什么让医生在门诊实践中实施气候变化和热量适应措施? 一个混合方法的研究研究
J Nieder1, C Quitmann1, S Hueber2
1Heidelberg Institute of Global Health (HIGH), Faculty of Medicine and University Hospital, Heidelberg University, Heidelberg, Germany.
医生实施的气候变化适应措施很少,原因是自身效率和应对效率低. 改善这些因素,如提供明确的指导方针,对于医疗保健适应气候变化影响至关重要.
科学领域:
- 环境健康 环境健康
- 医疗实践管理 医疗实践管理
- 适应气候变化 适应气候变化
背景情况:
- 气候变化对健康构成重大风险,需要医疗保健部门进行适应.
- 门诊医生在实施气候变化适应战略方面发挥着关键作用.
研究的目的:
- 确定医生之间的行为决定因素,以实施气候变化适应措施,重点关注热量.
- 评估保护动机理论 (PMT) 构造对适应措施实施的影响.
主要方法:
- 使用了一种连续的解释混合方法设计,将在线调查与焦点小组讨论 (FGD) 结合起来.
- 从德国的医生那里收集了数据,使用保护动机理论 (PMT) 来分析八种适应措施的行为决定因素.
- 统计分析包括描述性统计,物流回归和FGD的定性内容分析.
主要成果:
- 医生平均在8项拟议的适应措施中执行了3项.
- 自我有效性显著预测调整药物,时间表和建筑物防热保护.
- 响应的有效性预测了教育工作人员,告知患者和建议主动冷却;FGD显示时间限制和患者的坚持是关键影响因素.
结论:
- 医生的自我效能和反应效率对于实施气候变化适应措施至关重要.
- 需要明确的指导方针和进一步研究个别适应策略的有效性,以提高医疗保健对气候变化的适应力.
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