Evidence map›Paper›PMID 41600664›Full record

ReviewVeterinary sciences2025

Harnessing Medical Bioethics Mediation to Advance One Health Governance.

Olympia Lioupi, Polychronis Kostoulas, Gustavo Monti, Konstadina Griva, Charalambos Billinis, Costas Tsiamis

Abstract readReview
In one paragraph

Review in Veterinary sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Olympia LioupiFaculty of Public and One Health, School of Health Sciences, University of Thessaly, 43100 Karditsa, Greece.ORCID 0009-0004-0821-0747
Polychronis KostoulasFaculty of Public and One Health, School of Health Sciences, University of Thessaly, 43100 Karditsa, Greece.ORCID 0000-0001-7051-1541
Gustavo MontiInfectious Disease Epidemiology (IDE), Wageningen University and Research (WUR), P.O. Box 9101, 6700 HB Wageningen, The Netherlands.ORCID 0000-0002-7869-4095
Konstadina GrivaLee Kong Chian School of Medicine, Nanyang Technological University, Singapore 639798, Singapore.ORCID 0000-0001-8173-5663
Charalambos BillinisFaculty of Veterinary Medicine, School of Health Sciences, University of Thessaly, 43100 Karditsa, Greece.ORCID 0000-0002-2209-9772
Costas TsiamisFaculty of Public and One Health, School of Health Sciences, University of Thessaly, 43100 Karditsa, Greece.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

One Health envisions integrated governance across human, animal, and environmental systems to prevent and respond to complex health threats. Despite its global endorsement, One Health implementation often falters due to institutional fragmentation, power asymmetries, and ethical tensions that erode trust and cooperation. This paper proposes the integration of medical-bioethics mediation within One Health governance as a structured, relational mechanism to manage conflict, foster ethical deliberation, and strengthen trust between sectors and communities. We develop a conceptual framework to apply the mediation principles of neutrality, confidentiality, respect, and shared problem-solving beyond clinical ethics toward multisectoral One Health contexts. The framework is illustrated through domain-specific examples from zoonotic disease control, antimicrobial resistance, and environmental health. Medical bioethics mediation can advance conflict transformation, ethical reflection, participatory decision-making, and policy alignment, thereby supporting transparent negotiation of values and institutionalized dialogue of different One Health actors. Future research should pilot mediation-based governance models and assess their effects on intersectoral trust, collaborative capacity, and integrated health outcomes.

Indexed as

antimicrobial resistanceconflict resolutionenvironmental stewardshipmedical-bioethics mediationone health governanceparticipatory decision-makingzoonotic disease control

Identifiers

PMID41600664
PMCPMC12846589

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.