一个政策背景和过程分析,以在伊朗的卫生系统中实施"巴黎气候变化协定"
Arefeh Mousavi1,2, Ali Ardalan3, Amirhossein Takian4,5,6,7
1Social Determinants of Health Research Center (SDHRC), Isfahan University of Medical Sciences, Isfahan, Iran.
气候变化对公众健康构成重大风险. 这项研究确定了阻碍伊朗的政治,经济和文化挑战.
科学领域:
- 公共卫生 公共卫生
- 环境政策 环境政策
- 适应气候变化 适应气候变化
背景情况:
- 公共卫生是气候变化政策辩论中的一个关键考虑因素.
- 巴黎气候变化协议代表了全球对公共卫生的承诺.
- 伊朗的卫生系统需要加强对气候变化影响的抵御力.
研究的目的:
- 确定伊朗卫生系统中政策制定者面临的挑战.
- 为气候变化适应提供基于证据的框架.
- 提高伊朗卫生系统对气候变化后果的抵御力.
主要方法:
- 使用与25名专家进行半结构面试的定性研究.
- 收集数据的有目的和雪球采样技术.
- 以演-诱导方法进行主题内容分析,采用莱希特的,启发式的和金顿的模型进行上下文和过程分析.
主要成果:
- 四个主要主题 (政治,经济,国际,文化/社会) 和十二个分主题被确定为背景挑战.
- 主要障碍包括政治考虑,经济制裁和低风险感知.
- 确定了15个主题和48个子主题,涉及议程制定,政策制定,实施和评估.
结论:
- 实施"巴黎协定"在伊朗卫生系统中的关键挑战包括政治,经济,国际和文化/社会因素.
- 障碍包括气候变化的政治化,经济制裁,高技术成本,缺乏具有约束力的国际承诺,公众意识低,以及组织间合作不足.
- 凝聚力政策,加强公共教育和改善跨部门协调对于应对气候变化对健康的影响至关重要.
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