Griffiths Karolina, Basso-Bert Paul, Abraham Mireille, Chin Elise, Caroupaye-Caroupin Layana, Ahikki Manal, Agrech Emilie, Debrock Camille, Sabri Rim, Mercier Grégoire, Carbonnel François
University of Montpellier, UMR UA11 INSERM - UM IDESP Institut Desbrest d'Épidémiologie et de Santé Publique Campus Santé, IURC, Montpellier, France
University Department of General Practice, Faculty of Medicine of Montpellier-Nîmes, University of Montpellier, Montpellier, France.
BJGP Open. 2025 Apr 24;9(1). doi: 10.3399/BJGPO.2024.0089. Print 2025 Apr.
Heatwaves are becoming longer and more frequent. Despite the availability of open environmental data, little is operable and formatted for primary care use.
To create a user-friendly online mapping tool to assess the vulnerability of communities to heatwaves for use by primary care practitioners. This study questioned what knowledge needed to be deployed, who needed to participate, and how the knowledge should be shared.
DESIGN & SETTING: A participatory action-research project based on knowledge mobilisation (KM) in France, as part of the Green Data for Health Challenge.
Knowledge was summarised on the factors most affecting heatwave vulnerability in a collaborative process, enabling a consensus on data variables and mobilised content for the online tool. Purposive sampling included primary care stakeholders with Regional Health Agencies (Agence Régionale de Santé; ARS), Public Health France (Santé Publique France; SPF), and data scientists.
Nineteen participants took part in 10 co-construction meetings, a brainstorming carousel strategy, and five weekly co-creation meetings between December 2022 and June 2023. The heatwave vulnerability variable was constructed using surface temperature, social deprivation, vegetation coverage, and presence of air-conditioning equipment. Identified experts mobilised data on the national composite indicator at the communal level for heatwave morbidity.
There is no standard platform for sharing environmental data in France. This co-creation study offers a new approach to incorporating environmental data on heatwaves into primary care consultations. We demonstrate the importance of KM in primary care to bridge the research-practice gap. Integrating primary care records with environmental data may promote broader applications for planetary health research.
热浪持续的时间越来越长，且愈发频繁。尽管有公开的环境数据，但可供基层医疗使用且经过整理的数据却很少。
创建一个用户友好的在线地图工具，以评估社区在热浪中的脆弱性，供基层医疗从业者使用。本研究探讨了需要运用哪些知识、哪些人需要参与以及应如何分享这些知识。
这是一项基于法国知识动员（KM）的参与式行动研究项目，是“健康绿色数据挑战”的一部分。
在一个协作过程中，对最影响热浪脆弱性的因素进行了知识总结，从而就数据变量和在线工具所需的内容达成共识。目的抽样包括与地区卫生局（Agence Régionale de Santé；ARS）、法国公共卫生署（Santé Publique France；SPF）和数据科学家等基层医疗利益相关者。
2022年12月至2023年6月期间，19名参与者参加了10次共建会议、一次头脑风暴循环策略会议以及五次每周共创会议。热浪脆弱性变量是利用地表温度、社会剥夺状况、植被覆盖情况和空调设备的配备情况构建的。选定的专家收集了社区层面热浪发病率的国家综合指标数据。
法国没有用于共享环境数据的标准平台。这项共创研究提供了一种将热浪环境数据纳入基层医疗咨询的新方法。我们证明了知识动员在基层医疗中对于弥合研究与实践差距的重要性。将基层医疗记录与环境数据相结合可能会推动行星健康研究更广泛的应用。
