Patients' perceptions of climate-sensitive health counselling in primary care: Qualitative results from Germany.

IF 2.3 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
European Journal of General Practice Pub Date : 2023-12-01 Epub Date: 2023-11-27 DOI:10.1080/13814788.2023.2284261
Silvan Griesel, Patricia Nayna Schwerdtle, Claudia Quitmann, Ina Danquah, Alina Herrmann
{"title":"Patients' perceptions of climate-sensitive health counselling in primary care: Qualitative results from Germany.","authors":"Silvan Griesel, Patricia Nayna Schwerdtle, Claudia Quitmann, Ina Danquah, Alina Herrmann","doi":"10.1080/13814788.2023.2284261","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Climate change is the greatest threat to global health in the twenty first century, yet combating it entails substantial health co-benefits. Physicians and other health professionals have not yet fully embraced their responsibilities in the climate crisis, especially about their communication with patients. While medical associations are calling on physicians to integrate climate change into health counselling, there is little empirical evidence about corresponding perceptions of patients.</p><p><strong>Objectives: </strong>This study aimed to explore primary care patients' perceptions of climate-sensitive health counselling.</p><p><strong>Methods: </strong>From July to December 2021, 27 qualitative interviews with patients were conducted and analysed using thematic analysis. A purposive sampling technique was applied to identify patients who had already experienced climate-sensitive health counselling in Germany.</p><p><strong>Results: </strong>Patients' perceptions of climate-sensitive health counselling were characterised by a high level of acceptance, which was enhanced by stressing the link between climate change and health, being credible concerning physician's own climate-friendly lifestyle, building upon good therapeutic relationships, creating a sense of solidarity, and working in a patient centred manner. Challenges and risks for acceptance were patients' disinterest or surprise, time constraints, feared politicisation of consultations, and evoking feelings of guilt and shame.</p><p><strong>Conclusion: </strong>These findings suggest that primary care patients can accept climate-sensitive health counselling, if it follows certain principles of communication, including patient-centredness. Our findings can be useful for developing communication guidelines, respective policies as well as well-designed intervention studies, which are needed to test the health and environmental effects of climate-sensitive health counselling.</p>","PeriodicalId":54380,"journal":{"name":"European Journal of General Practice","volume":null,"pages":null},"PeriodicalIF":2.3000,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10773651/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"European Journal of General Practice","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/13814788.2023.2284261","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2023/11/27 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
引用次数: 0

Abstract

Background: Climate change is the greatest threat to global health in the twenty first century, yet combating it entails substantial health co-benefits. Physicians and other health professionals have not yet fully embraced their responsibilities in the climate crisis, especially about their communication with patients. While medical associations are calling on physicians to integrate climate change into health counselling, there is little empirical evidence about corresponding perceptions of patients.

Objectives: This study aimed to explore primary care patients' perceptions of climate-sensitive health counselling.

Methods: From July to December 2021, 27 qualitative interviews with patients were conducted and analysed using thematic analysis. A purposive sampling technique was applied to identify patients who had already experienced climate-sensitive health counselling in Germany.

Results: Patients' perceptions of climate-sensitive health counselling were characterised by a high level of acceptance, which was enhanced by stressing the link between climate change and health, being credible concerning physician's own climate-friendly lifestyle, building upon good therapeutic relationships, creating a sense of solidarity, and working in a patient centred manner. Challenges and risks for acceptance were patients' disinterest or surprise, time constraints, feared politicisation of consultations, and evoking feelings of guilt and shame.

Conclusion: These findings suggest that primary care patients can accept climate-sensitive health counselling, if it follows certain principles of communication, including patient-centredness. Our findings can be useful for developing communication guidelines, respective policies as well as well-designed intervention studies, which are needed to test the health and environmental effects of climate-sensitive health counselling.

患者对初级保健中气候敏感健康咨询的看法:来自德国的定性结果。
背景:气候变化是21世纪全球健康面临的最大威胁,但与气候变化作斗争将带来巨大的健康附带效益。医生和其他卫生专业人员尚未完全承担起他们在气候危机中的责任,特别是在与患者的沟通方面。虽然医学协会呼吁医生将气候变化纳入健康咨询,但几乎没有关于患者相应看法的经验证据。目的:本研究旨在探讨初级保健患者对气候敏感健康咨询的看法。方法:于2021年7月至12月对27例患者进行定性访谈,采用专题分析法进行分析。采用了一种有目的的抽样技术,以确定已经在德国接受过气候敏感健康咨询的患者。结果:患者对气候敏感型健康咨询的看法的特点是接受程度很高,强调气候变化与健康之间的联系,在医生自己的气候友好型生活方式方面值得信赖,建立良好的治疗关系,建立团结感,并以患者为中心的方式工作,从而增强了这种接受程度。接受的挑战和风险是患者不感兴趣或惊讶,时间限制,担心咨询政治化,以及引起内疚和羞耻感。结论:这些发现表明,如果遵循一定的沟通原则,包括以患者为中心,初级保健患者可以接受气候敏感型健康咨询。我们的研究结果可用于制定沟通准则、相应政策以及精心设计的干预研究,这些研究是测试气候敏感健康咨询对健康和环境的影响所必需的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
European Journal of General Practice
European Journal of General Practice PRIMARY HEALTH CARE-MEDICINE, GENERAL & INTERNAL
CiteScore
5.10
自引率
5.90%
发文量
31
审稿时长
>12 weeks
期刊介绍: The EJGP aims to: foster scientific research in primary care medicine (family medicine, general practice) in Europe stimulate education and debate, relevant for the development of primary care medicine in Europe. Scope The EJGP publishes original research papers, review articles and clinical case reports on all aspects of primary care medicine (family medicine, general practice), providing new knowledge on medical decision-making, healthcare delivery, medical education, and research methodology. Areas covered include primary care epidemiology, prevention, diagnosis, pharmacotherapy, non-drug interventions, multi- and comorbidity, palliative care, shared decision making, inter-professional collaboration, quality and safety, training and teaching, and quantitative and qualitative research methods.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信