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An urgent call for the environmental sustainability of health systems: A 'sextuple aim' to care for patients, costs, providers, population equity and the planet.
Alami, Hassane; Lehoux, Pascale; Miller, Fiona A; Shaw, Sara E; Fortin, Jean-Paul.
Afiliación
  • Alami H; Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
  • Lehoux P; Department of Health Management, Evaluation and Policy, University of Montreal, Montreal, Quebec, Canada.
  • Miller FA; Center for Public Health Research of the University of Montreal, Montreal, Quebec, Canada.
  • Shaw SE; Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada.
  • Fortin JP; Centre for Sustainable Health Systems, Toronto, Ontario, Canada.
Int J Health Plann Manage ; 38(2): 289-295, 2023 Mar.
Article en En | MEDLINE | ID: mdl-36734815
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.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Planetas / Atención a la Salud Tipo de estudio: Health_economic_evaluation Aspecto: Determinantes_sociais_saude / Equity_inequality Límite: Humans Idioma: En Revista: Int J Health Plann Manage Asunto de la revista: PESQUISA EM SERVICOS DE SAUDE / SERVICOS DE SAUDE Año: 2023 Tipo del documento: Article Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Planetas / Atención a la Salud Tipo de estudio: Health_economic_evaluation Aspecto: Determinantes_sociais_saude / Equity_inequality Límite: Humans Idioma: En Revista: Int J Health Plann Manage Asunto de la revista: PESQUISA EM SERVICOS DE SAUDE / SERVICOS DE SAUDE Año: 2023 Tipo del documento: Article Pais de publicación: Reino Unido