Faculty of Health, University of Canberra, Acton 2601,Australia.
Public Health, Faculty of Health, University of Canberra, Acton 2601,Australia.
J Public Health (Oxf). 2017 Dec 1;39(4):691-697. doi: 10.1093/pubmed/fdw146.
Due to the climate crisis, it is increasingly evident that countries will have to decarbonize. Healthcare, which has a large carbon footprint and uses vast quantities of resources, will have to undergo significant transformation. In this research, we sought the ideas of leading thinkers in the field, to address the question of how health systems can provide high-quality care in a carbon-constrained world.
Semi-structured, qualitative in-depth interviews with 15 healthcare thought leaders from Australia, the UK, the USA and New Zealand. The interviews were transcribed and analysed by matrix display and thematic analysis.
'Green' initiatives such as improving energy efficiency and implementing travel plans will be insufficient to achieve the scale of decarbonization required. According to the thought leaders in our study, it is likely that greater carbon and resource savings will come from thinking much more broadly about innovative models of care and using 'new' sources of 'value' such as 'people' and 'relationships'.
Using human resources and human interactions as low-carbon sources of value in healthcare are promising models.
由于气候危机,各国必须减少碳排放这一点越来越明显。医疗保健行业碳排放量很大,消耗大量资源,因此必须进行重大转型。在这项研究中,我们征求了该领域领先思想家的意见,以探讨医疗体系如何在碳约束的世界中提供高质量的护理。
对来自澳大利亚、英国、美国和新西兰的 15 名医疗保健思想领袖进行半结构化、定性深入访谈。采访记录通过矩阵显示和主题分析进行转录和分析。
“绿色”倡议,如提高能源效率和实施旅行计划,将不足以实现所需的减排规模。根据我们研究中的思想领袖的说法,更有可能从更广泛的角度思考创新的护理模式,并利用“新”的“价值”来源,如“人”和“关系”,来实现更大的碳和资源节约。
在医疗保健中利用人力资源和人际互动作为低碳价值来源是很有前景的模式。