New sources of value for health and care in a carbon-constrained world

Charlesworth, Kate; Jamieson, Maggie

doi:10.1093/pubmed/fdw146

Cited by 3 publications

(4 citation statements)

References 14 publications

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“…patient empowerment, social prescribing, peer-to-peer models, broader definition of health workers). 8,9,16 This range of factors bears a striking resemblance to the developing notion of better 'integrated care' being a lever for population health approaches and wholeof-system change. 17 NSW Health will soon publish a strategic framework for better integrated care in NSW.…”

Section: Lesson 4: Good Data Are a Good Startmentioning

confidence: 92%

“…The first author gained additional expertise in environmentally sustainable healthcare while working at the NHS Sustainable Development Unit (SDU) in the UK and through doctoral research on environmentally sustainable health systems. 8,9 In November 2017, South Eastern Sydney Local Health District (SESLHD), South Western Sydney Local Health District (SWSLHD) and the University of Sydney cohosted a NSW Planetary Health and Sustainable Healthcare Forum to engage with staff across NSW Health and to assess progress on environmental sustainability in NSW. Our candid assessment is that progress has been made, particularly with small-scale initiatives around energy efficiency, recycling and active travel.…”

Section: Introductionmentioning

confidence: 99%

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Addressing the carbon footprint of health organisations: eight lessons for implementation

Charlesworth¹,

Stewart²,

Sainsbury³

2018

Pub Health Res Pract

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Background: The scientific evidence for global warming is overwhelming. Health organisations, as large carbon polluters, are at significant 'carbon risk' and must act to reduce their carbon emissions. Many environmental sustainability initiatives, if properly implemented, would not only reduce harm, waste and pollution but also deliver health, social and financial benefits. Method: We have been involved for more than a decade in efforts to reduce the greenhouse gas emissions of New South Wales (NSW) Health organisations in which we have worked. We draw on our collective experience to offer eight key lessons about implementing environmental sustainability initiatives in health organisations. Results: Sustainability plans have been developed in at least three Area Health Services/Local Health Districts in NSW, but in each case they have been imperfectly implemented. Lessons learnt: Based on our experience, we offer eight key lessons relating to leadership, engagement and developing networks, data, complex adaptive systems, broadening the issue, and political factors.

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Section: Lesson 4: Good Data Are a Good Startmentioning

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Addressing the carbon footprint of health organisations: eight lessons for implementation

Charlesworth¹,

Stewart²,

Sainsbury³

2018

Pub Health Res Pract

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“…To reduce our emissions radically – in line with both the scientific evidence and with regulatory and legislative requirements – we must look beyond efficiency and recycling and think creatively and innovatively about new ways to provide health and care services. Australian and overseas research suggests that a future, sustainable health and care system is likely to be characterised by: greater focus on health and well‐being, more prevention of the preventable, more primary and community‐based care, judicious use of resources, reducing low‐value care, innovative use of information and communication technology and developing low‐carbon models of care . For example, in diabetes care, the challenge is not just to improve the efficiency of the supply chain of metformin but also to think more broadly about how our health and care systems can prevent diabetes and support people with diabetes to live healthier lives, thereby reducing the carbon and financial costs of their management.…”

Section: Transformational Change In Our Systems Of Healthcarementioning

confidence: 99%

Climate change is a health issue: what can doctors do?

Sainsbury

Charlesworth

Madden

et al. 2019

Internal Medicine Journal

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The visit to Australia by Dr David Pencheon, Founding Director of the National Health Service (NHS) Sustainable Development Unit, in April–May 2018 generated considerable interest and engagement. Dr Pencheon's overarching messages were that climate change is a health issue and that doctors and health systems have an opportunity, and responsibility, to lead climate action. This article distils Dr Pencheon's presentations into three themes: (i) carbon accounting; (ii) transformational change in our systems of healthcare; and (iii) a health system fit for the future. For each theme, we highlight promising initiatives that are already underway in Australia that are starting to transform our health system into one fit for a future environmentally sustainable world. We suggest practical ways in which doctors can lead the transformation through personal action and influence broader systems.

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“…The major health professions have expressed grave concerns about the health consequences of climate change [79][80][81][82][83]. And many health care organizations have begun to include clean energy, energy efficiency, and other climate change mitigation methods in their greening programs and building designs [84,85]. Some health professionals are beginning to realize that in order for health care to adapt to environmentally driven shifts in long-term health risks, health services need to adapt to a potential global decline in population health status, climate refugees, disasters, and disruptions to the supply chain [73,86].…”

Section: Looking Ahead: Larger Problems and Possible Solutionsmentioning

confidence: 99%

What Moral Distress in Nursing History Could Suggest about the Future of Health Care

2017

AMA Journal of Ethics

132

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The concept of moral distress was defined in 1984 as (a) the psychological distress of (b) being in a situation in which one is constrained from acting (c) on what one knows to be right. A substantial literature on the subject has developed, primarily in nursing ethics. The aforementioned elements of distress are applied here to areas of clinical and organizational significance: (a) distress from causing intimate pain during care of the dying, (b) constraints stemming from proximate and background challenges of health care organizations, and (c) changing perspectives on therapeutic technologies derived from global environmental perspectives. Although moral distress may be increasing in clinical settings, nursing advocates are developing positive ways to cope with it that can help clinicians in general. IntroductionAfter its first use in nursing over 30 years ago, the concept of moral distress has proven applicable to a growing range of problematic situations. This essay outlines a few motifs in the development of the concept in nursing ethics and then considers some current applications of the concept. Starting with the bedside care of the dying, it sets moral distress in successively wider contexts, concluding with some morally problematic global environmental challenges that health care services will need to address during the next decades.

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New sources of value for health and care in a carbon-constrained world

Abstract: Using human resources and human interactions as low-carbon sources of value in healthcare are promising models.

Cited by 3 publications

References 14 publications

Addressing the carbon footprint of health organisations: eight lessons for implementation

Addressing the carbon footprint of health organisations: eight lessons for implementation

Climate change is a health issue: what can doctors do?

What Moral Distress in Nursing History Could Suggest about the Future of Health Care

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