气候变化领域集成服务门户(CCPortal): Primary Care Clinicians' Attitude, Knowledge, and Willingness to Address Climate Change in Shared Decision-Making

CCPortal

DOI	10.3122/jabfm.2023.230027R1
	Primary Care Clinicians' Attitude, Knowledge, and Willingness to Address Climate Change in Shared Decision-Making
	Muller, Frank; Skok, Jesse I.; Arnetz, Judith E.; Bouthillier, Michael J.; Holman, Harland T.
发表日期	2024
ISSN	1557-2625
EISSN	1558-7118
起始页码	37
结束页码	1
卷号	37 期号:1
英文摘要	Background: Climate change poses a threat to the health of people worldwide. Little is known about the awareness of primary care clinicians toward climate change and if they are open and prepared to address climate change issues with their patients. As pharmaceuticals are the main source of carbon emissions in primary care, avoiding the prescription of particular climate-harmful medications is a meaningful contribution to the reduction of greenhouse gases. Methods: This is a cross-sectional questionnaire survey among primary care clinicians in West Michigan conducted in November 2022. Results: One hundred three primary care clinicians responded (response rate 22.5%). Nearly 1/3 (29.1%) were classified as climate change unaware clinicians who perceived that global warming is not happening, or expressed that it is happening but not caused by human activities or is affecting the weather. In a theoretical scenario on a prescription of a new drug, clinicians tended to prescribe the less harmful drug without discussing options with patients. Although 75.5% of clinicians agreed that climate change aspects have its place in shared decision-making, 76.6% of clinicians expressed a lack of knowledge to advise patients in this regard. In addition, 60.3% of clinicians feared that raising climate change issues in consultations may adversely affect the relationship with the patient. Discussion: Although many primary care clinicians are open to addressing climate change in their working environment and with their patients, they lack knowledge and confidence to do so. In contrast, the majority of the US population is willing to do more to mitigate climate change. Although curricula on climate change topics are increasingly implemented in student education, programs to educate midand late-career clinicians are lacking. ( J Am Board Fam Med 2024;37:25-34.)
英文关键词	Climate Change; Family Medicine; Michigan; Pharmacology; Primary Health Care; Shared Decision-Making
语种	英语
WOS研究方向	General & Internal Medicine
WOS类目	Primary Health Care ; Medicine, General & Internal
WOS记录号	WOS:001188063600007
来源期刊	JOURNAL OF THE AMERICAN BOARD OF FAMILY MEDICINE
文献类型	期刊论文
条目标识符	http://gcip.llas.ac.cn/handle/2XKMVOVA/285793
作者单位	Michigan State University; University of Gottingen; Ferris State University; Michigan State University
推荐引用方式 GB/T 7714	Muller, Frank,Skok, Jesse I.,Arnetz, Judith E.,et al. Primary Care Clinicians' Attitude, Knowledge, and Willingness to Address Climate Change in Shared Decision-Making[J],2024,37(1).
APA	Muller, Frank,Skok, Jesse I.,Arnetz, Judith E.,Bouthillier, Michael J.,&Holman, Harland T..(2024).Primary Care Clinicians' Attitude, Knowledge, and Willingness to Address Climate Change in Shared Decision-Making.JOURNAL OF THE AMERICAN BOARD OF FAMILY MEDICINE,37(1).
MLA	Muller, Frank,et al."Primary Care Clinicians' Attitude, Knowledge, and Willingness to Address Climate Change in Shared Decision-Making".JOURNAL OF THE AMERICAN BOARD OF FAMILY MEDICINE 37.1(2024).