Renee N. Salas (
Tynan H. Friend is a research assistant in the Department of Health Policy and Management at the Harvard T. H. Chan School of Public Health.
Health Aff (Millwood). 2020 Dec;39(12):2063-2070. doi: 10.1377/hlthaff.2020.01352.
Climate change increasingly threatens the ability of the US health care system to deliver safe, effective, and efficient care to the American people. The existing health care system has key vulnerabilities that will grow more problematic as the effects of climate change on Americans' lives become stronger. Thus, health care policy makers must integrate a climate lens as they develop health system interventions. Applying a climate lens means assessing climate change-driven health risks and integrating them into policies and other actions to improve the nation's health. This lens can be applied to rethinking how to take a more population-based approach to health care delivery, prioritize health care system decarbonization and resilience, adapt data infrastructure, develop a climate-ready workforce, and pay for care. Our recommendations outline how to include climate-informed assessments into health care decision making and health policy, ultimately leading to a more resilient and equitable health care system that is better able to meet the needs of patients today and in the future.
气候变化日益威胁着美国医疗保健系统为美国人民提供安全、有效和高效医疗服务的能力。现有的医疗保健系统存在一些关键弱点,随着气候变化对美国人生活的影响变得更加严重,这些弱点将变得更加棘手。因此,医疗保健政策制定者在制定医疗系统干预措施时,必须将气候视角纳入考虑。应用气候视角意味着评估由气候变化驱动的健康风险,并将其纳入政策和其他行动中,以改善国家的健康状况。这一视角可以应用于重新思考如何采取更基于人群的方法来提供医疗服务,优先考虑医疗系统脱碳和弹性,调整数据基础设施,培养具备气候适应能力的劳动力,并支付医疗费用。我们的建议概述了如何将气候信息纳入医疗保健决策和卫生政策,最终目标是建立一个更具弹性和公平性的医疗保健系统,使其能够更好地满足患者现在和未来的需求。