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定义卫生人力应对气候危机的角色和职责。

Defining Roles and Responsibilities of the Health Workforce to Respond to the Climate Crisis.

机构信息

Global Consortium on Climate and Health Education, Department of Environmental Health Sciences, Mailman School of Public Health, Columbia University, New York, New York.

Department of Emergency Medicine, Columbia Irving Medical Center, New York, New York.

出版信息

JAMA Netw Open. 2024 Mar 4;7(3):e241435. doi: 10.1001/jamanetworkopen.2024.1435.

Abstract

IMPORTANCE

The adverse effects of climate change are now apparent, disproportionately affecting marginalized and vulnerable populations and resulting in urgent worldwide calls to action. Health professionals occupy a critical position in the response to climate change, including in climate mitigation and adaptation, and their professional expertise and roles as health messengers are currently underused in the society-wide response to this crisis.

OBSERVATIONS

Clinical and public health professionals have important roles and responsibilities, some of which are shared, that they must fill for society to successfully mitigate the root causes of climate change and build a health system that can reduce morbidity and mortality impacts from climate-related hazards. When viewed through a preventive framework, the unique and synergizing roles and responsibilities provide a blueprint for investment in climate change-related prevention (primary, secondary, and tertiary), capacity building, education, and training of the health workforce. Substantial investment in increasing the competence and collaboration of health professionals is required, which must be undertaken in an urgent, coordinated, and deliberate manner.

CONCLUSIONS AND RELEVANCE

Exceptional collaboration, knowledge sharing, and workforce capacity building are essential to tackle the complex ways in which climate change threatens health. This framework serves as a guide for health system leaders, education institutions, policy planners, and others seeking to create a more resilient and just health system.

摘要

重要性

气候变化的不利影响现在已经显现,不成比例地影响到边缘化和脆弱的人群,导致全世界紧急呼吁采取行动。卫生专业人员在应对气候变化方面处于关键地位,包括在气候缓解和适应方面,他们的专业知识和作为健康传播者的角色在社会应对这一危机方面尚未得到充分利用。

观察结果

临床和公共卫生专业人员具有重要的角色和责任,其中一些是共同的,为了使社会能够成功地减轻气候变化的根本原因,并建立一个能够减轻与气候相关的危害对发病率和死亡率影响的卫生系统,他们必须履行这些责任。从预防框架的角度来看,独特和协同的角色和责任为投资与气候变化相关的预防(初级、二级和三级)、能力建设、卫生工作者的教育和培训提供了蓝图。需要大量投资来提高卫生专业人员的能力和协作,这必须以紧急、协调和深思熟虑的方式进行。

结论和相关性

要解决气候变化威胁健康的复杂方式,需要非凡的协作、知识共享和劳动力能力建设。该框架可作为卫生系统领导者、教育机构、政策规划者和其他寻求建立更具弹性和公正的卫生系统的人的指南。

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