Evidence map›Paper›PMID 37641052›Full record

ArticleGlobalization and health2023

Strategies to strengthen a climate-resilient health system: a scoping review.

Ali Mohammad Mosadeghrad, Parvaneh Isfahani, Leila Eslambolchi, Maryam Zahmatkesh, Mahnaz Afshari

Abstract readScoping Review
In one paragraph

Article in Globalization and health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 2 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

40 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  19. Health inequities: a persistent global challenge from past to future.International journal for equity in health · 2025
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Ali Mohammad MosadeghradProfessor of Health policy and management, Health Economics and Management Department, Tehran University of Medical Sciences, Tehran, Islamic Republic of Iran.
Parvaneh IsfahaniSchool of Public Health, Zabol University of Medical Sciences, Zabol, Iran.
Leila EslambolchiPhD in Health management, Health Economics and Management Department, Tehran University of Medical Sciences, Tehran, Islamic Republic of Iran.
Maryam ZahmatkeshSchool of Business and Management, Royal Holloway University of London, Egham, England.
Mahnaz AfshariSchool of Nursing and Midwifery, Saveh University of Medical Sciences, Saveh, Iran. mahnazafshar89@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundClimate change is a major global threat to human health and puts tremendous pressure on health systems. Therefore, a resilient health system is crucial to enhance, maintain, and restore the population's health. This study aimed to identify interventions and actions to strengthen a climate-resilient health system to deal with the adverse health effects of climate change.

methodThis study was a scoping review. Five databases and Google Scholar search engine were searched using relevant keywords. Initially, 4945 documents were identified, and 105 were included in the review. Content thematic analysis method was applied using MAXQDA 10 software.

resultsOverall, 87 actions were identified for building a climate-resilient health system and were classified into six themes (i.e., governance and leadership; financing; health workforce; essential medical products and technologies; health information systems; and service delivery). The most commonly reported actions were formulating a national health and climate change adaptation plan, developing plans for essential services (electricity, heating, cooling, ventilation, and water supply), assessing the vulnerabilities and capacities of the health system, and enhancing surveillance systems targeting climate-sensitive diseases and their risk sources.

conclusionsA holistic and systemic approach is needed to build a climate-resilient health system owing to its complex adaptive nature. Strong governance and leadership, raising public awareness, strategic resource allocation, climate change mitigation, emergency preparedness, robust health services delivery, and supporting research, are essential to building a climate-resilient health system.

Indexed as

Civil DefenseHealth Information SystemsClimate ChangeDatabases, FactualGovernment ProgramsHumansClimateClimate changeHealthHealth systemResilience

Identifiers

PMID37641052
PMCPMC10463427

What OpenQuestion holds

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LicenceCC BY
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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.