Strategies to strengthen a climate-resilient health system: a scoping review

Globalization and Health

Research

Leila Eslambolchi¹  Ali Mohammad Mosadeghrad²  Maryam Zahmatkesh³  Mahnaz Afshari⁴  Parvaneh Isfahani⁵ 

[1]PhD in Health management, Health Economics and Management Department, Tehran University of Medical Sciences, Tehran, Islamic Republic of Iran

[2]Professor of Health policy and management, Health Economics and Management Department, Tehran University of Medical Sciences, Tehran, Islamic Republic of Iran

[3]School of Business and Management, Royal Holloway University of London, Egham, England

[4]School of Nursing and Midwifery, Saveh University of Medical Sciences, Saveh, Iran

[5]School of Public Health, Zabol University of Medical Sciences, Zabol, Iran

关键词: Climate;    Climate change;    Health;    Health system;    Resilience;   

DOI  :  10.1186/s12992-023-00965-2

 received in 2023-02-27, accepted in 2023-08-18,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundClimate change is a major global threat to human health and puts tremendous pressure on health systems. Therefore, a resilient health system is crucial to enhance, maintain, and restore the population’s health. This study aimed to identify interventions and actions to strengthen a climate-resilient health system to deal with the adverse health effects of climate change.MethodThis study was a scoping review. Five databases and Google Scholar search engine were searched using relevant keywords. Initially, 4945 documents were identified, and 105 were included in the review. Content thematic analysis method was applied using MAXQDA 10 software.ResultsOverall, 87 actions were identified for building a climate-resilient health system and were classified into six themes (i.e., governance and leadership; financing; health workforce; essential medical products and technologies; health information systems; and service delivery). The most commonly reported actions were formulating a national health and climate change adaptation plan, developing plans for essential services (electricity, heating, cooling, ventilation, and water supply), assessing the vulnerabilities and capacities of the health system, and enhancing surveillance systems targeting climate-sensitive diseases and their risk sources.ConclusionsA holistic and systemic approach is needed to build a climate-resilient health system owing to its complex adaptive nature. Strong governance and leadership, raising public awareness, strategic resource allocation, climate change mitigation, emergency preparedness, robust health services delivery, and supporting research, are essential to building a climate-resilient health system.

【 授权许可】

CC BY   
© BioMed Central Ltd., part of Springer Nature 2023

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