School of Medicine, Sydney, The University of Notre Dame Australia, Sydney, New South Wales, Australia.
Primary, Integrated and Community Health, South Eastern Sydney Local Health District, Sydney, New South Wales, Australia.
Intern Med J. 2019 Aug;49(8):1044-1048. doi: 10.1111/imj.14380.
The visit to Australia by Dr David Pencheon, Founding Director of the National Health Service (NHS) Sustainable Development Unit, in April-May 2018 generated considerable interest and engagement. Dr Pencheon's overarching messages were that climate change is a health issue and that doctors and health systems have an opportunity, and responsibility, to lead climate action. This article distils Dr Pencheon's presentations into three themes: (i) carbon accounting; (ii) transformational change in our systems of healthcare; and (iii) a health system fit for the future. For each theme, we highlight promising initiatives that are already underway in Australia that are starting to transform our health system into one fit for a future environmentally sustainable world. We suggest practical ways in which doctors can lead the transformation through personal action and influence broader systems.
2018 年 4 月至 5 月,英国国民保健署(NHS)可持续发展部创始主任大卫·彭钦恩博士对澳大利亚进行了访问,引起了广泛关注和参与。彭钦恩博士的主要观点是,气候变化是一个健康问题,医生和卫生系统有机会也有责任引领气候行动。本文将彭钦恩博士的演讲提炼为三个主题:(i)碳排放核算;(ii)医疗体系的变革;以及(iii)适合未来的卫生系统。对于每个主题,我们强调了澳大利亚已经在进行的、开始将我们的医疗体系转变为适合未来环境可持续发展的世界的有希望的举措。我们建议医生可以通过个人行动和影响更广泛的体系来引领变革的实际方法。