Desmond Sharon
Improvement Consultant, Transformation and Quality, Melbourne Health, Australia
J Health Serv Res Policy. 2016 Oct;21(4):257-62. doi: 10.1177/1355819616645373. Epub 2016 Apr 19.
Academic interest in strategies to reduce the impact of health services on climate change is quickening. Research has largely focused on local innovations with little consideration of the contextual and systemic elements that influence sustainable development across health systems. A realistic framework specifically to guide decision-making by health care providers is still needed. To address this deficit, the literature is explored in relation to health services and climate change mitigation strategies, and the contextual factors that influence efforts to mitigate climate effects in health service delivery environments are highlighted. A conceptual framework is proposed that offers a model for the pursuit of sustainable development practice in health services. A set of propositions is advanced to provide a systems approach to assist decision-making by decoding the challenges faced in implementing sustainable health services. This has important implications for health care providers, funders and legislators since the financial, policy and regulatory environment of health care, along with its leadership and models of care generally conflict with carbon literacy and climate change mitigation strategies.
学术界对减少医疗服务对气候变化影响的策略的兴趣正在迅速升温。研究主要集中在局部创新上，很少考虑影响整个医疗系统可持续发展的背景和系统因素。仍然需要一个专门指导医疗服务提供者决策的现实框架。为了弥补这一不足，本文探讨了与医疗服务和气候变化缓解策略相关的文献，并强调了影响医疗服务提供环境中缓解气候影响努力的背景因素。提出了一个概念框架，为在医疗服务中追求可持续发展实践提供了一个模型。提出了一系列命题，以提供一种系统方法，通过解读实施可持续医疗服务所面临的挑战来协助决策。这对医疗服务提供者、资助者和立法者具有重要意义，因为医疗保健的财务、政策和监管环境，以及其领导力和护理模式通常与碳素养和气候变化缓解策略相冲突。
