将气候变化作为NHS领导的核心责任重新定义为董事会上的核心责任
1Global Buisness School for Health, UCL, London, UK haris.sultan@nhs.net.
BMJ leader
|December 25, 2025
概括
气候变化构成了公共卫生紧急情况,但NHS领导层必须将其整合到核心治理中. 将气候风险重新定义为战略优先事项可以提高董事会的参与度,并确保系统为未来的健康挑战做好准备.
科学领域:
- 公共卫生 公共卫生
- 医疗保健领导力 医疗保健领导力
- 适应气候变化 适应气候变化
背景情况:
- 气候变化是一个关键的公共卫生紧急情况,对人口健康,服务弹性和健康不平等产生重大影响.
- 在国家卫生服务 (NHS) 中,气候行动在历史上一直被局级领导和治理的边缘化.
- 气候倡议的责任往往被委托,绕过了战略决策论坛.
研究的目的:
- 探讨气候变化如何从边缘可持续性问题转变为医疗保健领导层的核心治理和风险问题.
- 分享将气候考虑纳入已建立的医疗保健治理结构的实际策略.
主要方法:
- 采用反思型领导方法,借鉴综合护理委员会的经验.
- 与气候有关的威胁被嵌入到正式的风险登记册中.
- 气候行动与人口健康和不平等的优先事项保持一致,将考虑因素纳入战略和运营框架.
主要成果:
- 在治理结构中定位气候风险增加了董事会层面的参与,并使气候知情的战略讨论正常化.
- 气候因素被纳入人口健康,调试和弹性规划.
- 气候变化成为一个共同的领导责任,超越了封闭的议程.
结论:
- 国家卫生服务局的领导模式需要进化,以应对气候变化等系统性风险.
- 董事会必须承认气候变化是质量,安全和公平的决定因素.
- 将气候变化纳入风险管理,战略和问责制框架对于系统准备至关重要.
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