Lauwers Laura, Bastiaens Hilde, Remmen Roy, Keune Hans
Department for Interdisciplinary and Primary Care, University of Antwerp, Wilrijk, Belgium.
Research Institute Nature & Forest (INBO), Belgian Biodiversity Platform, Brussels, Belgium.
Front Public Health. 2020 Mar 18;8:52. doi: 10.3389/fpubh.2020.00052. eCollection 2020.
Nature's contributions to human health (NCH) have gained increased attention internationally in scientific and policy arenas. However, little attention is given to the role of the health care sector in this discussion. Primary health care (PHC) is a vital backbone for linking knowledge and practice within the organization of health care. The objective of this scoping review is to evaluate how international overview reports and scientific literature on NCH address to PHC. More specifically, we extracted data on arguments, practice supporting tools and guidelines, challenges and constraints, and management approaches to integrate NCH and PHC. The scientific literature search was run in Web of Science. Two independent reviewers screened the scientific publications. Through the scientific literature search, we identified 1,995 articles of which 79 were eligible for analysis. We complemented the search with a selection of six international overview reports. Both the international overview reports and the scientific publications paid limited attention to the role of PHC regarding NCH. To cope with the current challenges and constraints to integrate NCH and PHC, more evidence on NCH, further development of PHC practice supporting tools, bottom-up integrated approaches, and closer interdisciplinary collaborations are required.
自然对人类健康的贡献（NCH）在国际上的科学和政策领域中受到了越来越多的关注。然而，在这一讨论中，医疗保健部门的作用却很少受到关注。初级卫生保健（PHC）是在医疗保健组织中连接知识与实践的重要支柱。本范围综述的目的是评估关于NCH的国际综述报告和科学文献如何论述初级卫生保健。更具体地说，我们提取了关于将NCH与初级卫生保健相结合的论据、实践支持工具和指南、挑战与制约因素以及管理方法的数据。科学文献检索在科学网（Web of Science）上进行。两名独立评审员筛选了科学出版物。通过科学文献检索，我们识别出1995篇文章，其中79篇符合分析条件。我们通过选取六份国际综述报告对检索进行了补充。国际综述报告和科学出版物对初级卫生保健在NCH方面的作用都关注有限。为应对当前将NCH与初级卫生保健相结合的挑战和制约因素，需要更多关于NCH的证据、进一步开发初级卫生保健实践支持工具、自下而上的综合方法以及更紧密的跨学科合作。
