Evidence map›Paper›PMID 37086151›Full record

ArticleJournal of primary care & community health

Precision Ecologic Medicine: Tailoring Care to Mitigate Impacts of Climate Change.

Jennifer E DeVoe, Nathalie Huguet, Sonja Likumahuwa-Ackman, Andrew Bazemore, Rachel Gold, Leah Werner

Abstract read
In one paragraph

Article in Journal of primary care & community health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Applying Machine Learning Techniques to Implementation Science.Online journal of public health informatics · 2024
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Jennifer E DeVoeOregon Health & Science University, Portland, OR, USA.
Nathalie HuguetOregon Health & Science University, Portland, OR, USA.ORCID 0000-0002-4064-1553
Sonja Likumahuwa-AckmanOregon Health & Science University, Portland, OR, USA.ORCID 0000-0003-4568-7136
Andrew BazemoreAmerican Board of Family Medicine, Washington, DC, USA.
Rachel GoldOCHIN, Inc., Portland, OR, USA.
Leah WernerOregon Health & Science University, Portland, OR, USA.

Funding

Research ProgramP50CA244289 · NCI · OREGON HEALTH & SCIENCE UNIVERSITY · PI GOLD, RACHEL · 2019 to 2023
$7.6M
NCI NIH HHS P50 CA244289
6 · The paper itself

Abstract

As recent extreme weather events demonstrate, climate change presents unprecedented and increasing health risks, disproportionately so for disadvantaged communities in the U.S. already experiencing health disparities. As patients in these frontline communities live through extreme weather events, socioeconomic and health stressors are compounded; thus, their healthcare teams will need tools to provide precision ecologic medicine approaches to their care. Many primary care teams are taking actionable steps to bring community-level socioeconomic data ("community vital signs") into electronic medical records, to facilitate tailoring care based on a given patient's circumstances. This work can be extended to include environmental risk data, thus equipping healthcare teams with an awareness of clinical and community vital signs and making them better positioned to mitigate climate impacts on health. For example, if healthcare teams can easily identify patients who have multiple chronic conditions and live in an urban heat island, they can proactively arrange to "prescribe" an air conditioner, heat pump, and/or air purifier. Or, when a severe storm/heat event/poor air quality event is predicted, they can take preemptive steps to get help to patients at high medical and socioeconomic risk, rather than waiting for them to arrive in the emergency department. Advances in health information technologies now make it technically feasible to integrate a wealth of publicly-available community-level data into EMRs. Efforts to bring this contextual data into clinical settings must be accelerated to equip healthcare teams to provide precision ecologic medicine interventions to their patients.

Indexed as

Climate ChangeHot TemperatureCitiesHumansclimate changecommunity vital signshealth information technologyprecision medicineprimary care

Identifiers

PMID37086151
PMCPMC10126645

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.