下一代医疗可持续性指标的指导原则。

IF 24.1 1区 医学 Q1 ENVIRONMENTAL SCIENCES Lancet Planetary Health Pub Date : 2024-08-01 DOI:10.1016/S2542-5196(24)00159-1
Matthew J Eckelman PhD , Ulli Weisz Dr phil , Peter-Paul Pichler PhD , Jodi D Sherman MD , Prof Helga Weisz Dr phil
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引用次数: 0

摘要

在医疗保健行业应对气候危机和其他环境挑战的过程中,医疗保健可持续发展的衡量标准对于跟踪进展和了解不同运营或系统的优势至关重要。目前,对绝对能源使用量和温室气体排放量等关键指标的衡量已经取得了很大的进展,但我们的整体衡量框架普遍存在严重缺陷。因为现有的衡量标准往往是从其他部门借鉴过来的,很多都与医疗服务的具体内容或现有的医疗系统绩效指标脱节,医疗服务对公众健康的潜在负面影响在很大程度上被忽略了,一套一致的、标准化的医疗可持续性衡量概念尚不存在,医疗系统当前的动态变化(如私有化)在很大程度上也被忽视了。下一代医疗可持续性指标必须通过扩大观察范围和干预切入点来解决这些不足。具体来说,衡量标准应标准化、可靠、有意义、与数据管理系统相结合、公平,并与医疗保健的核心使命相一致。在未来的规划和实施过程中,必须解决可能与可持续发展目标相矛盾的激励措施,这样下一代衡量标准才能有效并激励积极的系统性变革。
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Guiding principles for the next generation of health-care sustainability metrics

Metrics for health-care sustainability are crucial for tracking progress and understanding the advantages of different operations or systems as the health-care sector addresses the climate crisis and other environmental challenges. Measurement of the key metrics of absolute energy use and greenhouse gas emissions now has substantial momentum, but our overall measurement framework generally has serious deficiencies. Because existing metrics are often borrowed from other sectors, many are unconnected to the specifics of health-care provision or existing health system performance indicators, the potential negative effects of health care on public health are largely absent, a consistent and standardised set of health-care sustainability measurement concepts does not yet exist, and current dynamics in health systems such as privatisation are largely ignored. The next generation of health-care sustainability metrics must address these deficiencies by expanding the scope of observation and the entry points for interventions. Specifically, metrics should be standardised, reliable, meaningful, integrated with data management systems, fair, and aligned with the core mission of health care. Incentives with the potential to contradict sustainability goals must be addressed in future planning and implementation if the next generation of metrics is to be effective and incentivise positive systemic change.

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来源期刊
CiteScore
28.40
自引率
2.30%
发文量
272
审稿时长
8 weeks
期刊介绍: The Lancet Planetary Health is a gold Open Access journal dedicated to investigating and addressing the multifaceted determinants of healthy human civilizations and their impact on natural systems. Positioned as a key player in sustainable development, the journal covers a broad, interdisciplinary scope, encompassing areas such as poverty, nutrition, gender equity, water and sanitation, energy, economic growth, industrialization, inequality, urbanization, human consumption and production, climate change, ocean health, land use, peace, and justice. With a commitment to publishing high-quality research, comment, and correspondence, it aims to be the leading journal for sustainable development in the face of unprecedented dangers and threats.
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