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数字健康在气候变化缓解和应对中的应用:系统评价。

Digital health for climate change mitigation and response: a scoping review.

机构信息

Centre for Health Informatics, Australian Institute of Health Innovation, Macquarie University, Macquarie Park, NSW, Australia.

出版信息

J Am Med Inform Assoc. 2022 Nov 14;29(12):2140-2152. doi: 10.1093/jamia/ocac134.

Abstract

OBJECTIVE

Climate change poses a major threat to the operation of global health systems, triggering large scale health events, and disrupting normal system operation. Digital health may have a role in the management of such challenges and in greenhouse gas emission reduction. This scoping review explores recent work on digital health responses and mitigation approaches to climate change.

MATERIALS AND METHODS

We searched Medline up to February 11, 2022, using terms for digital health and climate change. Included articles were categorized into 3 application domains (mitigation, infectious disease, or environmental health risk management), and 6 technical tasks (data sensing, monitoring, electronic data capture, modeling, decision support, and communication). The review was PRISMA-ScR compliant.

RESULTS

The 142 included publications reported a wide variety of research designs. Publication numbers have grown substantially in recent years, but few come from low- and middle-income countries. Digital health has the potential to reduce health system greenhouse gas emissions, for example by shifting to virtual services. It can assist in managing changing patterns of infectious diseases as well as environmental health events by timely detection, reducing exposure to risk factors, and facilitating the delivery of care to under-resourced areas.

DISCUSSION

While digital health has real potential to help in managing climate change, research remains preliminary with little real-world evaluation.

CONCLUSION

Significant acceleration in the quality and quantity of digital health climate change research is urgently needed, given the enormity of the global challenge.

摘要

目的

气候变化对全球卫生系统的运行构成了重大威胁,引发了大规模的健康事件,并扰乱了系统的正常运行。数字健康技术可能在应对这些挑战和减少温室气体排放方面发挥作用。本范围综述探讨了数字健康应对气候变化的最新研究工作和缓解方法。

材料和方法

我们使用数字健康和气候变化的术语,对截至 2022 年 2 月 11 日的 Medline 进行了搜索。纳入的文章分为 3 个应用领域(缓解、传染病或环境卫生风险管理)和 6 个技术任务(数据感知、监测、电子数据采集、建模、决策支持和沟通)。本综述符合 PRISMA-ScR 标准。

结果

142 篇纳入的出版物报告了各种各样的研究设计。近年来,出版物数量大幅增长,但来自中低收入国家的出版物很少。数字健康具有减少卫生系统温室气体排放的潜力,例如通过转向虚拟服务。它可以通过及时检测、减少暴露于危险因素以及促进向资源匮乏地区提供护理,协助管理传染病和环境卫生事件的变化模式。

讨论

虽然数字健康在管理气候变化方面确实具有潜力,但研究仍处于初步阶段,实际应用评估较少。

结论

鉴于全球挑战的巨大规模,迫切需要加快数字健康应对气候变化研究的质量和数量。

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