Planetary health in action: developing a heatwave vulnerability tool for primary care.

IF 2.5 Q2 PRIMARY HEALTH CARE
BJGP Open Pub Date : 2024-10-11 DOI:10.3399/BJGPO.2024.0089
Karolina Griffiths, Paul Basso-Bert, Mireille Abraham, Elise Chin, Layana Caroupaye-Caroupin, Manal Ahikki, Emilie Agrech, Camille Debrock, Rim Sabri, Grégoire Mercier, François Carbonnel
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Abstract

Background: Heatwaves are becoming longer and more frequent. Despite the availability of open environmental data, little is operable and formatted for primary care use.

Aim: 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 mobilization in France as part of the Green Data for Health Challenge.

Method: Knowledge was summarized 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 (ARS), Public Health France, and data scientists.

Results and conclusion: Nineteen participants participated in ten co-construction workshops, a brainstorming carousel strategy and five weekly co-design 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 mobilized 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 knowledge mobilisation in primary care to bridge the research-practice gap. Integrating primary care records with environmental data may promote broader applications for planetary health research.

地球健康在行动:为初级保健开发热浪脆弱性工具。
背景:热浪的持续时间越来越长,频率越来越高。目的:创建一个用户友好型在线绘图工具,以评估社区对热浪的脆弱性,供初级保健从业人员使用。这项研究对需要部署哪些知识、谁需要参与以及如何共享这些知识提出了质疑:作为 "绿色数据促进健康挑战 "的一部分,在法国开展了一个基于知识动员的参与式行动研究项目:方法:在合作过程中对影响热浪脆弱性最大的因素进行知识总结,从而就数据变量和在线工具的动员内容达成共识。有目的的抽样包括地区卫生机构(ARS)、法国公共卫生部门和数据科学家的初级保健利益相关者:19名参与者在2022年12月至2023年6月期间参加了十次共同设计研讨会、一次头脑风暴旋转木马战略和五次每周共同设计会议。热浪脆弱性变量是利用地表温度、社会贫困程度、植被覆盖率和空调设备的存在情况构建的。已确定的专家在社区层面动员有关热浪发病率的国家综合指标数据。法国没有标准的环境数据共享平台。这项共同创造研究为将热浪环境数据纳入初级保健咨询提供了一种新方法。我们证明了在初级保健中调动知识以弥合研究与实践差距的重要性。将初级保健记录与环境数据相结合,可促进行星健康研究的更广泛应用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
BJGP Open
BJGP Open Medicine-Family Practice
CiteScore
5.00
自引率
0.00%
发文量
181
审稿时长
22 weeks
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