Cohen Eva S, Kringos Dionne S, Kouwenberg Lisanne H J A, Sperna Weiland Nicolaas H, Richie Cristina, Aarts Johanna W M, Hehenkamp Wouter J K
Department of Obstetrics and Gynaecology, Amsterdam UMC location Free University, Amsterdam, the Netherlands; Amsterdam Public Health, Quality of Care, Global Health, Amsterdam, the Netherlands; Amsterdam Reproduction and Development research institute, Amsterdam, the Netherlands; Department of Public and Occupational Health, Amsterdam UMC location University of Amsterdam, Amsterdam, Netherlands.
Amsterdam Public Health, Quality of Care, Global Health, Amsterdam, the Netherlands; Department of Public and Occupational Health, Amsterdam UMC location University of Amsterdam, Amsterdam, Netherlands; Centre for Sustainable Healthcare, Amsterdam UMC, Amsterdam, the Netherlands.
Patient Educ Couns. 2025 Jan;130:108427. doi: 10.1016/j.pec.2024.108427. Epub 2024 Sep 4.
To investigate patient perspectives on climate change and climate change mitigation strategies in healthcare.
A cross-sectional survey among gynaecological patients from two Dutch outpatient clinics. Main outcomes included patients' climate-related knowledge and worry, climate friendly healthcare perspectives and willingness to opt for climate friendly treatment alternatives. Multivariable linear regression analyses were performed to explore patient characteristics associated with climate friendly healthcare perspectives.
274 surveys were included. Most patients (79 %) were worried about climate change. Although almost all (91 %) found it important to contribute to climate protection, patients showed hesitance regarding healthcare measures that would impinge on individual choices. 62 % was willing to opt for climate friendly treatments, but this proportion varied by medical condition. Climate-related knowledge and worry were both positively associated with climate friendly healthcare perspectives.
Gynaecological patients are concerned about climate change and possess substantial self-reported climate-related knowledge. Patients vary in their support of climate action that involves individual patient care, but the majority is open to choose climate friendly treatment alternatives for certain medical conditions.
This exploratory study holds implications for the feasibility of integrating climate impact into clinical decision-making and provides a foundation for normative evidence for decarbonizing healthcare.
调查患者对医疗保健领域气候变化及气候变化缓解策略的看法。
对来自两家荷兰门诊诊所的妇科患者进行横断面调查。主要结果包括患者与气候相关的知识和担忧、对气候友好型医疗保健的看法以及选择气候友好型治疗替代方案的意愿。进行多变量线性回归分析以探索与气候友好型医疗保健看法相关的患者特征。
共纳入274份调查问卷。大多数患者（79%）担心气候变化。尽管几乎所有患者（91%）都认为为气候保护做出贡献很重要，但患者对会影响个人选择的医疗保健措施表现出犹豫。62%的患者愿意选择气候友好型治疗方法，但这一比例因医疗状况而异。与气候相关的知识和担忧都与气候友好型医疗保健看法呈正相关。
妇科患者关注气候变化，且自我报告了大量与气候相关的知识。患者对涉及个体患者护理的气候行动的支持程度各不相同，但大多数人愿意为某些医疗状况选择气候友好型治疗替代方案。
这项探索性研究对将气候影响纳入临床决策的可行性具有启示意义，并为医疗保健脱碳的规范性证据提供了基础。
