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[实践与门诊诊所的可持续转型]

[Sustainable transformation of practices and outpatient clinics].

作者信息

Saha Susanne, Hübner Anne, Luhmann Esther, Niebel Dennis, Hecker Christina

机构信息

Arbeitsgemeinschaft Nachhaltigkeit in der Dermatologie (AGN) e. V., Guntramstr. 8, 79106, Freiburg, Deutschland.

Deutsche Allianz Klimawandel und Gesundheit e. V. (KLUG), Hainbuchenstr. 10a, 13465, Berlin, Deutschland.

出版信息

Dermatologie (Heidelb). 2023 Jan;74(1):3-10. doi: 10.1007/s00105-022-05084-4. Epub 2022 Dec 16.

Abstract

BACKGROUND

Climate change as a consequence of anthropogenic greenhouse gas emissions (COe) favors weather extremes. This challenges the healthcare system to cope with negative consequences and to remain functional at the same time. Despite rising costs and shortage of staff, sick people in an aging society must be increasingly cared for in a resource-efficient and climate-neutral manner without compromising the quality of care.

AIM

This article summarizes current challenges for practices and outpatient clinics due to climate change and societal transformation. In addition, steps to implement transformative interventions are discussed.

MATERIALS AND METHODS

Selective literature review in PubMed database was conducted on the impact of climate change on the healthcare system, crisis resilience, climate management, overprescription, and co-benefits.

RESULTS

Crisis-resilient practices are attuned to challenges resulting from climate change. Communicating co-benefits in the physician-patient conversation can accelerate the transformation to a sustainable society.

CONCLUSION

Rapidly changing environmental conditions require adaptation on the part of the healthcare system. Education and prevention are key to meet this challenge. Transformation to sustainable practices is an ongoing process and it represents a holistic concept that encompasses social, environmental, and economic aspects, which are interdependent and cannot be considered separately.

摘要

背景

人为温室气体排放(二氧化碳)导致的气候变化助长了极端天气。这对医疗保健系统构成挑战,既要应对负面后果,又要保持正常运转。尽管成本不断上升且人员短缺,但在老龄化社会中,必须以资源高效和气候中和的方式越来越多地照顾病人,同时又不影响护理质量。

目的

本文总结了气候变化和社会转型给医疗机构和门诊带来的当前挑战。此外,还讨论了实施变革性干预措施的步骤。

材料与方法

在PubMed数据库中对气候变化对医疗保健系统、危机恢复力、气候管理、过度开药和协同效益的影响进行了选择性文献综述。

结果

具备危机恢复力的医疗机构能够应对气候变化带来的挑战。在医患对话中传达协同效益可以加速向可持续社会的转型。

结论

迅速变化的环境条件要求医疗保健系统进行适应。教育和预防是应对这一挑战的关键。向可持续实践的转型是一个持续的过程,它代表了一个涵盖社会、环境和经济方面的整体概念,这些方面相互依存,不能分开考虑。

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