将气候健康对话带到一线诊所:对一线诊所气候适应能力工具包的使用情况进行定性干预后评估

Yi-Ting Hana Lee , Mingyue Ma , Caroline Sarpy , Casey Dai , Jinia Sarkar , Chelsea Heberlein , Theodore Miles , Caleb J. Dresser
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引用次数: 0

摘要

社区卫生中心和诊所处于气候变化和不利健康影响的前沿,为全国数百万低收入、无保险和保险不足的人口提供基本医疗服务。制定了一线诊所气候适应能力工具包(“工具包”),以支持一线临床医生为应对与气候有关的健康风险做好准备。本研究的目的是评估在现实世界的临床环境中实施工具包的利用和挑战,并指导进一步开发基于临床的风险降低资源。方法采用定性、半结构化访谈和干预后评估方法,对来自美国6个州15家诊所的28名临床医生和工作人员进行访谈。结果与会者普遍认为该工具包很有价值,指出它通过提供关于资源受限环境下气候健康风险的可操作信息,解决了未满足的需求。然而,挑战包括信息超载、面向患者的材料的复杂性以及对读写障碍的担忧。许多与会者认为,该工具包可以从更简洁和视觉支持的材料中受益,并进行调整以更好地符合患者的文化水平。这些发现强调了根据一线诊所及其患者群体的具体需求定制资源的重要性。未来的研究应该检查整合这些资源对患者行为和健康结果的长期影响,并探索将气候适应能力纳入常规临床护理的策略。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Bringing climate health conversations to frontline clinics: A qualitative post-intervention assessment of utilization of the Climate Resilience for Frontline Clinics Toolkit

Introduction

Community health centers and clinics are on the frontlines of climate change and adverse health effects, providing essential care to millions of low-income, uninsured, and underinsured populations across the country. The Climate Resilience for Frontline Clinics Toolkit (“the toolkit”) was developed to support frontline clinicians in preparing for climate-related health risks. The objectives of this study were to assess the utilization and challenges in the implementation of the toolkit in real-world clinic settings and to guide further development of clinic-based risk reduction resources.

Methods

A qualitative, semi-structured interview and post-intervention assessment approach was used to interview 28 clinicians and staff from 15 clinics across six states.

Results

Participants generally found the toolkit valuable, noting that it addressed an unmet need by providing actionable information on climate health risks in resource-constrained settings. However, challenges included information overload, the complexity of patient-facing materials, and concerns about literacy barriers. Many participants felt that the toolkit could benefit from more concise and visually supported materials, as well as adjustments to better align with patient literacy levels.

Discussion

These findings highlight the importance of tailoring resources to the specific needs of frontline clinics and their patient populations. Future research should examine the long-term impacts of integrating such resources on patient behaviors and health outcomes and explore strategies for integrating climate resilience into routine clinical care.
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来源期刊
The journal of climate change and health
The journal of climate change and health Global and Planetary Change, Public Health and Health Policy
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