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医疗保健中的环境可持续性:是时候让骨科和风湿病科的门诊护理更加绿色环保了。

Environmental sustainability in healthcare: Time to make outpatient care in orthopaedics and rheumatology greener.

作者信息

Tsagkaris Christos, Nikolakea Melina, Laskaratou Emmanouela Dionysia, Samaras Christos, Huang Helen, Laubscher Lily, Bobirca Anca

机构信息

University of Crete, Faculty of Medicine, Heraklion, Greece.

European Student Think Tank, Public Health and Policy Working Group, Amsterdam, The Netherlands.

出版信息

Int J Health Plann Manage. 2023 May;38(3):547-556. doi: 10.1002/hpm.3617. Epub 2023 Feb 14.

Abstract

INTRODUCTION

Chronic musculoskeletal conditions affect billions of individuals and constitute the greatest contributor to disability worldwide. Climate change has a negative impact on these conditions, causing a rising number of patients seeking medical attention in outpatient orthopaedic and rheumatology clinics. Due to the COVID-19 pandemic, the delivery of care by these facilities tends to become more energy-intensive due to the increased usage of protective equipment and testing for the purpose of maintaining hygienic conditions. Therefore, practitioners and health bodies in the field need to take action to make their practice more environmentally sustainable and protect both the environment and their patients.

METHODS

The authors searched peer reviewed and grey literature for relevant sources.

RESULTS

The present review of the literature provides an overview of the environmental pollution associated with outpatient musculoskeletal care and discusses evidence-based recommendations from previous studies.

CONCLUSION

Telemedicine, rationalised use of consumables and equipment, physician-led climate advocacy and patient education have a major potential to turn the tide.

摘要

引言

慢性肌肉骨骼疾病影响着数十亿人,是全球残疾的最大成因。气候变化对这些疾病有负面影响,导致在门诊骨科和风湿病诊所寻求医疗护理的患者数量不断增加。由于新冠疫情,为维持卫生条件而增加防护设备的使用和检测,这些医疗机构的护理服务往往变得能源密集度更高。因此,该领域的从业者和卫生机构需要采取行动,使他们的业务更具环境可持续性,同时保护环境和患者。

方法

作者检索了同行评审文献和灰色文献以获取相关资料来源。

结果

本次文献综述概述了与门诊肌肉骨骼护理相关的环境污染,并讨论了以往研究中基于证据的建议。

结论

远程医疗、合理使用耗材和设备、医生主导的气候倡导以及患者教育有扭转局面的重大潜力。

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