绘制减少低价值护理的环境副效益:一个范围审查和文献计量分析
Gillian Parker1, Sarah Hunter1, Karen Born1
1Collaborative Centre for Climate, Health & Sustainable Care, Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON M5T 3M6, Canada.
概括
减少低价值护理 (LVC) 通过减少排放和浪费,为环境带来好处. 这项研究映射了对LVC日益增长的研究.
科学领域:
- 环境科学 环境科学
- 卫生系统研究 卫生系统研究
- 公共卫生 公共卫生
背景情况:
- 医疗保健的可持续性受到低价值医疗保健 (LVC) 的挑战,这种医疗保健产生的环境损害没有健康益处.
- 减少LVC为改善医疗保健的气候准备能力和环境绩效提供了机会.
- 越来越多的研究强调了减少LVC的环境副效益.
研究的目的:
- 进行范围审查和文献分析,以建立关于LVC和医疗保健中的环境可持续性的基础知识.
- 确定该领域的关键主题,研究趋势和合作网络.
- 绘制LVC环境影响研究的演变图.
主要方法:
- 对Medline,Embase,Scopus和CINAHL (2013-2023) 的出版物进行范围审查和文献计量分析.
- 收录标准适用于145个选定的出版物.
- 分析出版物类型,重点领域,环境主题和作者/合作网络.
主要成果:
- 该领域自2020年以来出现了显著增长,目前已经确定了145个出版物.
- 评论/意见 (51%) 在实证研究 (21%) 上占主导地位.
- 关键重点领域包括一般医疗保健,实验室检测和药物,其中"温室气体 (GHG) 排放"是主要的环境结果.
- 确定了9个国际合作网络和19个主要作者 (主要来自美国,澳大利亚,加拿大).
结论:
- 减少LVC的环境副效益的研究正在迅速扩大,这表明对医疗保健可持续性的关注越来越大.
- 未来的研究应该专注于经验研究,以进一步告知实践变化.
- 国际合作是显而易见的,这表明全球努力通过减少LVC来解决医疗保健的环境足迹.
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