Evidence map›Paper›PMID 41646230›Full record

ReviewThe journal of climate change and health

Health system adaptation to extreme weather events in Australia: A scoping review.

Rupert Legg, Jason Prior, Erica McIntyre, Edgar Liu, Mikaela Tracy, Leona Tan, Angela Dawson, John Richmond, Clare Perry

Abstract readReview
In one paragraph

Review in The journal of climate change and health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
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

9 authors.

Rupert LeggInstitute for Sustainable Futures, University of Technology Sydney, Ultimo, NSW 2007, Australia.
Jason PriorInstitute for Sustainable Futures, University of Technology Sydney, Ultimo, NSW 2007, Australia.
Erica McIntyreInstitute for Sustainable Futures, University of Technology Sydney, Ultimo, NSW 2007, Australia.
Edgar LiuInstitute for Sustainable Futures, University of Technology Sydney, Ultimo, NSW 2007, Australia.
Mikaela TracyResearch Institute for Innovative Solutions for Well-being and Health (INSIGHT), Faculty of Health, University of Technology Sydney, Ultimo, NSW 2007, Australia.
Leona TanResearch Institute for Innovative Solutions for Well-being and Health (INSIGHT), Faculty of Health, University of Technology Sydney, Ultimo, NSW 2007, Australia.
Angela DawsonResearch Institute for Innovative Solutions for Well-being and Health (INSIGHT), Faculty of Health, University of Technology Sydney, Ultimo, NSW 2007, Australia.
John RichmondSheffield Centre for Health and Related Research (SCHARR), University of Sheffield, Sheffield S10 2TN, UK.
Clare PerryInstitute for Sustainable Futures, University of Technology Sydney, Ultimo, NSW 2007, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: The increasing prevalence and severity of extreme weather events is likely to present challenges for the systems in which humans operate. This review investigates how the health system in Australia, a region heavily affected by bushfires, floods, droughts and extreme heat, is adapting to the risks presented by extreme weather events and how these adaptations are being evaluated. Methods: By searching Medline, PsycINFO, Scopus and Web of Science for peer reviewed literature reporting on health system adaptations, 33 articles published between 2014 and 2023 were identified for inclusion. Results: Primarily, articles documented adaptations that, consistent with the World Health Organization's health system building blocks, focused on: the health workforce; health information systems; leadership and governance; and service delivery. Little attention was placed on access to essential medicines and health system financing. It was also most common for adaptations to address flooding, extreme heat, bushfires, and storms, reflecting the impact of such events in Australia. Adaptations tended to result in beneficial outcomes, including improved workforce capability, better health outcomes, reduced demand on and risk of overburdening the health system, lowered costs, and greater financial stability. However, how these elements come together to build health system resilience is unclear and barriers remain that reduce the effectiveness of adaptations. Conclusion: To ensure that Australia's health system is resilient to extreme weather events, future adaptations should focus particularly on access to essential medicines and financing, while future research should evaluate the outcomes of adaptations in a consolidated and systematic way.

Indexed as

AdaptationAustraliaClimate changeExtreme weather eventsHealth systemsResilience

Identifiers

PMID41646230
PMCPMC12851259

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.