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全科医生对全球气候变化的应对——临床经验与临床方法的启示

General Practitioners' responses to global climate change - lessons from clinical experience and the clinical method.

作者信息

Blashki Grant, Abelsohn Alan, Woollard Robert, Arya Neil, Parkes Margot W, Kendal Paul, Bell Erica, Bell R Warren

机构信息

Nossal Institute for Global Health & The Melbourne Sustainable Society Institute, The University of Melbourne, 161 Barry St, Carlton, Melbourne, 3010, Australia.

出版信息

Asia Pac Fam Med. 2012 Aug 8;11(1):6. doi: 10.1186/1447-056X-11-6.

Abstract

BACKGROUND

Climate change is a global public health problem that will require complex thinking if meaningful and effective solutions are to be achieved. In this conceptual paper we argue that GPs have much to bring to the issue of climate change from their wide-ranging clinical experience and from the principles underpinning their clinical methods. This experience and thinking calls forth particular contributions GPs can and should make to debate and action.

DISCUSSION

We contend that the privileged experience and GP way of thinking can make valuable contributions when applied to climate change solutions. These include a lifetime of experience, reflection and epistemological application to first doing no harm, managing uncertainty, the ability to make necessary decisions while possessing incomplete information, an appreciation of complex adaptive systems, maintenance of homeostasis, vigilance for unintended consequences, and an appreciation of the importance of transdisciplinarity and interprofessionalism.

SUMMARY

General practitioners have a long history of public health advocacy and in the case of climate change may bring a way of approaching complex human problems that could be applied to the dilemmas of climate change.

摘要

背景

气候变化是一个全球公共卫生问题,若要实现有意义且有效的解决方案,就需要进行复杂的思考。在这篇概念性论文中,我们认为全科医生凭借其广泛的临床经验以及临床方法所依据的原则,能为气候变化问题带来诸多贡献。这种经验和思考促使全科医生能够且应该为相关辩论和行动做出特殊贡献。

讨论

我们认为,全科医生独特的经验和思维方式应用于气候变化解决方案时,能做出有价值的贡献。这些贡献包括一生的经验、反思以及认识论应用,即首先做到不伤害、应对不确定性、在信息不完整时做出必要决策的能力、对复杂适应系统的理解、维持体内平衡、警惕意外后果,以及认识到跨学科和跨专业合作的重要性。

总结

全科医生在公共卫生倡导方面有着悠久的历史,在气候变化问题上,他们可能带来一种处理复杂人类问题的方法,这种方法可应用于气候变化的困境。

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