Katarzyna Dubas-Jakóbczyk, Nsikakabasi Samuel George, Costase Ndayishimiye
{"title":"Health systems' adaptations to climate change: an umbrella review of global evidence protocol.","authors":"Katarzyna Dubas-Jakóbczyk, Nsikakabasi Samuel George, Costase Ndayishimiye","doi":"10.1136/bmjopen-2025-105492","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Health systems' (HS) adaptations to climate change (CC) cover two major, and interrelated dimensions: (1) Environmental sustainability-actions aimed at limiting the negative impact of HS on the environment (eg, by reducing greenhouse gas emissions) and (2) Climate resilience-adaptations focused on improving HS' ability to cope with the impact of CC (eg, by improving HS preparedness to climate-induced natural disasters). Within both dimensions, a diversity of actions, at different HS levels, can take place. The general objective is to provide health policy makers with a comprehensive evidence-based set of recommendations on the scope and effectiveness of HS adaptations to CC.</p><p><strong>Methods and analysis: </strong>An umbrella review will be conducted. Systematic reviews will be included if: (1) They focus on HS adaptations to CC (including both environmental sustainability and climate resilience strategies/actions), (2) Were published since 2015 and (3) Report a quality appraisal of included studies. Five databases were searched: (1) MEDLINE via PubMed, (2) Scopus, (3) Web of science core collection, (4) ProQuest Central and (5) The Cochrane Database of Systematic Reviews. Two reviewers will independently assess studies' eligibility, conduct quality appraisal and perform data extraction. Data will be synthesised using both quantitative and qualitative methods. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses will guide the reporting of results.</p><p><strong>Ethics and dissemination: </strong>Ethical approval is not required, as this study involves the collection and analysis of secondary data only. The results will be submitted for publication in a peer-reviewed journal and disseminated via dedicated research channels and social media platforms.</p><p><strong>Prospero registration number: </strong>CRD420251052647.</p>","PeriodicalId":9158,"journal":{"name":"BMJ Open","volume":"15 10","pages":"e105492"},"PeriodicalIF":2.3000,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12496045/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"BMJ Open","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1136/bmjopen-2025-105492","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
引用次数: 0
Abstract
Introduction: Health systems' (HS) adaptations to climate change (CC) cover two major, and interrelated dimensions: (1) Environmental sustainability-actions aimed at limiting the negative impact of HS on the environment (eg, by reducing greenhouse gas emissions) and (2) Climate resilience-adaptations focused on improving HS' ability to cope with the impact of CC (eg, by improving HS preparedness to climate-induced natural disasters). Within both dimensions, a diversity of actions, at different HS levels, can take place. The general objective is to provide health policy makers with a comprehensive evidence-based set of recommendations on the scope and effectiveness of HS adaptations to CC.
Methods and analysis: An umbrella review will be conducted. Systematic reviews will be included if: (1) They focus on HS adaptations to CC (including both environmental sustainability and climate resilience strategies/actions), (2) Were published since 2015 and (3) Report a quality appraisal of included studies. Five databases were searched: (1) MEDLINE via PubMed, (2) Scopus, (3) Web of science core collection, (4) ProQuest Central and (5) The Cochrane Database of Systematic Reviews. Two reviewers will independently assess studies' eligibility, conduct quality appraisal and perform data extraction. Data will be synthesised using both quantitative and qualitative methods. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses will guide the reporting of results.
Ethics and dissemination: Ethical approval is not required, as this study involves the collection and analysis of secondary data only. The results will be submitted for publication in a peer-reviewed journal and disseminated via dedicated research channels and social media platforms.
卫生系统（HS）对气候变化的适应（CC）涵盖两个主要且相互关联的方面：(1)环境可持续性-旨在限制HS对环境的负面影响的行动（例如，通过减少温室气体排放）和(2)气候复原力-适应侧重于提高HS应对气候变化影响的能力（例如，通过提高HS对气候引起的自然灾害的准备）。在这两个维度中，可以在不同的HS级别上采取多种行动。总目标是向卫生政策制定者提供一套全面的循证建议，说明卫生保健适应cc的范围和有效性。方法和分析：将进行一项总括审查。如果系统综述：(1)侧重于HS对气候变化的适应（包括环境可持续性和气候适应性战略/行动），(2)自2015年以来发表，(3)报告所纳入研究的质量评价。检索了5个数据库：(1)PubMed MEDLINE, (2) Scopus, (3) Web of science核心合集，(4)ProQuest Central和(5)Cochrane system Reviews Database。两名审稿人将独立评估研究的资格，进行质量评估并进行数据提取。将使用定量和定性两种方法综合数据。系统评价和荟萃分析的首选报告项目将指导结果的报告。伦理和传播：不需要伦理批准，因为本研究只涉及二手数据的收集和分析。研究结果将在同行评审的期刊上发表，并通过专门的研究渠道和社交媒体平台传播。普洛斯彼罗注册号：CRD420251052647。
期刊介绍：
BMJ Open is an online, open access journal, dedicated to publishing medical research from all disciplines and therapeutic areas. The journal publishes all research study types, from study protocols to phase I trials to meta-analyses, including small or specialist studies. Publishing procedures are built around fully open peer review and continuous publication, publishing research online as soon as the article is ready.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
