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Health Systems and Public Policy, the Role of the One and Global Health Approach towards a More Sustainable Future

A special issue of Sustainability (ISSN 2071-1050). This special issue belongs to the section "Health, Well-Being and Sustainability".

Deadline for manuscript submissions: closed (31 March 2022) | Viewed by 8549

Special Issue Editors

Dr. Esteban Ortiz-Prado

E-Mail Website
Guest Editor
One Health Global Research Group, Universidad de las Americas, Quito, Ecuador
Interests: one health; global health; high altitude; access to medicines; covid-19 response
Dr. Miguel Angel Garcia

E-Mail Website
Assistant Guest Editor
One Health Research Group, Faculty of Medicine, Universidad de las Américas, Quito 170124, Ecuador
Interests: molecular epidemiology of tuberculosis and zoonotic infectious diseases; SARS-CoV-2 laboratory diagnosis methods; COVID-19 epidemiology

Special Issue Information

Dear Colleagues,

Dear authors, the world has experienced several health crises during modern history. The role of wars and globally distributed maladies have put much pressure on health systems. The world is continually experiencing massive migration, urban expansion, unequal economic growth, and poverty, affecting local populations and creating new and dynamic public health scenarios.
In this sense, the one-health approach towards a more sustainable health system becomes a must in cities and communities with a complex scenario among the environment, nature, animals, and human health.
This special issue explores the complex connections between humans, animals and the environment within countries and cities aiming to become more sustainable in terms of equal access to health services.
We are inviting researches from all over the world to submit their work related to the role of contamination and its impact on public health, the role of animal health on the development of human,  Enabling Change for Health Improvement in a more sustainable environment.
The readers of this special issue will analyze the reasons behind the distribution of health and the broader determinants of health within and between communities.
To evaluate health improvement interventions, the implications for change across the health and care system, recognizing the complexity of health improvement.
To analyze the components of intersectoral collaborative working and community engagement in health improvement and discuss key stakeholders' importance when tackling contemporary public health issues.

Dr. Esteban Ortiz-Prado
Dr. Miguel Angel Garcia
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Sustainability is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2400 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • one health
  • global health
  • migration and neglected tropical diseases
  • public policy
  • sustainable health systems

Published Papers (3 papers)

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Research

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19 pages, 599 KiB  
Article
Sustainable Development of China’s Maternity Insurance System in the Context of Population Policy Changes: Using a Grounded Theory Approach
by Xiaotian Zhang, Xiaoyun Liu, Yang Wang, Lulin Zhou and Xiaoran Cheng
Sustainability 2022, 14(4), 2138; https://doi.org/10.3390/su14042138 - 13 Feb 2022
Cited by 3 | Viewed by 2372
Abstract
Background: Declining birth rates have become a challenge for many countries around the world. This study aimed to analyze the influencing factors of the sustainable development of the maternity insurance system and find ways to promote higher birth rates. Methods: We used four [...] Read more.
Background: Declining birth rates have become a challenge for many countries around the world. This study aimed to analyze the influencing factors of the sustainable development of the maternity insurance system and find ways to promote higher birth rates. Methods: We used four multi-stakeholder workshops and in-depth interviews to bring together three groups of people: maternity insurance system developers, implementers, and researchers. Then, we analyzed the factors influencing the sustainability of the maternity insurance system using grounded theory. Results: In this study, the most powerful and effective intervention measures for China in the short term include the policy of merging national health insurance with maternity insurance and a dynamic payment rate policy. In the long term, expanding the coverage of the maternity insurance system and improving the management level of the maternity insurance fund are effective intervention measures. Conclusion: This study subdivides the factors influencing the sustainable development of the maternity insurance system, which has certain theoretical significance and can be used as the theoretical basis for quantitative and empirical research model construction in the future. Full article
(This article belongs to the Special Issue Health Systems and Public Policy, the Role of the One and Global Health Approach towards a More Sustainable Future)
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10 pages, 403 KiB  
Article
Bicycling-Related Mortality in Ecuador: A Nationwide Population-Based Analysis from 2004 to 2017
by Simone Cordovez, Esteban Ortiz-Prado, Eduardo Vasconez, Felipe Andrade, Katherine Simbaña-Rivera, Lenin Gómez-Barreno and Rich C McIlroy
Sustainability 2021, 13(11), 5906; https://doi.org/10.3390/su13115906 - 24 May 2021
Cited by 3 | Viewed by 2968
Abstract
Urban cycling is gaining popularity worldwide. Inadequate local and international guidelines on street cycling have contributed to a significant increase in road traffic/cycling collisions. Developing countries are the least safe for cyclists. In this sense, this is the first epidemiological study that seeks [...] Read more.
Urban cycling is gaining popularity worldwide. Inadequate local and international guidelines on street cycling have contributed to a significant increase in road traffic/cycling collisions. Developing countries are the least safe for cyclists. In this sense, this is the first epidemiological study that seeks to determine the impact of street cycling-related mortality in Ecuador over the last 13 years. Methods: A descriptive ecological analysis of the epidemiology of bicycling-related mortality in Ecuador was conducted. All deaths identified as V10 to V19 according to the International Code of Diseases 10th edition (ICD-10) from 2004 to 2017 were retrieved from the National Institute of Statistics and Census in Ecuador (INEC) database. Results: From 2004 to 2017, a total of 300 deaths among street cyclists were officially reported in Ecuador. From this, 91% of the victims were men (n = 273) and 9% were women (n = 27). In relationship to other traffic accidents, bicycle-related deaths accounted for 0.68% of the overall car accident mortality. Bicycle-related deaths are more frequent in urban areas with 85% (n = 257), while rural areas accounted for 15% of the deaths (n = 43). In addition, lower educational attainment (75% did not reach secondary school) seems to be linked with higher mortality rates. Conclusions: In Ecuador, fatalities involving cyclists are an important part of the burden of disease attributed to traffic accidents. These preventable deaths are becoming a growing health problem, especially among those with poorer health determinants, such as lower educational attainment, ethnic minority status, and living in rural areas. The lack of public policy related to the prevention of this type of accident, as well as the irresponsibility of cars and transport vehicle drivers, might be associated with an increasingly high portion of the overall bicycle-related mortality in Ecuador. Full article
(This article belongs to the Special Issue Health Systems and Public Policy, the Role of the One and Global Health Approach towards a More Sustainable Future)
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Review

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7 pages, 240 KiB  
Review
Social Model—Innovation and Behavioural Intervention as a Public Policy of Action within an Oncology and Loneliness Scope
by Vasco Fonseca, Joaquim Caeiro and Fernanda Nogueira
Sustainability 2021, 13(3), 1544; https://doi.org/10.3390/su13031544 - 1 Feb 2021
Cited by 2 | Viewed by 2377
Abstract
The article presents concepts and the Public Health Policy University of Lisbon Lab project to answer questions about the macro-environment of cancer and loneliness. Although the biomedical model has considered the disease’s general symptoms, it takes a holistic approach to incorporate several other [...] Read more.
The article presents concepts and the Public Health Policy University of Lisbon Lab project to answer questions about the macro-environment of cancer and loneliness. Although the biomedical model has considered the disease’s general symptoms, it takes a holistic approach to incorporate several other circumstances that influence health. Emotional, social, psychological, and economic factors mirror influencing layers that affect wellness. Portugal follows Europe’s tendency and simultaneously reflects its reality. Governmental internal policies, amplified by regulations, improve disease prevention and treatment. Nevertheless, it focuses on the general population instead of on the individual. Once cancer, one of the leading causes of global death, is perceived as an isolated incident, we believe macro-environmental circumstances, and not only biological ones, must be considered. Furthermore, cancer in the elderly intensifies solicitude, and expanded policies and actions demand individual health determinants. In the Portuguese Public Health Policy, we started a collaborative Oncology, Human Kinetics, and Public Health Policy project. This is the first project of the Public Health Policy Lab from the Institute of Social and Political Sciences of the University of Lisbon. Based on a brief review of two research projects on improving cancer patients’ health, we promote micro-organisational projects to deal with the social phenomena of loneliness, physical activity, and lifestyle. As a sequence of the well-known social determinants, we endorse political determinants as the basis for public health. The latest worldwide governmental trend is to create public labs as an innovation of political policymaking. Throughout this reflection, the need for a new rational approach specially designed for a social model is considered. Full article
(This article belongs to the Special Issue Health Systems and Public Policy, the Role of the One and Global Health Approach towards a More Sustainable Future)
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