评估在实现 COP26 健康计划关于可持续、低碳、有复原力的医疗保健系统的国际目标方面的进展和问责情况。

IF 24.1 1区医学 Q1 ENVIRONMENTAL SCIENCES

Lancet Planetary Health Pub Date : 2024-10-01 DOI:10.1016/S2542-5196(24)00206-7

Iris Martine Blom MD , Fawzia N Rasheed PhD , Hardeep Singh MD , Matthew J Eckelman PhD , Meghnath Dhimal PhD , Martin Hensher PhD , Renzo R Guinto MD , Alice McGushin MBBS , Xuejuan Ning MHS , Poornima Prabhakaran PhD , Marina Romanello PhD , Dana van Alphen PhD , Nick Watts MBBS , Jessica C Yu PhD , Carol Zavaleta-Cortijo PhD , Andrea J MacNeill MD , Jodi D Sherman MD

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引用次数: 0

摘要

在 2021 年召开的《联合国气候变化框架公约》第 26 次缔约方大会（COP26）上，发起了一项旨在发展低碳、有复原力的医疗系统的全球倡议--COP26 健康计划。截至 2024 年 5 月，已有 83 个国家承诺参与该计划。本分析报告评估了现有指标和拟议指标在对这些承诺进行公共监督和问责方面的有效性。我们的研究结果表明，在数据可用性和指标相关性方面存在巨大差距，许多国家报告的过程指标并不能反映在实现可持续医疗保健系统方面取得的实际进展。我们发现缺乏合适的指标，因此迫切需要制定可适应不同医疗系统情况的可靠指标。这些指标的设计应能反映实际成果、支持政策制定并防止 "洗绿"。将更可靠的指标纳入独立的科学监测，可支持将医疗保健系统性地纳入全球气候战略，从而提高 COP26 健康计划的整体有效性。

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Evaluating progress and accountability for achieving COP26 Health Programme international ambitions for sustainable, low-carbon, resilient health-care systems

A global initiative to develop low-carbon, resilient health systems—the COP26 Health Programme—launched at the UN Framework Convention on Climate Change 26th Conference of the Parties (COP26) in 2021. As of May, 2024, 83 nations have committed to participate in this initiative. This analysis evaluates the effectiveness of existing and proposed indicators towards public monitoring and accountability to these commitments. Our findings reveal substantial gaps in data availability and indicator relevance, with many countries reporting process indicators that do not reflect actual progress towards achieving sustainable health-care systems. We found a dearth of suitable indicators and an urgent need to develop robust ones that are adaptable to different health-care system contexts. These indicators should be designed to capture tangible outcomes, support policy making, and prevent greenwashing. Integration of more robust indicators into independent scientific monitoring can support systematic inclusion of health care in global climate strategies, thereby enhancing the overall effectiveness of the COP26 Health Programme.

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来源期刊

Lancet Planetary Health Multiple-

CiteScore

28.40

自引率

2.30%

发文量

272

审稿时长

8 weeks

期刊介绍： The Lancet Planetary Health is a gold Open Access journal dedicated to investigating and addressing the multifaceted determinants of healthy human civilizations and their impact on natural systems. Positioned as a key player in sustainable development, the journal covers a broad, interdisciplinary scope, encompassing areas such as poverty, nutrition, gender equity, water and sanitation, energy, economic growth, industrialization, inequality, urbanization, human consumption and production, climate change, ocean health, land use, peace, and justice. With a commitment to publishing high-quality research, comment, and correspondence, it aims to be the leading journal for sustainable development in the face of unprecedented dangers and threats.