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Frontline Clinic Administrator Perspectives on Extreme Weather Events, Clinic Operations, and Climate Resilience
Tess Wiskel1, Nathaniel Matthews-Trigg, Kristin Stevens
1Author Affiliations: Department of Emergency Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts (Drs Wiskel and Dresser); Harvard T.H. Chan School of Public Health Center for Climate, Health, and the Global Environment, Boston, Massachusetts (Drs Wiskel and Dresser); Americares, Stamford, Connecticut (Mr Matthews-Trigg, Ms Stevens, and Dr Miles); and Harvard Medical School, Boston, Massachusetts (Drs Wiskel, Dresser, and Bernstein).
Frontline clinics face climate change impacts. Most staff believe humans cause climate change, but preparedness is hindered by costs and resource gaps, despite some taking protective infrastructure measures.
Area of Science:
- Environmental health
- Public health
- Climate science
Background:
- Climate-sensitive extreme weather events pose increasing risks to frontline clinic operations.
- Healthcare infrastructure is vulnerable to climate-related disruptions.
Purpose of the Study:
- To assess frontline clinic staff's attitudes toward climate change.
- To determine the perceived impacts of extreme weather on clinic operations.
- To evaluate clinic preparedness and resilience for extreme weather events.
Main Methods:
- A national, cross-sectional survey was conducted.
- 284 administrators and staff from frontline clinics participated.
- The survey assessed attitudes, impacts, resilience, and preparedness regarding climate change and extreme weather.
Main Results:
- 80.2% of respondents believe humans cause climate change.
- 45.9% expressed concern about extreme weather impacting their jobs.
- Barriers to preparedness include financing, knowledge, and resources.
- 41.8% reported implementing protective measures for clinic infrastructure, such as power and ventilation improvements.
Conclusions:
- Frontline clinics recognize climate change but face significant preparedness challenges.
- Addressing financial and resource barriers is crucial for enhancing clinic resilience.
- Proactive infrastructure improvements are being undertaken by some clinics to mitigate weather event impacts.
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