Planetary health action framework: A case study

Enrique Falceto de Barros, Tatiana Souza de Camargo, Airton Tetelbom Stein, A. Abelsohn, Diogo Onofre de Souza
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引用次数: 1

Abstract

Planetary Health (PH) action is urgent to avoid the collapse of Earth's systems that sustain human health. PH care has been proposed as an approach to improve health equity and reduce healthcare´s ecological footprint. This paper presents the conceptual framework of patient-centered PH care as essential for PH action at the community level. We examine and reflect on one primary care clinical case through 8 lenses: 1) Actor-Network Theory, 2) Evidence-based medicine, 3) Patient-Centered Clinical Method; 4) Principles of Primary Care, 5) Proposed new primary care derivate principle of PH care, 6) the WONCA´s (World Organization of Family Doctors) core competencies tree, 7) WONCA´'s curriculum, and 8) Sustainable Development Goal 3. This case offers insights into functions of primary care that mitigate, adapt and build resilience to the challenges of climate emergency and Anthropocene. It “connects-the-dots” to propose a new identity of primary care, elaborate a blueprint for patient-centered PH care and a roadmap for PH action at the community level.
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行星卫生行动框架:案例研究
为避免维持人类健康的地球系统崩溃,采取行星健康行动迫在眉睫。PH护理已被提出作为一种改善卫生公平和减少卫生保健的生态足迹的方法。本文提出了以患者为中心的PH护理的概念框架,这对于社区层面的PH行动至关重要。本文通过行动者网络理论、循证医学理论、以患者为中心的临床方法、以患者为中心的临床方法、以患者为中心的临床方法、以患者为中心的临床方法、以患者为中心的临床方法等8个视角对1例初级保健临床病例进行了考察和反思。4)初级保健原则,5)提出新的初级保健衍生的PH护理原则,6)WONCA(世界家庭医生组织)核心能力树,7)WONCA课程,8)可持续发展目标3。本案例深入探讨了初级保健在缓解、适应和建立抵御气候紧急情况和人类世挑战的能力方面的功能。它“连接点”提出了初级保健的新身份,详细阐述了以患者为中心的PH护理蓝图和社区层面PH行动的路线图。
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