Evidence map›Paper›PMID 39582033›Full record

ArticleBMC health services research2024

Australian and Canadian clinicians' views and application of 'carbon health literacy': a qualitative study.

Michelle Lynch, Kirsten McCaffery, Alexandra Barratt, Katy Bell, Fiona A Miller, Forbes McGain, Philomena Colagiuri, Kristen Pickles

Abstract read
In one paragraph

Article in BMC health services research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. 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

8 authors.

Michelle LynchFaculty of Medicine and Health, School of Public Health, The University of Sydney, Rm 127A Edward Ford Building A27, Camperdown, Sydney, NSW, Australia.
Kirsten McCafferyFaculty of Medicine and Health, School of Public Health, The University of Sydney, Rm 127A Edward Ford Building A27, Camperdown, Sydney, NSW, Australia.
Alexandra BarrattFaculty of Medicine and Health, School of Public Health, The University of Sydney, Rm 127A Edward Ford Building A27, Camperdown, Sydney, NSW, Australia.
Katy BellFaculty of Medicine and Health, School of Public Health, The University of Sydney, Rm 127A Edward Ford Building A27, Camperdown, Sydney, NSW, Australia.
Fiona A MillerInstitute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Canada.
Forbes McGainWiser Healthcare research collaboration, Sydney, Australia.
Philomena ColagiuriFaculty of Medicine and Health, School of Public Health, The University of Sydney, Rm 127A Edward Ford Building A27, Camperdown, Sydney, NSW, Australia.
Kristen PicklesFaculty of Medicine and Health, School of Public Health, The University of Sydney, Rm 127A Edward Ford Building A27, Camperdown, Sydney, NSW, Australia. kristen.pickles@sydney.edu.au.

Funding

National Health and Medical Research Council Investigator Grant 1174523National Health and Medical Research Council Investigator Grant 2016719Office for Global Engagement, University of Sydney, Global Development Award. No grant IDWiser Healthcare, NHMRC Centre for Research Excellence grant 2006545
6 · The paper itself

Abstract

backgroundClinical care contributes to at least 50% of the greenhouse gas (GHG) emissions of healthcare. This includes the 40% of healthcare that is harmful or low value, adding avoidable emissions without improving health or quality of care. Clinicians are well-placed to mitigate emissions associated with the provision of clinical care. This study aimed to explore clinicians' views on a new construct we have termed 'carbon health literacy' to understand how knowledge, skills and capacities related to the emissions of clinical care has application in clinical practice.

methodsQualitative interviews were conducted between August 2022 and February 2023 with clinicians from Australia (n = 15) and Canada (n = 13). Clinicians with an interest in climate change and healthcare sustainability were sampled from a variety of clinical specialty areas, such as primary care, nursing, anaesthetics, and emergency. Clinicians were recruited through advertising on social media and via professional networks. A pre-piloted interview schedule was used to guide the interviews. Interviews were audio recorded, transcribed verbatim and analysed using framework analysis.

resultsParticipants viewed carbon health literacy as an increasingly important skill for clinicians to have or acquire, though they reported that the level of carbon health literacy and knowledge needed varies by job roles, clinical specialty areas, and individual capacity to generate healthcare system change. Many clinicians reported implementing strategies to mitigate their work-related GHG emissions, such as reducing waste or choosing lower carbon commuting options. There was limited awareness of reducing low-value care as a strategy to decrease emissions. All participants had encountered barriers to providing low-carbon care, including managing patient expectations, inadequate training and information, and limited capacity to generate system change in their organisational roles.

conclusionsTo support the delivery of high value low carbon healthcare, work is needed to build the carbon health literacy of clinicians and remove other barriers currently impeding their capacity to practice and promote sustainable clinical care.

Indexed as

Health LiteracyQualitative ResearchAdultAttitude of Health PersonnelAustraliaCanadaClimate ChangeFemaleHealth Knowledge, Attitudes, PracticeHealth PersonnelHumansInterviews as TopicMaleMiddle AgedCarbonClinicianCommunicationEnvironmental sustainabilityGreenhouse gasesHealth literacyHealth professionalKnowledge

Identifiers

PMID39582033
PMCPMC11587574

What OpenQuestion holds

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LicenceCC BY-NC-ND
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.