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人类世的教育:行星健康、可持续的医疗保健和卫生人力。

Education for the Anthropocene: Planetary health, sustainable health care, and the health workforce.

机构信息

Centre for Sustainable Healthcare, Oxford, UK.

Centre for Primary Care and Public Health, Queen Mary University, London, UK.

出版信息

Med Teach. 2020 Oct;42(10):1091-1096. doi: 10.1080/0142159X.2020.1798914. Epub 2020 Aug 17.

Abstract

Over the past few centuries, human activity has wrought dramatic changes in the natural systems that support human life. Planetary health is a useful concept for health profession education (HPE) teaching and practice because it situates health within a broader understanding of the interdependent socio-ecological drivers of human and planetary health. It facilitates novel ways of protecting both population health and the natural environment on which human health and well-being depends. This paper focuses on the climate crisis as an example of the relationship between environmental change, healthcare, and education. We analyze how HPE can help decarbonize the healthcare sector to address both climate change and inequity in health outcomes. Based on the healthcare practitioner's mandate of beneficence, we propose simple learning objectives to equip HPE graduates with the knowledge, skills, and values to create a sustainable health system, using carbon emission reductions as an example. These learning objectives can be integrated into HPE without adding unduly to the curriculum load.

摘要

在过去的几个世纪中,人类活动对支持人类生命的自然系统造成了巨大的变化。行星健康是健康专业教育(HPE)教学和实践的一个有用概念,因为它将健康置于对人类和行星健康的相互依存的社会生态驱动因素的更广泛理解中。它促进了保护人口健康和人类健康和福祉所依赖的自然环境的新方法。本文以气候危机为例,分析了环境变化、医疗保健和教育之间的关系。我们分析了 HPE 如何帮助医疗保健部门实现脱碳,以解决气候变化和健康结果不平等问题。基于医疗保健从业者的行善义务,我们提出了简单的学习目标,以使 HPE 毕业生具备知识、技能和价值观,以创建一个可持续的医疗保健系统,以减少碳排放为例。这些学习目标可以整合到 HPE 中,而不会过度增加课程负担。

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