Department of Family & Community Medicine, University of North Dakota School of Medicine & Health Sciences, Grand Forks, ND, United States.
Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, United Kingdom.
Front Public Health. 2021 Apr 30;9:678545. doi: 10.3389/fpubh.2021.678545. eCollection 2021.
In addition to the importance of fostering and developing measures for better health-system resilience globally from the effects of climate change, there have been increasing calls for health professionals, as well as public health and medical education systems, to become partners in climate change mitigation efforts. Direct clinical practice considerations, however, have not been adequately fostered equitably across all regions with an often-confusing array of practice areas within planetary health and sustainable healthcare. This article calls for a more coordinated effort within clinical practice spaces given the urgency of global environmental change, while also taking lessons from Indigenous traditional knowledge systems-a viewpoint that is rarely heard from or prioritized in public health or medicine. Simpler and more coordinated messaging in efforts to improve patient and planetary health are needed. The creation of unifying terminology within planetary health-rooted clinical and public health practice has been proposed with the potential to bring forth dialogue between and within disciplinary offshoots and public health advocacy efforts, and within clinical and health-system policy spaces.
除了重视培养和制定更好的全球卫生系统弹性措施以应对气候变化的影响之外，越来越多的人呼吁卫生专业人员以及公共卫生和医学教育系统成为气候变化缓解工作的合作伙伴。然而，直接的临床实践考虑因素并没有在所有地区得到公平地培养，行星健康和可持续医疗保健领域内的实践领域往往令人困惑。鉴于全球环境变化的紧迫性，本文呼吁在临床实践领域内做出更协调的努力，同时也借鉴原住民传统知识体系的经验教训——这一观点在公共卫生或医学领域很少被听到或被优先考虑。需要在改善患者和地球健康的努力中传递更简单、更协调的信息。有人提议在行星健康基础上的临床和公共卫生实践中创建统一术语，这有可能促进不同学科分支和公共卫生宣传工作之间、以及临床和卫生系统政策领域之间的对话。
