加强卫生系统以应对气候变化事件的影响:劳动力规划、技能提升和能力建设证据综述。

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY
Yvonne Zurynski, Georgia Fisher, Shalini Wijekulasuriya, Elle Leask, Putu Novi Arfirsta Dharmayani, Louise A. Ellis, Carolynn L. Smith, Jeffrey Braithwaite
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引用次数: 0

摘要

背景:随着全球二氧化碳排放量的持续上升和 "全球沸腾时代 "的到来,卫生工作者必须应对挑战,为越来越多受到气候变化相关事件(如飓风、野火、洪水)影响的患者提供医疗服务。在本综述中,我们描述了这些事件对医疗卫生队伍的影响,以及应对这些挑战的策略:本快速系统综述以《系统综述和元分析首选报告项目》和注册协议(PROSPERO CRD42023433610)为指导。2022 年 5 月和 2023 年 6 月分别对八个数据库进行了检索。纳入了讨论气候变化和劳动力政策、规划、准备和能力的实证研究。对提取的数据进行了归纳专题分析:结果:在纳入的 60 项研究中,出现了两个类别:气候事件对医疗卫生队伍的影响(n = 39),以及医疗卫生队伍对气候事件的应对和准备(n = 58)。37 项研究同时报告了这两个类别。确定了四个影响主题:缺勤、心理影响、系统崩溃和不安全的工作条件;六个应对和准备主题:培训/技能发展、劳动力能力规划、跨学科合作、角色灵活性、角色激励和心理支持:本综述概述了气候事件对卫生工作者的一些有害影响,以及卫生工作者准备或应对气候事件的潜在策略。未来的研究应评估这些策略的实施情况和有效性,以确保医疗保健系统的持续改善和医疗队伍的良好支持。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Bolstering health systems to cope with the impacts of climate change events: A review of the evidence on workforce planning, upskilling, and capacity building

Bolstering health systems to cope with the impacts of climate change events: A review of the evidence on workforce planning, upskilling, and capacity building

Background

As global CO2 emissions continue to rise and the ‘era of global boiling’ takes hold, the health workforce must cope with the challenge of providing care to increasing numbers of patients affected by climate change-related events (e.g., hurricanes, wildfires, floods). In this review, we describe the impacts of these events on the health workforce, and strategies responding to these challenges.

Methods

This rapid systematic review was guided by the Preferred Reporting Items for Systematic reviews and Meta-Analyses and a registered protocol (PROSPERO CRD42023433610). Eight databases were searched in May 2022 and again in June 2023. Empirical studies discussing climate change and workforce policy, planning, preparedness, and capacity were included. Inductive thematic analysis of extracted data was conducted.

Results

From the 60 included studies, two categories emerged: the impacts of climate events on the health workforce (n = 39), and workforce responses to and preparations for climate events (n = 58). Thirty-seven studies reported on both categories. Four impact themes were identified: absenteeism, psychological impacts, system breakdown, and unsafe working conditions; and six responses and preparations themes: training/skill development, workforce capacity planning, interdisciplinary collaboration, role flexibility, role incentivisation, and psychological support.

Conclusion

This review provides an overview of some of the deleterious impacts of climate events on the health workforce, as well as potential strategies for the health workforce to prepare or respond to climate events. Future studies should assess the implementation and effectiveness of these strategies to ensure a continuously improving healthcare system, and a well-supported health workforce.

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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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