An urgent call for the environmental sustainability of health systems: A 'sextuple aim' to care for patients, costs, providers, population equity and the planet

被引：12

作者：

Alami, Hassane ^{[1
,7
]}

Lehoux, Pascale ^{[2
,3
]}

Miller, Fiona A. ^{[4
,5
]}

Shaw, Sara E. ^{[1
]}

Fortin, Jean-Paul ^{[6
]}

机构：

[1] Univ Oxford, Nuffield Dept Primary Care Hlth Sci, Oxford, England

[2] Univ Montreal, Dept Hlth Management Evaluat & Policy, Montreal, PQ, Canada

[3] Ctr Publ Hlth Res Univ Montreal, Montreal, PQ, Canada

[4] Univ Toronto, Inst Hlth Policy Management & Evaluat, Toronto, ON, Canada

[5] Ctr Sustainable Hlth Syst, Toronto, ON, Canada

[6] Laval Univ, Fac Med, VITAM Res Ctr Sustainable Hlth, Quebec City, PQ, Canada

[7] Univ Oxford, Nuffield Dept Primary Care Hlth Sci, Radcliffe Observ Quarter, Woodstock Rd, Oxford OX2 6GG, England

来源：

INTERNATIONAL JOURNAL OF HEALTH PLANNING AND MANAGEMENT | 2023年 / 38卷 / 02期

基金：

加拿大健康研究院;

关键词：

climate change; environment; healthcare; pollution; sextuple aim; supply chain; sustainability; CLIMATE-CHANGE; POLLUTION; IMPACT; NHS;

D O I：

10.1002/hpm.3616

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Health systems have a duty to protect the health and well-being of individuals and populations. Yet, healthcare contributes about 4.6% of global greenhouse gas emissions. Health systems need to question and improve established practices, assume strong environmental leadership, and aim for ambitious, sometimes radical, actions in favour of the climate. In this paper, we interrogate the suitability and feasibility of integrating the aim of 'environmental sustainability' to form the 'Sextuple Aim.' Environmental sustainability may be in tension with, but also a potential lever to meet the other cardinal aims: (1) quality and experience of patient care; (2) population health; (3) quality of work and satisfaction of healthcare providers; (4) equity and inclusion; and (5) cost reduction. We propose policy and practical avenues to help move towards the Sextuple Aim.

引用

页码：289 / 295

页数：7