Purcell Rachael, McGirr Joe
School of Medicine Sydney, The University of Notre Dame Australia, Sydney, New South Wales, Australia.
Aust J Rural Health. 2018 Feb;26(1):20-25. doi: 10.1111/ajr.12374. Epub 2017 Aug 17.
To determine health service managers' (HSMs) recommendations on strengthening the health service response to climate change.
Self-administered survey in paper or electronic format.
Rural south-west of New South Wales.
Health service managers working in rural remote metropolitan areas 3-7.
Proportion of respondents identifying preferred strategies for preparation of rural health services for climate change.
There were 43 participants (53% response rate). Most respondents agreed that there is scepticism regarding climate change among health professionals (70%, n = 30) and community members (72%, n = 31). Over 90% thought that climate change would impact the health of rural populations in the future with regard to heat-related illnesses, mental health, skin cancer and water security. Health professionals and government were identified as having key leadership roles on climate change and health in rural communities. Over 90% of the respondents believed that staff and community in local health districts (LHDs) should be educated about the health impacts of climate change. Public health education facilitated by State or Federal Government was the preferred method of educating community members, and education facilitated by the LHD was the preferred method for educating health professionals.
Health service managers hold important health leadership roles within rural communities and their health services. The study highlights the scepticism towards climate change among health professionals and community members in rural Australia. It identifies the important role of rural health services in education and advocacy on the health impacts of climate change and identifies recommended methods of public health education for community members and health professionals.
确定卫生服务管理者（HSMs）关于加强卫生服务应对气候变化的建议。
纸质或电子格式的自填式调查问卷。
新南威尔士州西南部农村地区。
在农村、偏远大城市地区工作的卫生服务管理者3至7人。
确定农村卫生服务应对气候变化首选策略的受访者比例。
有43名参与者（回复率为53%）。大多数受访者认为，卫生专业人员（70%，n = 30）和社区成员（72%，n = 31）对气候变化存在怀疑态度。超过90%的人认为，气候变化未来将在与高温相关疾病、心理健康、皮肤癌和水安全方面影响农村人口的健康。卫生专业人员和政府被认为在农村社区气候变化与健康方面发挥关键领导作用。超过90%的受访者认为，地方卫生区（LHDs）的工作人员和社区应接受气候变化对健康影响的教育。由州或联邦政府推动的公共卫生教育是教育社区成员的首选方法，由地方卫生区推动的教育是教育卫生专业人员的首选方法。
卫生服务管理者在农村社区及其卫生服务中发挥着重要的卫生领导作用。该研究凸显了澳大利亚农村地区卫生专业人员和社区成员对气候变化的怀疑态度。它确定了农村卫生服务在气候变化对健康影响的教育和宣传方面的重要作用，并确定了针对社区成员和卫生专业人员的公共卫生教育推荐方法。
