The “One Health” approach in healthcare, a challenge for management – Quotidiano Sanità

by Michela Perrone

Human, animal and environmental health, all under one hat. The challenge is now in the present: will it be possible to integrate the various skills to achieve 360 ​​° well-being? It was discussed during the last Sanitalk

23 SET – For some years in medicine the importance of multidisciplinary teams has been understood, which can take care of the patient at 360 °. There is an approach that goes beyond and embraces, in addition to human health, also animal health and the environment. It is the so-called “One Health”, that is the one based on the awareness that we all live on the same planet and that the modification of one variable will eventually affect the others as well.
The pandemic has made this relationship clear, but in reality the main health institutions have been trying to understand how to integrate the various knowledge and skills for years.
According to the Italian Ministry of Health, for example, it is necessary to establish a better balance and a systematic interaction between professional groups with greater efficiency than existing networks.
On the occasion of the last European “All for One Health” day which was held in May 2021, the Higher Institute of Health communicated the commitment made in its Strategic Plan 2021-2023 to promote the growth of the multidisciplinary capacity necessary for complex health challenges at national and international level, with a “One Health” approach. The issue was also addressed in the recent Sanitalk which brought together some of the leading experts in the field around the usual virtual table.

Health as an overall wellbeing
Giovanni Iacono, Vice President of Federsanità, highlighted how “the socio-health integration that has been talked about for years is a subset of the“ One Health ”approach. This formula does nothing but draw attention to the overall well-being of the individual based on the new idea of ​​health sanctioned by the WHO. The pandemic has taught us that we must never give individual but collective answers to a global problem. As Federsanità we are working through a national survey on well-being to identify a series of specialist indicators determining the state of health through a permanent methodological research path. At the base we find the relationship with the environment, one of the triggering causes of the state of disease “.
For the expert, the prevention activities that work include a multifactorial intervention aimed at jointly modifying the risk factors; the involvement of the recipients right from the planning and execution phases and the ability to involve and activate the various components of the community itself.
Per Elide Azzan, Director General of AO Cuneo, President of Anmdo Piemonte, the concept of “One Heath” is not new: “Healthcare companies have been working on it for some time, in particular on the concepts of interdisciplinarity, interdependence, sustainability, improving the levels of cooperation and integration “. An example concerns the management of chronicity, which began well before the pandemic and which provided for a more functional integration between hospital and territory: “It is a set of actions that affect both epidemiological, organizational and, for some time, also environmental aspects “.

Training and territory

Per Luigi RossiPresident Card Toscana, training must be put at the center: “On the territory there are many actors who belong to different worlds – he recalled – This is why it is essential to create a shared organizational culture: where systems have been able to integrate and work together, they have managed to obtain excellent results “.
It also testified that the key is the territory Stefano Vella, Professor of Global Health at the Catholic University of the Sacred Heart: “I believe that the Municipalities should be involved more, because there is still an enormous distance between the hospital and the territory. The key is health that reaches citizens and not vice versa ”.

Along the same lines too Paolo Petralia, General Manager Asl 4 Chiavarese, Vice President Fiaso: “Fiaso is putting a green-oriented” One Health “agenda at the center, but more generally to those contextual policies that put the person at the center, together with their living environment and all contributing health determinants. Healthcare companies in Fiaso represent the complexity of skills, of different professional figures, the wealth of knowledge… All things that are aligned to build the concept of health. Today we are all united to map the skills that companies express and therefore make them available “.

Of all the professional figures, that of the pharmacist is perhaps the most transversal: “we have a systematic interaction with the various professional groups operating in health, including strategic and general directions and the governance of regional budgets – confirmed Arturo Cavaliere, President Sifo – Covid-19 has certified how the multidimensional “One Health” approach is fundamental: for example, only through a very close coordination between human and veterinary prevention could such an event have been avoided in the countries where the virus was born. catastrophic”. As proof of Sifo’s interest in this type of approach, “in our next congress there will be three topics that will go in this direction – anticipates Cavalieri – the green transition, digital transformation and social and territorial cohesion. It will be more and more central to ask about eco-sustainable operating theaters and medical devices “.

Michela Perrone

September 23, 2021
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