展望未来可持续发展和气候适应性强的医院。

IF 3.9 3区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Public Health Pub Date : 2024-11-12 DOI:10.1016/j.puhe.2024.10.028

Federica Pascale , Nebil Achour

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引用次数: 0

摘要

研究目的本研究旨在创建未来医院的愿景，帮助医疗保健领导者了解社会和医疗保健系统的变化以及气候变化对未来医院资产的影响：研究设计：本研究是基于参与式反向预测的大型项目的一部分，旨在通过改进资产管理，为过渡到零碳未来和适应现有气候变化提供综合战略：本文所提供的数据是在为构建 2050 年未来医院愿景而举办的全天研讨会上收集的。一个由 19 名参与者组成的多学科团队参与了讨论。对数据进行了六阶段主题分析，以形成叙述性愿景和图形记录：由于医疗服务的不断发展、患者的期望、新兴技术、气候变化和可持续发展，医疗保健系统正在经历转型变革。然而，当前的医院战略往往没有考虑到医院资产与其社会环境之间的相互关系。政策制定者、医疗系统领导者和医院领导者需要对未来医院有一个清晰的愿景，以实施转型战略：医疗转型需要从传统的集中式医院转变为更加灵活的分布式模式。医疗保健领导者需要积极评估医院如何应对当前和未来的危险，并在整合和分散医疗保健服务的背景下考虑其影响。为此，必须采用系统的方法来模拟灾害并评估设计或升级方案，以减轻医疗保健系统中与气候相关的风险转移。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Envisioning the sustainable and climate resilient hospital of the future

Objectives

This study aims to create a vision of the future hospital to help healthcare leaders understand how changes in society and the healthcare system, compounded by climate change, could affect future hospital estate.

Study design

The study is part of a larger project based on participatory backcasting aimed at providing integrated strategies for transitioning to a zero-carbon future and adapting to existing climate change through improved asset management.

Methods

The data presented in this paper were collected during a full-day workshop to construct the vision of the future hospital in 2050. A multidisciplinary team of 19 participants participated in the discussions. A six-phase thematic analysis was applied to the data to develop the narrative vision and graphic recording.

Results

The healthcare system is undergoing transformative changes due to evolving healthcare delivery, patient expectations, emerging technologies, climate change, and sustainability. However, current hospital strategies often fail to consider the interrelationship between the hospital estate and its socio-environmental context. Policymakers, healthcare system leaders, and hospital leaders need a clear vision of the hospital of the future to implement transformational strategies.

Conclusions

Healthcare transformations require shifting from traditional centralised hospitals to a more flexible, distributed model. Healthcare leaders need to proactively assess how hospitals respond to current and future hazards and consider the impacts within the context of integrated and dispersed healthcare delivery. To address this, a systematic approach to modelling hazards and evaluating design or upgrading options is essential to mitigate the transfer of climate-related risks within healthcare systems.

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来源期刊

Public Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

7.60

自引率

0.00%

发文量

280

审稿时长

37 days

期刊介绍： Public Health is an international, multidisciplinary peer-reviewed journal. It publishes original papers, reviews and short reports on all aspects of the science, philosophy, and practice of public health.