIt can be concluded that the Common Ingroup Identity Model theory helps us to understand how health care professionals perceive the One Health initiative and how they can intervene in this process. In the One Health approach, professional associations could adopt a facilitating role.

One health collaboration for a resilient health system in India: Learnings from global initiatives

“… Inter-professional collaboration in the context of a One Health clinical problem. Eussen BGM et al, [ 51 ] Europe Collaboration through mutual knowledge sharing. Common goals stimulate collaboration.…”

“…Individual level-based collaboration that is, between human and animal health practitioners that is practiced in Tanzania [ 49 ]. Also in developed nations (such as the United States or Europe) there are some efforts to integrate these professionals through combined education [ 50 , 51 ]. There are also unique initiatives in East African countries for strengthening the clinical knowledge of these professionals through two years of field epidemiology training [ 52 , 53 ].…”

“…Second, level-based collaborations especially at the provider level. For example, the establishment of One Health clinics, at least in the areas of high human-animal density [ 55 ], or the joint One Health training programs [ [50] , [51] , [52] , [53] ] for workers from both systems need to be incorporated into the health system of the country. In addition, due to lack of human resources and budgetary constraints, it will be worthwhile to initiate combined delivery of health services at least in the hard-to-reach areas of the country.…”

“…Incorporating One Health into university education [ 80 ] as well as engaging in interdisciplinary teaching [ 81 , 82 ] can foster collaboration at the individual level in the long-term. The learnings from developing a One Health module in African states [ 49 , 52 ], Europe [ 51 ], USA [ 50 ] can be considered for the Indian scenario. One way is to develop an integrated One Health module by engaging professional bodies such as the Indian Medical Association and the Indian Veterinary Association.…”

The Prisoner’s Dilemma: An Adequate Concept for Ethical Analysis in Healthcare? A Systematic Search and Critical Review

“…Another 14 dilemmas described conflicts within the management of healthcare organizations, rather than individual conflicts between physicians or between physicians and their patients (Creasy and Kinard 2013; Davis and McMaster 2015;Vries and Gordijn 2009;Djulbegovic and Hozo 2012;Djulbegovic et al 2015;Dolan et al 1999;Eber 2008;Ellingsen and Obstfelder 2007;Eussen et al 2017;Feng et al 2018;Francis 2001). Nine of these analyses addressed issues of hospital management such as whether or not to specialize (which would be societally, but not individually, efficient), whether or not to acquire technology or invest in marketing beyond the socially optimal level, and how to increase physicians' use of a new electronic booking system.…”