为医疗服务制定气候变化不平等健康影响评估。

IF 2.5 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Fiona Haigh, Alana Crimeen, Liz Green, Holger Moeller, Stephen J Conaty, Jason H Prior, Ben Harris-Roxas
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引用次数: 0

摘要

目标为医疗卫生服务制定气候变化不平等健康影响评估(CCIHIA)框架;为评估气候变化对弱势和边缘化人群及地区可能造成的不平等健康影响提供系统程序;支持应对这些影响的有效规划;并制定适合当地情况的战略。计划类型:这是一个跨学科合作范围界定研究项目,涉及新南威尔士州(NSW)的两所大学和两个地方卫生区(LHDs),旨在制定气候变化对健康影响评估(CCIHIA)框架。这项工作以健康影响评估(HIA)方法为基础,该方法通过让利益相关者参与制定应对措施,系统地评估提案对健康和公平的潜在影响:该项目包括四项主要活动:了解利益相关者的要求;将气候变化脆弱性概念化;考虑医疗服务的作用;以及将研究结果纳入概念框架:结果:利益相关者确定了气候变化和健康影响评估框架的框架、过程和效用中应涉及的关键功能。由此产生的概念框架概述了背景和社会分层、气候变化的不同影响(包括影响不平等影响的因素)和卫生系统的地位,还确定了潜在干预的关键点:经验教训:应对各种因素的复杂性及由此产生的健康影响的挑战在气候变化影响和健康影响评估框架中得到了体现。虽然该框架中有许多干预点供卫生服务部门处理,但许多影响不平等影响的因素是在卫生部门的直接控制之外产生的。该框架的制定过程反映了对合作的重视以及气候变化应对的跨学科性质。最终,气候变化和健康影响评估框架是一种评估工具,也是一种优先考虑包容性、跨领域、多部门工作和解决问题的方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Developing a climate change inequality health impact assessment for health services.

Objectives: To develop a Climate Change Inequality Health Impact Assessment (CCIHIA) framework for health services; to provide a systematic process for assessing potential unequal health impacts of climate change on vulnerable and marginalised populations and places; to support effective planning to address these impacts; and to develop contextually appropriate local strategies. Type of program: A collaborative interdisciplinary scoping research project involving two universities and two local health districts (LHDs) in New South Wales (NSW) to develop a CCIHIA framework. This work builds upon the health impact assessment (HIA) approach, which systematically assesses proposals' potential health and equity impacts by involving stakeholders in developing responses.

Methods: The project involved four main activities: understanding stakeholder requirements; conceptualising climate change vulnerability; considering the role of health services; and integrating findings into a conceptual framework.

Results: Stakeholders identified key functions that should be addressed across the framing, process and utility of the CCIHIA framework. The resulting conceptual framework outlines contexts and social stratification, the differential impacts of climate change (including factors influencing unequal impacts) and the health system's position, and also identifies key potential points of intervention.

Lessons learnt: The challenge of addressing the complexity of factors and resulting health impacts is reflected within the CCIHIA framework. While there are many intervention points within this framework for health services to address, many factors influencing unequal impacts are created outside the health sector's direct control. The framework's development process reflected the focus on collaboration and the interdisciplinary nature of climate change response. Ultimately, the CCIHIA framework is an assessment tool and an approach for prioritising inclusive, cross-cutting, multisector working, and problem-solving.

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来源期刊
Public Health Research & Practice
Public Health Research & Practice PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
6.70
自引率
0.00%
发文量
51
审稿时长
20 weeks
期刊介绍: Public Health Research & Practice is an open-access, quarterly, online journal with a strong focus on the connection between research, policy and practice. It publishes innovative, high-quality papers that inform public health policy and practice, paying particular attention to innovations, data and perspectives from policy and practice. The journal is published by the Sax Institute, a national leader in promoting the use of research evidence in health policy. Formerly known as The NSW Public Health Bulletin, the journal has a long history. It was published by the NSW Ministry of Health for nearly a quarter of a century. Responsibility for its publication transferred to the Sax Institute in 2014, and the journal receives guidance from an expert editorial board.
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