野心与不确定性:探索决策者对净零医疗保健的途径的看法.
Anand Bhopal1,2,3, Kristine Bærøe4, Ole F Norheim1,5
1Bergen Centre for Ethics and Priority Setting, Department of Global Public Health and Primary Care, Faculty of Medicine, University of Bergen, Bergen, Norway.
公务员的目标是净零医疗保健,但面临实施挑战. 他们认为,卫生系统必须解决其全部的碳足迹,寻找协同效应,而不是直接与患者护理进行权衡.
科学领域:
- 环境健康 环境健康
- 公共卫生政策 公共卫生政策
- 医疗保健管理的管理
背景情况:
- 超过80个国家支持COP26健康计划,其中45个目标是到2050年实现净零排放.
- 减少医疗保健的碳足迹在资源分配方面提出了复杂的挑战.
- 本研究探讨公务员对国家净零医疗保健战略的看法.
研究的目的:
- 调查公务员如何构想卫生系统对减排的责任.
- 探索在实施净零医疗保健战略时所感知的权衡.
- 了解实现净零医疗保健的挑战和机遇.
主要方法:
- 在2022年9月至2023年5月期间进行的11次在线,半结构化的定性访谈.
- 采访的重点是排放责任,优先设定和国际视角.
- 用马尔特鲁德的系统文本凝聚 (STC) 分析数据.
主要成果:
- 出现了四个主题:采取行动的义务,领导力,治理和优先级.
- 参与者强调卫生系统对其整个碳足迹的责任,包括跨境影响.
- 协同健康领导 (临床,公务员,政治) 可以加速净零议程;与患者护理的直接权衡通常被拒绝.
结论:
- 对于净零医疗保健的雄心壮志是真诚的,但实施途径仍然不确定.
- 需要进一步的研究来描述政策制定者面临的约束和权衡.
- 将气候问题纳入医疗保健决策需要理解和克服这些挑战.
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