Questionnaire on sustainability practices in French rhythmology departments.

IF 2.3 3区 医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS Archives of Cardiovascular Diseases Pub Date : 2024-11-09 DOI:10.1016/j.acvd.2024.10.320
Raoul Bacquelin, Pascal Defaye
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引用次数: 0

Abstract

Background: On the one hand, climate change affects health and healthcare systems worldwide. On the other hand, the healthcare system contributes to environmental pollution. These environmental issues concern rhythmology, particularly because of the use of complex, often plastic, single-use devices.

Aims: To assess current practices, as well as the training received by rhythmologists and their willingness to implement the necessary changes.

Methods: A four-part questionnaire with 15 questions was designed, and was distributed online to rhythmologists, via the French Society of Cardiology.

Results: Eighty-seven responses were received from 42 French departments. Most rhythmologists (98.9%) had never attended courses on climate change and its impact on human health during their medical studies; they thought it would be relevant to offer courses on these issues as part of initial medical training (59.5% of answers), continuing medical education (62.3% of answers) and training in interventional rhythmology (55.9% of answers). The participants had already been able to implement actions in their healthcare establishments, in the following categories: transport; food; waste management; scientific studies; and political work. One hundred percent of rhythmologists were willing to change some of their interventional practices if the changes did not alter the risk for the patient or diminish the clinical benefit. However, there were numerous obstacles to overcome: "I don't know where to start"; "I'm not helped by my healthcare institution"; "regulatory constraints are too important"; "I don't have the time" and "I don't know what's relevant".

Conclusions: These responses reinforce the importance of supporting these doctors so that their interventional practices can evolve. This evolution in interventional practices, based on scientific studies, and within a legislative and regulatory framework adapted to environmental issues, will enable the development of a more sustainable rhythmology practice.

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关于法国节律科可持续性实践的调查问卷。
背景:一方面,气候变化影响着全世界的健康和医疗保健系统。另一方面,医疗保健系统也造成了环境污染。这些环境问题与心律学有关,尤其是因为使用复杂的、通常是塑料的一次性设备。目的:评估心律学家目前的做法、所接受的培训以及他们实施必要改变的意愿:方法:设计了一份包含 15 个问题的四部分问卷,并通过法国心脏病学会在线分发给心律学家:结果:共收到来自法国 42 个科室的 87 份回复。大多数心律学家(98.9%)在学医期间从未参加过有关气候变化及其对人类健康影响的课程;他们认为,在初始医学培训(59.5%的回答)、继续医学教育(62.3%的回答)和介入性心律学培训(55.9%的回答)中开设有关这些问题的课程是有意义的。参与者已经能够在其医疗机构中实施以下类别的行动:交通、食品、废物管理、科学研究和政治工作。百分之百的心律学家愿意改变他们的一些介入治疗方法,只要这些改变不会改变病人的风险或减少临床疗效。然而,要克服的障碍也很多:"我不知道从哪里开始"、"我的医疗机构没有帮助我"、"监管限制太重要"、"我没有时间 "和 "我不知道什么是相关的":这些回答强化了为这些医生提供支持的重要性,从而使他们的介入治疗实践得以发展。在科学研究的基础上,在适应环境问题的立法和监管框架内,介入治疗方法的发展将使心律学实践更具可持续性。
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来源期刊
Archives of Cardiovascular Diseases
Archives of Cardiovascular Diseases 医学-心血管系统
CiteScore
4.40
自引率
6.70%
发文量
87
审稿时长
34 days
期刊介绍: The Journal publishes original peer-reviewed clinical and research articles, epidemiological studies, new methodological clinical approaches, review articles and editorials. Topics covered include coronary artery and valve diseases, interventional and pediatric cardiology, cardiovascular surgery, cardiomyopathy and heart failure, arrhythmias and stimulation, cardiovascular imaging, vascular medicine and hypertension, epidemiology and risk factors, and large multicenter studies. Archives of Cardiovascular Diseases also publishes abstracts of papers presented at the annual sessions of the Journées Européennes de la Société Française de Cardiologie and the guidelines edited by the French Society of Cardiology.
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