Department for Global Health, University College London, London WC1N 1EH, UK.
University Hospitals Sussex, Brighton, UK.
Perspect Public Health. 2021 Nov;141(6):328-337. doi: 10.1177/17579139211058303.
There are a growing number of organisations working to address the connections between climate change and health. This article introduces the concept of 'theories of change' - the methodology by which organisations or movements hope to bring about social change - and applies it to the current climate change and health movement in England. Through movement mapping, the article describes and offers reflections on the climate change and health ecosystems in England.
Organisations working on climate change and health in England were identified and publicly available information was collated to map movement characteristics, target stakeholders and methodologies deployed, using an inductive, iterative approach.
A total of 98 organisations working on health and climate change (and/or sustainability) were initially identified, of which 70 met the inclusion criteria. Most organisations target two or more stakeholders, with healthcare workers, management structures, and government being most commonly cited. Methodological approaches identified include Formal education programmes; Awareness-raising; Purchasing-procurement power; Advocacy; Financial; Media-messaging; Networking; Knowledge generation; and Policy making, of which education, awareness-raising, and advocacy are most commonly used.
There is a tendency for climate change and health organisations in England to focus on individual level and sectoral change over system change. More could be made of the potential for the healthcare professions' voice and messaging for the wider climate movement. Given the rapid boom of climate change and health organisations in recent years, a mind-set shift that recognises different players as part of a cohesive ecosystem with better coordination and collaboration may reduce unnecessary work, and facilitate more cohesive outcomes.
越来越多的组织致力于研究气候变化与健康之间的联系。本文引入了“变革理论”的概念，即组织或运动希望带来社会变革的方法，并将其应用于英国当前的气候变化与健康运动。通过运动图谱，本文描述并反思了英国气候变化与健康领域的生态系统。
确定了在英国从事气候变化与健康工作的组织，并通过归纳、迭代的方法，收集了公开信息来绘制运动特征图，展示目标利益相关者和采用的方法。
最初确定了 98 个从事健康与气候变化（和/或可持续性）工作的组织，其中 70 个符合纳入标准。大多数组织的目标是两个或更多的利益相关者，其中医疗保健工作者、管理结构和政府是最常被提及的。确定的方法途径包括正规教育计划、提高认识、采购权力、宣传、财务、媒体信息传递、网络、知识生成和政策制定，其中教育、提高认识和宣传是最常用的。
英国的气候变化与健康组织倾向于关注个人层面和部门层面的变化，而不是系统层面的变化。可以更多地利用医疗保健专业人员的声音和信息传递，为更广泛的气候运动服务。考虑到近年来气候变化与健康组织的迅速发展，认识到不同参与者是具有更好协调和合作的凝聚力生态系统的一部分的思维模式转变，可能会减少不必要的工作，并促进更具凝聚力的结果。
