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健康充足:通往地球与公众健康的可持续路径。

Sufficiency health-wise: sustainable paths towards planetary and public health.

作者信息

Geiselhart Klaus, Damm Maik, Jeske Niklas, Knappmann Alexia, Nasser Gabriela Pen, Roth Laura Franziska, Unkels Regine, Winkler Andrea Sylvia, Wolf Jennyfer, Falkenberg Timo

机构信息

Institute of Geography, Friedrich-Alexander-University Erlangen-Nürnberg, Erlangen, Germany.

Global Health Hub Germany, Planetary Health Working Group, Berlin, Germany.

出版信息

Front Public Health. 2024 Nov 19;12:1497657. doi: 10.3389/fpubh.2024.1497657. eCollection 2024.

DOI:10.3389/fpubh.2024.1497657
PMID:39628799
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11611852/
Abstract

Planet Earth is threatened by the human population. Energy and resource use are far beyond the planet's carrying capacity. Planetary Health suggests an alternative idea of prosperity as the best possible human health for all within planetary boundaries. This implies giving priority to ecology because human health depends ultimately on the integrity of the global biosphere. This paper presents a Health Sufficiency Framework, based on the Doughnut Economics Model. It is meant to fuel discussions on delicate topics of the required transformations of health care and public health.

摘要

地球正受到人类人口的威胁。能源和资源的使用远远超出了地球的承载能力。行星健康提出了一种繁荣的替代理念,即行星边界内所有人都能获得尽可能好的人类健康。这意味着要优先考虑生态,因为人类健康最终取决于全球生物圈的完整性。本文提出了一个基于甜甜圈经济学模型的健康充足框架。其目的是推动关于医疗保健和公共卫生所需变革等微妙话题的讨论。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a1af/11611852/20985af03b71/fpubh-12-1497657-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a1af/11611852/20985af03b71/fpubh-12-1497657-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a1af/11611852/20985af03b71/fpubh-12-1497657-g001.jpg

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本文引用的文献

1
A new look at physicians' responses to financial incentives: Quality of care, practice characteristics, and motivations.重新审视医生对经济激励措施的反应:医疗质量、执业特征与动机
J Health Econ. 2024 Mar;94:102862. doi: 10.1016/j.jhealeco.2024.102862. Epub 2024 Feb 15.
2
Patient-reported effects of hospital-wide implementation of shared decision-making at a university medical centre in Germany: a pre-post trial.德国一所大学医学中心实施全院共享决策对患者的影响:一项前后试验。
BMJ Evid Based Med. 2024 Mar 21;29(2):87-95. doi: 10.1136/bmjebm-2023-112462.
3
Earth beyond six of nine planetary boundaries.
地球超出了九个行星边界中的六个。
Sci Adv. 2023 Sep 15;9(37):eadh2458. doi: 10.1126/sciadv.adh2458. Epub 2023 Sep 13.
4
Overdiagnosis and too much medicine in a world of crises.危机世界中的过度诊断与过度医疗。
BMJ. 2023 Aug 12;382:1865. doi: 10.1136/bmj.p1865.
5
Healthcare Waste-A Serious Problem for Global Health.医疗废物——全球健康面临的严重问题。
Healthcare (Basel). 2023 Jan 13;11(2):242. doi: 10.3390/healthcare11020242.
6
Characterizing and quantifying low-value diagnostic imaging internationally: a scoping review.国际上低价值诊断成像的特征描述和量化:范围综述。
BMC Med Imaging. 2022 Apr 21;22(1):73. doi: 10.1186/s12880-022-00798-2.
7
The determinants of planetary health: an Indigenous consensus perspective.行星健康的决定因素:一个原住民共识的视角。
Lancet Planet Health. 2022 Feb;6(2):e156-e163. doi: 10.1016/S2542-5196(21)00354-5.
8
Climate anxiety in children and young people and their beliefs about government responses to climate change: a global survey.儿童和青少年的气候焦虑及其对政府应对气候变化措施的看法:一项全球调查。
Lancet Planet Health. 2021 Dec;5(12):e863-e873. doi: 10.1016/S2542-5196(21)00278-3.
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The 2021 report of the Lancet Countdown on health and climate change: code red for a healthy future.柳叶刀倒计时报告 2021:健康与气候变化——为健康未来敲响红色警钟。
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The Impact of Choosing Wisely Interventions on Low-Value Medical Services: A Systematic Review.明智选择干预措施对低价值医疗服务的影响:系统评价。
Milbank Q. 2021 Dec;99(4):1024-1058. doi: 10.1111/1468-0009.12531. Epub 2021 Aug 17.