{"id":"https://openalex.org/W7124287231","doi":"https://doi.org/10.1371/journal.pgph.0005871","title":"\u2018Multisectoral socialisation\u2019 in national health governance: An ethnographic study of Singapore\u2019s One Health approach","display_name":"\u2018Multisectoral socialisation\u2019 in national health governance: An ethnographic study of Singapore\u2019s One Health approach","publication_year":2026,"publication_date":"2026-11-03","ids":{"openalex":"https://openalex.org/W7124287231","doi":"https://doi.org/10.1371/journal.pgph.0005871","pmid":"https://pubmed.ncbi.nlm.nih.gov/42976187"},"language":"en","primary_location":{"id":"doi:10.1371/journal.pgph.0005871","doi":"https://doi.org/10.1371/journal.pgph.0005871","is_oa":true,"landing_page_url":"https://doi.org/10.1371/journal.pgph.0005871","pdf_url":"https://journals.plos.org/globalpublichealth/article/file?id=10.1371/journal.pgph.0005871&type=printable","source":{"id":"https://openalex.org/S4210231901","display_name":"PLOS Global Public Health","issn_l":"2767-3375","issn":["2767-3375"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","jufo-1","ki-jl-1","norway-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315706","host_organization_name":"Public Library of Science","host_organization_lineage":["https://openalex.org/P4310315706"],"host_organization_lineage_names":["Public Library of Science"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"PLOS Global Public Health","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://journals.plos.org/globalpublichealth/article/file?id=10.1371/journal.pgph.0005871&type=printable","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5116461788","display_name":"Matthew Aviso","orcid":"https://orcid.org/0009-0006-1753-4481","observed_orcids":["https://orcid.org/0009-0006-1753-4481"]},"institutions":[{"id":"https://openalex.org/I165932596","display_name":"National University of Singapore","ror":"https://ror.org/01tgyzw49","country_code":"SG","type":"education","lineage":["https://openalex.org/I165932596"]},{"id":"https://openalex.org/I4210150261","display_name":"National University Health System","ror":"https://ror.org/05tjjsh18","country_code":"SG","type":"education","lineage":["https://openalex.org/I165932596","https://openalex.org/I4210150261"]}],"countries":["SG"],"is_corresponding":false,"raw_author_name":"Matthew Aviso","raw_affiliation_strings":["National University of Singapore and National University Health System"],"raw_orcid":"https://orcid.org/0009-0006-1753-4481","affiliations":[{"raw_affiliation_string":"National University of Singapore and National University Health System","institution_ids":["https://openalex.org/I165932596","https://openalex.org/I4210150261"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5018744434","display_name":"Youming Ng","orcid":"https://orcid.org/0000-0003-0241-0735","observed_orcids":["https://orcid.org/0000-0003-0241-0735"]},"institutions":[{"id":"https://openalex.org/I4405278093","display_name":"Communicable Diseases Agency","ror":"https://ror.org/04yf56x83","country_code":"SG","type":"government","lineage":["https://openalex.org/I4405278093"]}],"countries":["SG"],"is_corresponding":false,"raw_author_name":"Youming Ng","raw_affiliation_strings":["Communicable Diseases Agency"],"raw_orcid":"https://orcid.org/0000-0003-0241-0735","affiliations":[{"raw_affiliation_string":"Communicable Diseases Agency","institution_ids":["https://openalex.org/I4405278093"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5146892798","display_name":"James CHAN","orcid":"https://orcid.org/0009-0004-4883-2743","observed_orcids":["https://orcid.org/0009-0004-4883-2743"]},"institutions":[{"id":"https://openalex.org/I4405278093","display_name":"Communicable Diseases Agency","ror":"https://ror.org/04yf56x83","country_code":"SG","type":"government","lineage":["https://openalex.org/I4405278093"]}],"countries":["SG"],"is_corresponding":false,"raw_author_name":"James Chan","raw_affiliation_strings":["Communicable Diseases Agency"],"raw_orcid":"https://orcid.org/0009-0004-4883-2743","affiliations":[{"raw_affiliation_string":"Communicable Diseases Agency","institution_ids":["https://openalex.org/I4405278093"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5115691667","display_name":"Panqin Cai","orcid":"https://orcid.org/0009-0009-1248-0754","observed_orcids":["https://orcid.org/0009-0009-1248-0754"]},"institutions":[{"id":"https://openalex.org/I4405278093","display_name":"Communicable Diseases Agency","ror":"https://ror.org/04yf56x83","country_code":"SG","type":"government","lineage":["https://openalex.org/I4405278093"]}],"countries":["SG"],"is_corresponding":false,"raw_author_name":"Panqin Cai","raw_affiliation_strings":["Communicable Diseases Agency"],"raw_orcid":"https://orcid.org/0009-0009-1248-0754","affiliations":[{"raw_affiliation_string":"Communicable Diseases Agency","institution_ids":["https://openalex.org/I4405278093"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5123087281","display_name":"Kelvin Lim","orcid":"https://orcid.org/0000-0002-9649-4302","observed_orcids":["https://orcid.org/0000-0002-9649-4302"]},"institutions":[{"id":"https://openalex.org/I172675005","display_name":"Nanyang Technological University","ror":"https://ror.org/02e7b5302","country_code":"SG","type":"education","lineage":["https://openalex.org/I172675005"]},{"id":"https://openalex.org/I4405278093","display_name":"Communicable Diseases Agency","ror":"https://ror.org/04yf56x83","country_code":"SG","type":"government","lineage":["https://openalex.org/I4405278093"]}],"countries":["SG"],"is_corresponding":false,"raw_author_name":"Kelvin Lim","raw_affiliation_strings":["Communicable Diseases Agency","Nanyang Technological University"],"raw_orcid":"https://orcid.org/0000-0002-9649-4302","affiliations":[{"raw_affiliation_string":"Communicable Diseases Agency","institution_ids":["https://openalex.org/I4405278093"]},{"raw_affiliation_string":"Nanyang Technological University","institution_ids":["https://openalex.org/I172675005"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5001110911","display_name":"Natasha Howard","orcid":"https://orcid.org/0000-0003-4174-7349","observed_orcids":["https://orcid.org/0000-0003-4174-7349","https://orcid.org/0000-0001-8755-277X"]},"institutions":[{"id":"https://openalex.org/I165932596","display_name":"National University of Singapore","ror":"https://ror.org/01tgyzw49","country_code":"SG","type":"education","lineage":["https://openalex.org/I165932596"]},{"id":"https://openalex.org/I4210089966","display_name":"London School of Hygiene & Tropical Medicine","ror":"https://ror.org/00a0jsq62","country_code":"GB","type":"education","lineage":["https://openalex.org/I124357947","https://openalex.org/I4210089966"]},{"id":"https://openalex.org/I4210150261","display_name":"National University Health System","ror":"https://ror.org/05tjjsh18","country_code":"SG","type":"education","lineage":["https://openalex.org/I165932596","https://openalex.org/I4210150261"]}],"countries":["GB","SG"],"is_corresponding":true,"raw_author_name":"Natasha Howard","raw_affiliation_strings":["London School of Hygiene and Tropical Medicine, Faculty of Public Health and Policy","National University of Singapore and National University Health System"],"raw_orcid":"https://orcid.org/0000-0003-4174-7349","affiliations":[{"raw_affiliation_string":"London School of Hygiene and Tropical Medicine, Faculty of Public Health and Policy","institution_ids":["https://openalex.org/I4210089966"]},{"raw_affiliation_string":"National University of Singapore and National University Health System","institution_ids":["https://openalex.org/I165932596","https://openalex.org/I4210150261"]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":5,"corresponding_author_ids":["https://openalex.org/A5001110911"],"corresponding_institution_ids":["https://openalex.org/I165932596","https://openalex.org/I4210089966","https://openalex.org/I4210150261"],"apc_list":{"value":2496,"currency":"USD","value_usd":2496},"apc_paid":{"value":2496,"currency":"USD","value_usd":2496},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0251171,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"6","issue":"11","first_page":"e0005871","last_page":"e0005871"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12492","display_name":"Zoonotic diseases and public health","score":0.8438000082969666,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T12492","display_name":"Zoonotic diseases and public health","score":0.8438000082969666,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10213","display_name":"Public Policy and Administration Research","score":0.07010000199079514,"subfield":{"id":"https://openalex.org/subfields/3321","display_name":"Public Administration"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T12041","display_name":"Public Health Policies and Education","score":0.033799998462200165,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/one-health","display_name":"One Health","score":0.9700000286102295},{"id":"https://openalex.org/keywords/multisectoral-governance","display_name":"multisectoral governance","score":0.9850000143051147},{"id":"https://openalex.org/keywords/singapore","display_name":"Singapore","score":0.38999998569488525},{"id":"https://openalex.org/keywords/inter-agency-cooperation","display_name":"inter-agency cooperation","score":0.8629999756813049},{"id":"https://openalex.org/keywords/public-sector-employment","display_name":"public sector employees","score":0.6230000257492065},{"id":"https://openalex.org/keywords/socialization","display_name":"socialization","score":0.7879999876022339},{"id":"https://openalex.org/keywords/whole-of-government-approach","display_name":"whole-of-government approach","score":0.7519999742507935},{"id":"https://openalex.org/keywords/public-health-agencies","display_name":"public health agencies","score":0.48100000619888306}],"concepts":[{"id":"https://openalex.org/C108170787","wikidata":"https://www.wikidata.org/wiki/Q3951828","display_name":"Agency (philosophy)","level":2,"score":0.6930999755859375},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.6281999945640564},{"id":"https://openalex.org/C2778137410","wikidata":"https://www.wikidata.org/wiki/Q2732820","display_name":"Government (linguistics)","level":2,"score":0.6251000165939331},{"id":"https://openalex.org/C39389867","wikidata":"https://www.wikidata.org/wiki/Q380767","display_name":"Corporate governance","level":2,"score":0.5656999945640564},{"id":"https://openalex.org/C39549134","wikidata":"https://www.wikidata.org/wiki/Q133080","display_name":"Public relations","level":1,"score":0.5453000068664551},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.41359999775886536},{"id":"https://openalex.org/C179454799","wikidata":"https://www.wikidata.org/wiki/Q132151","display_name":"Ethnography","level":2,"score":0.4099999964237213},{"id":"https://openalex.org/C2775951005","wikidata":"https://www.wikidata.org/wiki/Q3473024","display_name":"Community health","level":3,"score":0.3953999876976013},{"id":"https://openalex.org/C47344431","wikidata":"https://www.wikidata.org/wiki/Q1519812","display_name":"Health policy","level":3,"score":0.3896999955177307},{"id":"https://openalex.org/C3116431","wikidata":"https://www.wikidata.org/wiki/Q31728","display_name":"Public administration","level":1,"score":0.3806999921798706},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.3781000077724457},{"id":"https://openalex.org/C2780016893","wikidata":"https://www.wikidata.org/wiki/Q1312371","display_name":"Health department","level":3,"score":0.37059998512268066},{"id":"https://openalex.org/C164850336","wikidata":"https://www.wikidata.org/wiki/Q3685487","display_name":"Interpersonal communication","level":2,"score":0.35600000619888306},{"id":"https://openalex.org/C185618831","wikidata":"https://www.wikidata.org/wiki/Q1851928","display_name":"Health promotion","level":3,"score":0.3456999957561493},{"id":"https://openalex.org/C193395930","wikidata":"https://www.wikidata.org/wiki/Q3247219","display_name":"International health","level":4,"score":0.3050000071525574},{"id":"https://openalex.org/C78491826","wikidata":"https://www.wikidata.org/wiki/Q3045352","display_name":"Social determinants of health","level":3,"score":0.2896000146865845},{"id":"https://openalex.org/C2778080475","wikidata":"https://www.wikidata.org/wiki/Q4353774","display_name":"Health communication","level":2,"score":0.28200000524520874},{"id":"https://openalex.org/C2777601897","wikidata":"https://www.wikidata.org/wiki/Q3409113","display_name":"Presentation (obstetrics)","level":2,"score":0.26420000195503235},{"id":"https://openalex.org/C194943564","wikidata":"https://www.wikidata.org/wiki/Q1129049","display_name":"Participant observation","level":2,"score":0.2587999999523163},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.25690001249313354},{"id":"https://openalex.org/C113807197","wikidata":"https://www.wikidata.org/wiki/Q60894","display_name":"Health education","level":3,"score":0.25540000200271606}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.1371/journal.pgph.0005871","doi":"https://doi.org/10.1371/journal.pgph.0005871","is_oa":true,"landing_page_url":"https://doi.org/10.1371/journal.pgph.0005871","pdf_url":"https://journals.plos.org/globalpublichealth/article/file?id=10.1371/journal.pgph.0005871&type=printable","source":{"id":"https://openalex.org/S4210231901","display_name":"PLOS Global Public Health","issn_l":"2767-3375","issn":["2767-3375"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","jufo-1","ki-jl-1","norway-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315706","host_organization_name":"Public Library of Science","host_organization_lineage":["https://openalex.org/P4310315706"],"host_organization_lineage_names":["Public Library of Science"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"PLOS Global Public Health","raw_type":"journal-article"},{"id":"doi:10.64898/2026.01.12.26343975","doi":"https://doi.org/10.64898/2026.01.12.26343975","is_oa":true,"landing_page_url":"https://doi.org/10.64898/2026.01.12.26343975","pdf_url":"https://www.medrxiv.org/content/medrxiv/early/2026/01/15/2026.01.12.26343975.full.pdf","source":{"id":"https://openalex.org/S3005729997","display_name":"medRxiv","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":["https://openalex.org/P4310315909"],"host_organization_lineage_names":["Cold Spring Harbor Laboratory Press"],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":"medRxiv","raw_type":"posted-content"},{"id":"pmid:42976187","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42976187","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"PLOS global public health","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.1371/journal.pgph.0005871","doi":"https://doi.org/10.1371/journal.pgph.0005871","is_oa":true,"landing_page_url":"https://doi.org/10.1371/journal.pgph.0005871","pdf_url":"https://journals.plos.org/globalpublichealth/article/file?id=10.1371/journal.pgph.0005871&type=printable","source":{"id":"https://openalex.org/S4210231901","display_name":"PLOS Global Public Health","issn_l":"2767-3375","issn":["2767-3375"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","jufo-1","ki-jl-1","norway-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315706","host_organization_name":"Public Library of Science","host_organization_lineage":["https://openalex.org/P4310315706"],"host_organization_lineage_names":["Public Library of Science"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"PLOS Global Public Health","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.8048999905586243,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[],"funders":[{"id":"https://openalex.org/F4320320698","display_name":"National University of Singapore","ror":"https://ror.org/01tgyzw49"},{"id":"https://openalex.org/F4320332590","display_name":"Alliance for Health Policy and Systems Research","ror":"https://ror.org/021jq8741"}],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7124287231.pdf","grobid_xml":"https://content.openalex.org/works/W7124287231.grobid-xml"},"referenced_works_count":19,"referenced_works":["https://openalex.org/W1995090640","https://openalex.org/W2016389950","https://openalex.org/W2053280580","https://openalex.org/W2057915690","https://openalex.org/W2059865523","https://openalex.org/W2068698242","https://openalex.org/W2334085503","https://openalex.org/W2992536863","https://openalex.org/W3185916607","https://openalex.org/W4211171920","https://openalex.org/W4232079635","https://openalex.org/W4252343033","https://openalex.org/W4320081749","https://openalex.org/W4382933796","https://openalex.org/W4386825938","https://openalex.org/W4393144533","https://openalex.org/W4400078897","https://openalex.org/W4409119078","https://openalex.org/W4409883589"],"related_works":["https://openalex.org/W4406360059","https://openalex.org/W4401954668","https://openalex.org/W4367281681","https://openalex.org/W3153149866","https://openalex.org/W4405926347","https://openalex.org/W7154938966","https://openalex.org/W1656715363","https://openalex.org/W7161116911","https://openalex.org/W4386701535","https://openalex.org/W4404409375"],"abstract_inverted_index":{"The":[0,240],"2025":[1],"establishment":[2],"of":[3,11,56,68,91,236,253,271],"Singapore's":[4,31,106,130,178],"Communicable":[5],"Diseases":[6],"Agency":[7],"(CDA)":[8],"included":[9],"creation":[10],"a":[12,126],"One":[13,58,71,107,179,237,272],"Health":[14,59,72,108,180,238,273],"Office":[15],"(OHO),":[16],"supporting":[17],"an":[18],"existing":[19],"whole-of-government":[20],"approach":[21,32,50,181],"involving":[22],"five":[23,86],"agencies":[24,219],"spanning":[25],"human,":[26],"animal,":[27],"and":[28,41,52,74,89,135,138,175,210,233,269],"environmental":[29],"health.":[30],"incorporates":[33],"distinctive":[34],"features":[35],"intended":[36],"to":[37],"strengthen":[38,230],"preparedness,":[39],"prevention,":[40],"mitigation":[42],"during":[43],"non-emergency":[44],"periods.":[45],"We":[46,103],"examined":[47],"how":[48,183],"this":[49],"developed":[51],"implemented":[53],"multisectoral":[54,150,184],"governance":[55,109,128,164,185,227,255,274],"national":[57,216],"priorities.":[60,239],"This":[61],"nine-month":[62],"ethnographic":[63],"study":[64],"(2024-2025)":[65],"involved":[66],"observations":[67],"three":[69],"inter-agency":[70,117,145],"meetings":[73],"eight":[75,92],"partner":[76,87],"agency":[77],"engagements,":[78],"semi-structured":[79],"interviews":[80],"with":[81,264],"26":[82],"public":[83,120,217],"servants":[84],"across":[85,212],"agencies,":[88],"review":[90],"internal":[93],"government":[94,213],"documents.":[95],"Data":[96],"were":[97,123],"analysed":[98],"thematically":[99],"using":[100],"abductive":[101],"coding.":[102],"found":[104],"that":[105,205,244],"was":[110],"supported":[111,157],"by":[112,125],"participant-driven":[113],"socialisation":[114,153,225],"through":[115,190,199,261],"'semi-informal'":[116,203],"relations":[118],"among":[119],"servants.":[121],"These":[122,141],"reinforced":[124],"rotational":[127],"structure,":[129],"small":[131],"size,":[132],"regular":[133],"bilateral":[134],"multilateral":[136],"communication,":[137],"OHO-led":[139],"engagement.":[140],"interactions":[142],"enabled":[143,260],"workable":[144],"arrangements":[146],"while":[147],"progressively":[148],"strengthening":[149],"governance.":[151],"Importantly,":[152],"processes":[154,247],"appeared":[155],"structurally":[156],"rather":[158],"than":[159],"emerging":[160],"incidentally":[161],"from":[162],"formal":[163,173,254],"arrangements,":[165,195],"challenging":[166],"conventional":[167],"assumptions":[168],"about":[169],"the":[170,267],"relationship":[171],"between":[172],"structures":[174,228],"informal":[176,245],"networks.":[177],"demonstrates":[182],"can":[186,201,257],"be":[187,250,258],"deliberately":[188],"strengthened":[189],"interpersonal":[191],"socialisation.":[192],"Formal":[193],"institutional":[194,262],"including":[196],"those":[197],"established":[198],"CDA,":[200],"cultivate":[202],"networks":[204],"foster":[206],"trust,":[207],"shared":[208],"ownership,":[209],"consensus":[211],"agencies.":[214],"For":[215],"health":[218],"elsewhere,":[220],"embedding":[221],"opportunities":[222],"for":[223,266],"sustained":[224],"within":[226],"may":[229],"intersectoral":[231],"collaboration":[232],"collective":[234],"ownership":[235],"Singapore":[241],"experience":[242],"suggests":[243],"social":[246],"need":[248],"not":[249],"incidental":[251],"outcomes":[252],"but":[256],"intentionally":[259],"design,":[263],"implications":[265],"development":[268],"assessment":[270],"internationally.":[275]},"counts_by_year":[],"updated_date":"2026-11-05T12:25:35.769452","created_date":"2026-01-16T00:00:00"}
