在低资源环境中对气候适应性卫生系统战略进行范围审查
Sonja L Myhre1, Katrine B Frønsdal1, Heather M R Ames1
1Global Health Cluster, Division for Health Services, Norwegian Institute of Public Health, PO Box 222 Skøyen, Oslo, Norway.
Public health
|November 5, 2025
概括
气候变化对卫生系统产生影响,特别是在资源较低的地区. 本次审查绘制了建立气候适应性卫生系统的战略,重点关注劳动力,服务提供和治理,以改善公共卫生准备.
科学领域:
- 公共卫生 公共卫生
- 环境健康 环境健康
- 卫生系统研究 卫生系统研究
背景情况:
- 气候变化对全球卫生系统构成重大威胁.
- 在低收入地区,脆弱的基础设施和有限的资源加剧了这些挑战.
- 加强卫生系统的弹性对于适应气候相关健康影响至关重要.
研究的目的:
- 绘制有关气候弹性卫生系统现有研究的地图.
- 识别和展示在资源有限的环境中增强卫生系统弹性策略的例子.
主要方法:
- 进行了全面的范围审查.
- 在五个数据库和OpenAlex中进行了搜索,选了1973年至2025年的研究.
- 数据是根据世界卫生组织的六个卫生系统构建块提取的.
主要成果:
- 包括来自30个国家的67篇出版物 (2006-2025年),主要是定性或混合方法研究.
- 主要战略集中在卫生工作人员 (培训,任务转移,激增能力) 和服务提供 (基础设施弹性,护理连续性) 上.
- 治理 (协调,规划,准备) 和健康信息系统 (数据整合,早期预警) 也受到关注,但对药物,技术和融资的关注较少.
结论:
- 审查确定了各种战略,用于在低资源环境中建立适应气候变化的卫生系统.
- 进一步的研究对于评估这些战略的有效性,可扩展性和可负担性至关重要,因为气候灾害的增加和全球卫生资金的减少.
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