Drivers of Physicians’ Engagement in Addressing Eco-health Problems

Völker, Marc; Hunchangsith, Pojjana

doi:10.1007/s10393-018-1372-z

Cited by 10 publications

(4 citation statements)

References 37 publications

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“… 46 48 Given the known increases in physician and other healthcare provider burnout in Canada and elsewhere amplified by the COVID-19 pandemic, 49 ensuring system support structures are in place for physicians to advance important change initiatives such as planetary health-informed care will be needed to move planetary health work forward. Previous research has also highlighted the absence of positive institutional culture and leadership 14 38 42 50 as well as the absence of peer support and networks 42 51 as being barriers for P-PH co-benefit-related clinical practice. 13 With this, positive work culture, and instituting peer support and leadership within systems will likely also be beneficial for successful change.…”

Section: Discussionmentioning

confidence: 99%

Patient-planetary health co-benefit prescribing in a circumpolar health region: a qualitative study of physician voices from the Northwest Territories, Canada

Redvers,

Hartmann-Boyce,

Tonkin-Crine

2024

BMJ Open

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BackgroundDespite climate change being described as a code red for humanity, health systems have been particularly slow in both climate mitigation and adaptation responses. The effects of climate change on health and health systems will not be felt equally, with underserved and marginalised communities disproportionately impacted. The circumpolar region is warming at 3–4 times the global rate, amplifying already existing socioeconomic barriers and health inequities, with particular amplified effects for the substantial Indigenous population in the area.Objectives and settingWe therefore sought to explore perspectives of physicians around patient-planetary health (P-PH) co-benefit prescribing in a circumpolar region in the Northwest Territories (NWT), Canada, known to be one of the ground zero levels for climate change.MethodsThirteen semi-structured physician interviews were carried out in the NWT region between May 2022 and March 2023 using purposive sampling. Interviews were transcribed verbatim and reflexive thematic analysis was carried out to identify key themes.ResultsThere were three main themes identified including (1) current healthcare system does not support planetary health, (2) supporting patient-planetary health is currently difficult for clinicians and (3) considering change in the NWT to support patient-planetary health. Participants noted key opportunities to move planetary health forward, with the NWT having the potential to be an innovative model for planetary health-informed change for other health systems.ConclusionThe NWT health system has unique features due to its rural and remote nature and smaller population base. Despite this, our study identified some key opportunities for advancing P-PH co-benefit efforts. The identified opportunities may be considered in future intervention, organisational change and policy-making efforts with potential relevance in other settings.

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Section: Discussionmentioning

confidence: 99%

Patient-planetary health co-benefit prescribing in a circumpolar health region: a qualitative study of physician voices from the Northwest Territories, Canada

Redvers,

Hartmann-Boyce,

Tonkin-Crine

2024

BMJ Open

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“…The qualitative and mixed methods studies also indicated needs for specific professional training on climate and environment change and health and the necessity to support messages and actions targeting patients and the public [22][23][24][25]. A case study of Australian health agencies indicated that available competencies and frameworks were transferable to action on climate change, such as health promotion practices oriented toward active and sustainable transport and healthy and sustainable food supply, for instance [26].…”

Section: Qualitative and Mixed Methods Studiesmentioning

confidence: 99%

Role of Health Professionals Regarding the Impact of Climate Change on Health—An Exploratory Review

Dupraz

Burnand

2021

IJERPH

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Health professionals are increasingly urged to act to protect individuals and populations against the negative effects of climate and environment change on health. However, the amount of evidence supporting initiatives to that end is unknown. We explored the literature examining the awareness, preparedness, and role of healthcare professionals to inform about the impact of climate change on health on the one hand, and literature about the effectiveness of interventions mediated by health professionals aiming at reducing the environmental impact of human activities on the other hand. We included 137 articles published between 2000 and 2020, mostly in general medical and nursing journals. The typical article was a perspective, commentary, or other special article aimed at alerting readers about the impact of climate and environment change on health. We identified 22 studies, of which only two reported interventions. Despite increasing efforts of health professionals to address climate and environment change and related health risks, health literature supporting such efforts remains scarce, and studies assessing the effectiveness of interventions are lacking. We need appropriate evidence to indicate which interventions should be prioritized, considering that the association of health issues with climate and environment change could constitute an effective lever for change.

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“…Relatedly, research in Thailand investigated predictors of whether physicians assessed the environmental history of their patients, discussed environmental impacts on health, and provided related health advice (Völker & Hunchangsith, 2018). They found four predictors for physicians' engagement with the issue: their attitude about their role in addressing the link between environment and health; the perceived attitude of the department head in addressing the link between environment and health; exchange of information with peers; and physicians' knowledge about environment-health links (Völker & Hunchangsith, 2018).…”

Section: Image Credit: Climate Visualsmentioning

confidence: 99%

A Global Review of Research on Effective Advocacy and Communication Strategies at the Intersection of Climate Change and Health

Uppalapati,

Ansah,

Campbell

et al. 2023

Preprint

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Climate change's intensifying impact on human health necessitates effective advocacy and communication strategies. In this review that spans research in multiple languages published from 2000 to 2023, we summarize evidence on effective advocacy and communication strategies at the intersection of climate change and health for public audiences, health professionals, and public officials. First, we synthesize research on public audiences, including their perceptions of climate change and health, public responses to health-framed climate information, climate and health risks and solutions, information about vulnerable populations and equity considerations, climate- and health-related visual communication and imagery, and their perceptions of health professionals. Then, we provide an overview of research on health professional audiences, including their role in climate and health communication and advocacy, knowledge of the connections between climate and health, willingness to engage with the topic and in climate-relevant actions, and ways to encourage this engagement. Next, we delve into public officials’ perspectives and comprehension of the relationship between climate change and health. Lastly, we end with recommendations for a research agenda to fill the gaps illuminated in this review and foster a growing field on climate and health insight and engagement.

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Drivers of Physicians’ Engagement in Addressing Eco-health Problems

Cited by 10 publications

References 37 publications

Patient-planetary health co-benefit prescribing in a circumpolar health region: a qualitative study of physician voices from the Northwest Territories, Canada

Patient-planetary health co-benefit prescribing in a circumpolar health region: a qualitative study of physician voices from the Northwest Territories, Canada

Role of Health Professionals Regarding the Impact of Climate Change on Health—An Exploratory Review

A Global Review of Research on Effective Advocacy and Communication Strategies at the Intersection of Climate Change and Health

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