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卫生部门在应对气候变化中的作用:叙事性综述。

The role of the health sector in tackling climate change: A narrative review.

机构信息

Institut de recherche et documentation en économie de la santé (IRDES), France.

Institut de recherche et documentation en économie de la santé (IRDES), France.

出版信息

Health Policy. 2024 May;143:105053. doi: 10.1016/j.healthpol.2024.105053. Epub 2024 Mar 20.

Abstract

Climate change is one of the largest threats to population health and has already affected the ecosystem, food production, and health and wellbeing of populations all over the world. The healthcare sector is responsible for around 5 % of greenhouse gas emissions worldwide and can play a key role in reducing global warming. This narrative review summarized the information on the role of healthcare systems in addressing climate change and strategies for reducing its negative impact to illustrate different types of actions that can support the ecological transformation of healthcare systems to help reaching sustainable development goals. A wide range of green interventions are shown to be effective to reduce the carbon footprint of healthcare and can have a meaningful impact if implemented systematically. However, these would not suffice unless accompanied by systemic mitigation strategies altering how healthcare is provided and consumed. Sustainable healthcare strategies such as reducing waste and low-value care will have direct benefits for the environment while improving economic and health outcomes. The healthcare sector has a unique opportunity to leverage its position and resources to provide a comprehensive strategy for fighting climate change and improving population health and the environment on which it depends.

摘要

气候变化是对人口健康的最大威胁之一,已经影响了全球的生态系统、粮食生产以及人口的健康和福祉。医疗保健部门占全球温室气体排放量的 5%左右,在减少全球变暖方面可以发挥关键作用。本叙述性综述总结了医疗保健系统在应对气候变化中的作用以及减轻其负面影响的策略方面的信息,以说明可以支持医疗保健系统向生态转型的各种行动,以帮助实现可持续发展目标。广泛的绿色干预措施已被证明可以有效减少医疗保健的碳足迹,如果系统地实施,将会产生有意义的影响。但是,如果不伴随改变医疗服务提供和消费方式的系统缓解策略,这些措施是不够的。可持续的医疗保健策略,如减少浪费和低价值的护理,将直接有益于环境,同时改善经济和健康结果。医疗保健部门有机会利用其地位和资源,为应对气候变化以及改善其赖以生存的人口健康和环境提供全面的策略。

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