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Title:Sustainability for planetary health : a seventh domain of quality in primary care
Authors:ID Klemenc-Ketiš, Zalika (Author)
ID Rochfort, Andree (Author)
Files:.pdf Ketis-2022-Sustainability_for_planetary_health.pdf (180,76 KB)
MD5: F75D1DA86141AE2C7A193BCA98C3DE02
 
URL https://doi.org/10.2478/sjph-2022-0026
 
Language:English
Work type:Scientific work
Typology:1.03 - Other scientific articles
Organization:MF - Faculty of Medicine
Abstract:Climate change is one of the biggest threats to public health. Sustainability is characterized by using resources wisely in a way that protects finite resources and the environment, and takes into account the needs of our planets’ inhabitants in the future. Sustainability in health care should be considered as a seventh domain of quality, as it can lead to improvement of patient outcomes, and more capacity for health care workers to engage in quality improvement and thereby improve the quality of care. The carbon footprint of primary care is high, mainly due to prescribing medication, but also due to the transport of patients to hospitals and primary care services for interventions requested by family medicine. Other causes are the transport of staff and supplies, consumables and staff involved in laboratory analysis and radiation, medical and non-medical equipment, clinical and non-clinical waste, heating and cooling systems and other activities. Small adjustments in these areas could significantly decrease the carbon footprint of primary care practices. The suggested steps for primary care to achieve a more sustainable practice are fostering research, raising awareness, reducing the burden on primary care, engaging in quality improvement, and leadership and advocacy. Each individual primary care practice has the potential to be a leader and role model for sustainable health care. With the implementation of interventions to reduce carbon footprints, primary care could set an example within the health sector and for patients. This could significantly raise the awareness of the public about the need to take actions for a greener health system.
Keywords:primary care, sustainability, carbon footprint, quality
Publication status:Published
Publication version:Version of Record
Submitted for review:09.09.2022
Article acceptance date:12.09.2022
Publication date:28.09.2022
Publisher:Zavod LRS za zdravstveno varstvo, Republiški zdravstveni center, Zavod LRS za zdravstveno varstvo, Republiški zdravstveni center, Univerzitetni zavod za zdravstveno in socialno varstvo, Inštitut za varovanje zdravja Republike Slovenije, Nacionalni inštitut za javno zdravje
Year of publishing:2022
Number of pages:Str. 198 - 200
Numbering:Letn. 61, Št. 4
PID:20.500.12556/DKUM-89190 New window
UDC:614
ISSN on article:0351-0026
COBISS.SI-ID:126191875 New window
DOI:10.2478/sjph-2022-0026 New window
Publication date in DKUM:24.06.2024
Views:369
Downloads:12
Metadata:XML DC-XML DC-RDF
Categories:Misc.
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Record is a part of a journal

Title:Zdravstveno varstvo
Publisher:Zavod LRS za zdravstveno varstvo, Republiški zdravstveni center, Zavod LRS za zdravstveno varstvo, Republiški zdravstveni center, Nacionalni inštitut za javno zdravje, Inštitut za varovanje zdravja Republike Slovenije, Univerzitetni zavod za zdravstveno in socialno varstvo
ISSN:0351-0026
COBISS.SI-ID:3287810 New window

Licences

License:CC BY-NC-ND 3.0, Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported
Link:http://creativecommons.org/licenses/by-nc-nd/3.0/
Description:You are free to reproduce and redistribute the material in any medium or format. You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use. You may not use the material for commercial purposes. If you remix, transform, or build upon the material, you may not distribute the modified material. You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
Licensing start date:28.09.2022

Secondary language

Language:Slovenian
Title:Trajnost za planetarno zdravje : sedma domena kakovosti na primarni ravni
Abstract:Podnebne spremembe so ena največjih groženj javnemu zdravju in so že začele povzročati zdravstveno krizo. Za trajnost je značilna pametna raba virov na način, ki varuje omejene vire in okolje ter upošteva potrebe prebivalcev našega planeta v prihodnosti. Trajnost v zdravstvenem varstvu je treba obravnavati kot sedmo domeno kakovosti, saj lahko vodi v boljše izide zdravljenja in s tem izboljšanje kakovosti oskrbe. Ogljični odtis je na primarni ravni visok, predvsem zaradi predpisovanja zdravil, pa tudi zaradi prevoza osebja in bolnikov, ogrevalnih sistemov, medicinskega potrošnega materiala, nemedicinske opreme, odpadkov, laboratorijskih analiz, nemedicinskega potrošnega materiala, medicinske opreme in električne energije. Majhne prilagoditve na teh področjih bi lahko znatno zmanjšale ogljični odtis primarnega zdravstva. Možnosti za povečanje trajnosti na primarni ravni so spodbujanje raziskav, ozaveščanje, zmanjšanje obremenitev primarnega zdravstva, sodelovanje pri izboljšanju kakovosti ter vodenje in zagovorništvo. Vsaka ambulanta na primarni ravni ima potencial, da postane vzor za trajnostno zdravstveno varstvo. Z izvajanjem intervencij za zmanjševanje ogljičnega odtisa bi lahko bile ambulante družinske medicine zgled v zdravstvenem sektorju, pa tudi za bolnike oz. celotno prebivalstvo. S tem bi lahko močno dvignili zavest javnosti o potrebi po bolj zelenem okolju.
Keywords:primarno zdravstveno varstvo, trajnost, ogljični odtis, kakovost


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