Translating Planetary Health Principles Into Sustainable Primary Care Services

Global anthropogenic environmental degradations such as climate change are increasingly recognized as critical public health issues, on which human beings should urgently act in order to preserve sustainable conditions of living on Earth. “Planetary Health” is a breakthrough concept and emerging res...

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Main Authors: Julia Gonzalez-Holguera, Marie Gaille, Maria del Rio Carral, Julia Steinberger, Joachim Marti, Nolwenn Bühler, Alain Kaufmann, Luca Chiapperino, Ana Maria Vicedo-Cabrera, Joelle Schwarz, Anneliese Depoux, Francesco Panese, Nathalie Chèvre, Nicolas Senn
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-07-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2022.931212/full
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author Julia Gonzalez-Holguera
Marie Gaille
Maria del Rio Carral
Julia Steinberger
Joachim Marti
Nolwenn Bühler
Alain Kaufmann
Luca Chiapperino
Ana Maria Vicedo-Cabrera
Ana Maria Vicedo-Cabrera
Joelle Schwarz
Anneliese Depoux
Francesco Panese
Nathalie Chèvre
Nicolas Senn
author_facet Julia Gonzalez-Holguera
Marie Gaille
Maria del Rio Carral
Julia Steinberger
Joachim Marti
Nolwenn Bühler
Alain Kaufmann
Luca Chiapperino
Ana Maria Vicedo-Cabrera
Ana Maria Vicedo-Cabrera
Joelle Schwarz
Anneliese Depoux
Francesco Panese
Nathalie Chèvre
Nicolas Senn
author_sort Julia Gonzalez-Holguera
collection DOAJ
description Global anthropogenic environmental degradations such as climate change are increasingly recognized as critical public health issues, on which human beings should urgently act in order to preserve sustainable conditions of living on Earth. “Planetary Health” is a breakthrough concept and emerging research field based on the recognition of the interdependent relationships between living organisms—both human and non-human—and their ecosystems. In that regards, there have been numerous calls by healthcare professionals for a greater recognition and adoption of Planetary Health perspective. At the same time, current Western healthcare systems are facing their limits when it comes to providing affordable, equitable and sustainable healthcare services. Furthermore, while hospital-centrism remains the dominant model of Western health systems, primary care and public health continue to be largely undervalued by policy makers. While healthcare services will have to adapt to the sanitary impacts of environmental degradations, they should also ambition to accompany and accelerate the societal transformations required to re-inscribe the functioning of human societies within planetary boundaries. The entire health system requires profound transformations to achieve this, with obviously a key role for public health. But we argue that the first line of care represented by primary care might also have an important role to play, with its holistic, interdisciplinary, and longitudinal approach to patients, strongly grounded in their living environments and communities. This will require however to redefine the roles, activities and organization of primary care actors to better integrate socio-environmental determinants of health, strengthen interprofessional collaborations, including non-medical collaborations and more generally develop new, environmentally-centered models of care. Furthermore, a planetary health perspective translated in primary care will require the strengthening of synergies between institutions and actors in the field of health and sustainability.
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spelling doaj.art-79e1f488c2c749b7a214ab204182c6f02022-12-22T04:38:10ZengFrontiers Media S.A.Frontiers in Public Health2296-25652022-07-011010.3389/fpubh.2022.931212931212Translating Planetary Health Principles Into Sustainable Primary Care ServicesJulia Gonzalez-Holguera0Marie Gaille1Maria del Rio Carral2Julia Steinberger3Joachim Marti4Nolwenn Bühler5Alain Kaufmann6Luca Chiapperino7Ana Maria Vicedo-Cabrera8Ana Maria Vicedo-Cabrera9Joelle Schwarz10Anneliese Depoux11Francesco Panese12Nathalie Chèvre13Nicolas Senn14Competence Centre in Sustainability, University of Lausanne, Lausanne, SwitzerlandLaboratory SPHERE, UMR 7219, University Paris Diderot CNRS, Paris, FranceInstitute of Psychology, University of Lausanne, Lausanne, SwitzerlandInstitute of Geography and Sustainability, University of Lausanne, Lausanne, SwitzerlandDepartment of Epidemiology and Health Systems, University Center for Primary Care and Public Health (Unisanté), Lausanne, SwitzerlandSTS Lab, Institute of Social Sciences, University of Lausanne, Lausanne, SwitzerlandColLaboratoire (ColLAB), University of Lausanne, Lausanne, SwitzerlandSTS Lab, Institute of Social Sciences, University of Lausanne, Lausanne, SwitzerlandInstitute of Social and Preventive Medicine (ISPM), University of Bern, Bern, SwitzerlandOeschger Center for Climate Change Research, University of Bern, Bern, Switzerland0Department of Family Medicine, University Center for Primary Care and Public Health (Unisanté), Lausanne, Switzerland1Centre Virchow-Villermé and Centre des Politiques de la Terre, Université Paris Cité, Paris, France2Institute of Social Sciences, University of Lausanne, Lausanne, Switzerland3Faculty of Geosciences and the Environment, Institute of Earth Surface Dynamics (IDYST), University of Lausanne, Lausanne, Switzerland0Department of Family Medicine, University Center for Primary Care and Public Health (Unisanté), Lausanne, SwitzerlandGlobal anthropogenic environmental degradations such as climate change are increasingly recognized as critical public health issues, on which human beings should urgently act in order to preserve sustainable conditions of living on Earth. “Planetary Health” is a breakthrough concept and emerging research field based on the recognition of the interdependent relationships between living organisms—both human and non-human—and their ecosystems. In that regards, there have been numerous calls by healthcare professionals for a greater recognition and adoption of Planetary Health perspective. At the same time, current Western healthcare systems are facing their limits when it comes to providing affordable, equitable and sustainable healthcare services. Furthermore, while hospital-centrism remains the dominant model of Western health systems, primary care and public health continue to be largely undervalued by policy makers. While healthcare services will have to adapt to the sanitary impacts of environmental degradations, they should also ambition to accompany and accelerate the societal transformations required to re-inscribe the functioning of human societies within planetary boundaries. The entire health system requires profound transformations to achieve this, with obviously a key role for public health. But we argue that the first line of care represented by primary care might also have an important role to play, with its holistic, interdisciplinary, and longitudinal approach to patients, strongly grounded in their living environments and communities. This will require however to redefine the roles, activities and organization of primary care actors to better integrate socio-environmental determinants of health, strengthen interprofessional collaborations, including non-medical collaborations and more generally develop new, environmentally-centered models of care. Furthermore, a planetary health perspective translated in primary care will require the strengthening of synergies between institutions and actors in the field of health and sustainability.https://www.frontiersin.org/articles/10.3389/fpubh.2022.931212/fullplanetary healthprimary carehealth serviceshealth professionalsinterdisciplinarysustainability
spellingShingle Julia Gonzalez-Holguera
Marie Gaille
Maria del Rio Carral
Julia Steinberger
Joachim Marti
Nolwenn Bühler
Alain Kaufmann
Luca Chiapperino
Ana Maria Vicedo-Cabrera
Ana Maria Vicedo-Cabrera
Joelle Schwarz
Anneliese Depoux
Francesco Panese
Nathalie Chèvre
Nicolas Senn
Translating Planetary Health Principles Into Sustainable Primary Care Services
Frontiers in Public Health
planetary health
primary care
health services
health professionals
interdisciplinary
sustainability
title Translating Planetary Health Principles Into Sustainable Primary Care Services
title_full Translating Planetary Health Principles Into Sustainable Primary Care Services
title_fullStr Translating Planetary Health Principles Into Sustainable Primary Care Services
title_full_unstemmed Translating Planetary Health Principles Into Sustainable Primary Care Services
title_short Translating Planetary Health Principles Into Sustainable Primary Care Services
title_sort translating planetary health principles into sustainable primary care services
topic planetary health
primary care
health services
health professionals
interdisciplinary
sustainability
url https://www.frontiersin.org/articles/10.3389/fpubh.2022.931212/full
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