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Sustainable Health Systems: Who Will Answer the Call to Action, and How? 可持续卫生系统:谁将响应行动呼吁，以及如何响应?
Healthcare Papers Pub Date : 2020-10-01 DOI: 10.12927/hcpap.2020.26371
Eddy Nason
{"title":"Sustainable Health Systems: Who Will Answer the Call to Action, and How?","authors":"Eddy Nason","doi":"10.12927/hcpap.2020.26371","DOIUrl":"https://doi.org/10.12927/hcpap.2020.26371","url":null,"abstract":"<p><p>Building on the article by Miller and Xie (2020) that raises a call to action for environmentally sustainable healthcare in Canada, this commentary posits that there is a responsibility to place that action in light of health equity. It also identifies an opportunity to build on an existing approach to health system improvement, that is spreading across Canada, by adding an additional aim around environmental sustainability and placing the outcomes for health systems firmly in health equity. By doing this in a clear, anti-racist and anti-colonial setting, sustainability can build on Canada's Indigenous knowledge and principles of sustainability to align health system sustainability with reconciliation and equity.</p>","PeriodicalId":35522,"journal":{"name":"Healthcare Papers","volume":"19 3","pages":"57-60"},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38388406","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Making Practical Progress on Climate Change in Healthcare: Seizing Opportunities. 在医疗保健领域应对气候变化方面取得实际进展:抓住机遇。
Healthcare Papers Pub Date : 2020-10-01 DOI: 10.12927/hcpap.2020.26374
Kathleen Morris
{"title":"Making Practical Progress on Climate Change in Healthcare: Seizing Opportunities.","authors":"Kathleen Morris","doi":"10.12927/hcpap.2020.26374","DOIUrl":"https://doi.org/10.12927/hcpap.2020.26374","url":null,"abstract":"<p><p>Climate change concerns have gained traction with many Canadians and impacted their individual choices. However, as a country, we have repeatedly failed to meet international emission-reduction targets. Setting an ambitious goal of net zero in healthcare may continue the discouraging pattern of missing the mark. This commentary proposes a new approach - identifying practical solutions and measuring their beneficial impact for both health and the environment. A few options are suggested, some likely to benefit from near-term government investments. Making tangible progress where opportunities present themselves will create positive health and environmental benefits and a solid foundation for future achievements.</p>","PeriodicalId":35522,"journal":{"name":"Healthcare Papers","volume":"19 3","pages":"41-46"},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38388403","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The UK National Health Service Is World Leader in Sustainable Healthcare: Recommendations for Canada. 英国国家卫生服务在可持续医疗保健方面处于世界领先地位:对加拿大的建议。
Healthcare Papers Pub Date : 2020-10-01 DOI: 10.12927/hcpap.2020.26376
Brett Duane
{"title":"The UK National Health Service Is World Leader in Sustainable Healthcare: Recommendations for Canada.","authors":"Brett Duane","doi":"10.12927/hcpap.2020.26376","DOIUrl":"https://doi.org/10.12927/hcpap.2020.26376","url":null,"abstract":"<p><p>The National Health Service (NHS) in the UK is regarded by many as the world leader in sustainability. In this article, I present six main reasons for this. The first three reasons are that the UK passed appropriate legislation; a long-term strategy was developed; and a sustainability direction and delivery framework emerged for not only the NHS and the social system but also for its partner organizations in education. The UK has also committed resources, has a system of governance and accountability and continually reviews its current systems in a constant need for regeneration.</p>","PeriodicalId":35522,"journal":{"name":"Healthcare Papers","volume":"19 3","pages":"27-34"},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38388401","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Opportunities for Action toward a Sustainable Health System. 实现可持续卫生系统的行动机会。
Healthcare Papers Pub Date : 2020-10-01 DOI: 10.12927/hcpap.2020.26372
Jennifer Zelmer
{"title":"Opportunities for Action toward a Sustainable Health System.","authors":"Jennifer Zelmer","doi":"10.12927/hcpap.2020.26372","DOIUrl":"https://doi.org/10.12927/hcpap.2020.26372","url":null,"abstract":"<p><p>The current pandemic is a stark reminder that crises bring to light society's vulnerabilities. In the lead paper of this issue of Healthcare Papers, Miller and Xie (2020) argue that the same is - and will be - true for climate change. They make a compelling and urgent case for its importance to health and healthcare in Canada and around the world. Opportunities to advance the multiple interrelated dimensions of sustainability in the health sector include understanding and mitigating the health implications of climate change; preparing the health sector for climate change; and accelerating the health sector's contribution to society-wide net-zero targets. High-performing, resilient health systems with their capacity to deeply engage with communities, and to respond dynamically to changing circumstances, will be key to proactively addressing climate change, just as they are proving to be in pandemic preparedness and response.</p>","PeriodicalId":35522,"journal":{"name":"Healthcare Papers","volume":"19 3","pages":"53-56"},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38388405","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Leveraging Our Strengths to Achieve Sustainable Healthcare. 发挥我们的优势，实现可持续医疗保健。
Healthcare Papers Pub Date : 2020-10-01 DOI: 10.12927/hcpap.2020.26368
Edward Xie, Fiona A Miller
{"title":"Leveraging Our Strengths to Achieve Sustainable Healthcare.","authors":"Edward Xie,&nbsp;Fiona A Miller","doi":"10.12927/hcpap.2020.26368","DOIUrl":"https://doi.org/10.12927/hcpap.2020.26368","url":null,"abstract":"<p><p>We are fortunate to have the reflections and wisdom of experts from multiple disciplines in this issue's discussion of healthcare sustainability. In the lead paper of this issue of Healthcare Papers, we issued a call to action drawing on the capacity of the Canadian health sector to address climate change (Miller and Xie 2020). Our colleagues agree on the need to deliver sustainable care and raise important questions about how such an aim can be achieved. In this response, we consider and revisit three themes: feasibility of a sustainable healthcare system, theories of change that support our recommendations and capacities that enable change.</p>","PeriodicalId":35522,"journal":{"name":"Healthcare Papers","volume":"19 3","pages":"75-81"},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38729124","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Environmental Sustainability Must Be on Our Agenda for Healthcare. 环境可持续性必须列入我们的医疗保健议程。
Healthcare Papers Pub Date : 2020-10-01 DOI: 10.12927/hcpap.2020.26378
Neil Stuart
{"title":"Environmental Sustainability Must Be on Our Agenda for Healthcare.","authors":"Neil Stuart","doi":"10.12927/hcpap.2020.26378","DOIUrl":"https://doi.org/10.12927/hcpap.2020.26378","url":null,"abstract":"<p><p>I am increasingly alarmed by climate change and environmental degradation. Many of you share my concerns, no doubt. I worry that we are not dealing with these issues in a manner that promises meaningful or timely results, and I believe we must reorder our priorities. There is also a fundamental unfairness that runs through what is happening. Environmental harm compounds existing inequities within and among our communities, inequities between richer and poorer nations and, most insidiously, generational inequity - deferring the consequences of our inaction to a future generation. Adding to these concerns is the realization that in my own professional field, healthcare, we have given little thought to the sector's role in and responsibility for environmental sustainability. To date, these issues have not been part of the mainstream healthcare conversation.</p>","PeriodicalId":35522,"journal":{"name":"Healthcare Papers","volume":"19 3","pages":"4-7"},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38736808","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Toward a Sustainable Health System: A Call to Action. 迈向可持续的卫生系统:行动呼吁。
Healthcare Papers Pub Date : 2020-10-01 DOI: 10.12927/hcpap.2020.26377
Fiona A Miller, Edward Xie
{"title":"Toward a Sustainable Health System: A Call to Action.","authors":"Fiona A Miller,&nbsp;Edward Xie","doi":"10.12927/hcpap.2020.26377","DOIUrl":"https://doi.org/10.12927/hcpap.2020.26377","url":null,"abstract":"<p><p>\"Toward a Sustainable Health System: A Call to Action\" speaks of the challenge that the climate crisis poses for health systems. The scale of the accelerating crisis will require that health systems adapt in response and also become visible champions for change, mitigating the environmental harms of their operation and mobilizing their social networks and leadership potential to build community resilience and transformative capacity. The authors pay principal attention to the issues of environmental sustainability and also review the linked challenges of social and economic sustainability, given the imperatives of environmental and social justice and the need for a revitalized economic vision to support livable futures. The authors' aim is to accelerate ambition in Canada, where coordinated effort and national leadership have been lacking. They close with recommendations to achieve a net-zero health system in Canada by or before 2050.</p>","PeriodicalId":35522,"journal":{"name":"Healthcare Papers","volume":"19 3","pages":"9-25"},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38388400","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 5
Reframing Resource Stewardship and Sustainability as Professionalism: What Can Efforts for a Net-Zero Health System Learn from Choosing Wisely Campaigns? 将资源管理和可持续性作为专业精神重新构建:从明智的选择运动中，零净卫生系统的努力可以学到什么?
Healthcare Papers Pub Date : 2020-10-01 DOI: 10.12927/hcpap.2020.26375
Karen Born, Wendy Levinson
{"title":"Reframing Resource Stewardship and Sustainability as Professionalism: What Can Efforts for a Net-Zero Health System Learn from Choosing Wisely Campaigns?","authors":"Karen Born,&nbsp;Wendy Levinson","doi":"10.12927/hcpap.2020.26375","DOIUrl":"https://doi.org/10.12927/hcpap.2020.26375","url":null,"abstract":"<p><p>Miller and Xie (2020) issue a compelling and wide-ranging call to action for how healthcare systems, leaders and decision makers can and should mobilize to address the climate crisis. Issues of sustainability and the climate crisis are complex, wicked problems with no simple solutions. Sustainability considerations and the imperative to use healthcare system resources wisely are a motivator of the Choosing Wisely Canada campaign. These considerations are increasingly urgent in the context of fiscal and resource deficits due to the COVID-19 pandemic. The experience of Choosing Wisely campaigns can offer potential strategies for driving increased awareness and action from healthcare stakeholders on the climate crisis. This commentary explores some of the factors that have contributed to the spread of Choosing Wisely campaigns and the levers that have fostered campaign uptake. It will also consider the challenges faced by, and lessons learned, from Choosing Wisely campaigns, and how these could inform healthcare systems and individual clinicians in increasing awareness and taking leadership on the climate crisis.</p>","PeriodicalId":35522,"journal":{"name":"Healthcare Papers","volume":"19 3","pages":"35-40"},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38388402","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Toward a Sustainable Health System: The Changing Economic Paradigm. 走向可持续的卫生系统:不断变化的经济范式。
Healthcare Papers Pub Date : 2020-10-01 DOI: 10.12927/hcpap.2020.26373
Martin Hensher
{"title":"Toward a Sustainable Health System: The Changing Economic Paradigm.","authors":"Martin Hensher","doi":"10.12927/hcpap.2020.26373","DOIUrl":"https://doi.org/10.12927/hcpap.2020.26373","url":null,"abstract":"<p><p>Miller and Xie (2020) raise a call to action on creating a sustainable Canadian healthcare system as part of a more just and sustainable economic model. This commentary explores the economic dimensions of this call to action. It provides a brief overview of relevant concepts and insights from emerging schools of economic thinking, and contemplates challenges and opportunities for health system sustainability as the economic consequences of COVID-19 play out in coming years.</p>","PeriodicalId":35522,"journal":{"name":"Healthcare Papers","volume":"19 3","pages":"47-52"},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38388404","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Creating an Environmentally Sustainable Health System Demands a Socially Accountable Approach in a Post-COVID World. 在新冠疫情后的世界，创建环境可持续的卫生系统需要采取对社会负责的方法。
Healthcare Papers Pub Date : 2020-10-01 DOI: 10.12927/hcpap.2020.26370
Anne Andermann, Yassen Tcholakov, Reggie Tomatuk, Sandy Buchman
{"title":"Creating an Environmentally Sustainable Health System Demands a Socially Accountable Approach in a Post-COVID World.","authors":"Anne Andermann,&nbsp;Yassen Tcholakov,&nbsp;Reggie Tomatuk,&nbsp;Sandy Buchman","doi":"10.12927/hcpap.2020.26370","DOIUrl":"https://doi.org/10.12927/hcpap.2020.26370","url":null,"abstract":"<p><p>The impacts of climate change can already be seen among many of the patients in our clinics and emergency rooms, and as with all disasters, the most impoverished and marginalized members of society are the hardest hit. The health system has a social accountability role to anticipate and respond to the evolving health needs of our society. We are the stewards of this planet, steering the course through current and future challenges. What we do now will determine what the world will be like for our children and grandchildren. At times like this, more than ever before, health workers around the world must unite and engage in contributing to shaping future policy directions and monitoring progress to create a post-COVID world where social accountability and sustainable development go hand in hand.</p>","PeriodicalId":35522,"journal":{"name":"Healthcare Papers","volume":"19 3","pages":"61-66"},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38388407","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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