General Practitioners' Perceptions of Heat Health Impacts on the Elderly in the Face of Climate Change-A Qualitative Study in Baden-Württemberg, Germany.
General Practitioners' Perceptions of Heat Health Impacts on the Elderly in the Face of Climate Change-A Qualitative Study in Baden-Württemberg, Germany.
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DOI：
10.3390/ijerph15050843
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发表时间：
2018-04-24
影响因子：
--
通讯作者：
Sauerborn R
中科院分区：
文献类型：
--
作者：
Herrmann A;Sauerborn R
面对气候变化和人口老龄化，高温对老年人健康的影响（HHI）越来越受到关注。全科医生 (GP) 在老年人的医疗保健方面发挥着重要作用。为了为制定有效的预防措施提供信息，调查全科医生对 HHI 的看法非常重要。对 24 名全科医生进行了定性专家访谈，并使用框架方法进行了分析。全科医生普遍意识到高温对健康的影响，重点关注心血管发病率和容量失衡。对死亡率的看法，例如热浪对呼吸道疾病或潜在危险药物的影响，与文献中的发现部分不同。全科医生对 HHI 目前的相关性做出了不同的判断，具体取决于他们对以下方面的态度：(i) 老年人的敏感性、(ii) 护理状况和 (iii) 巴登-符腾堡州的热暴露。大多数全科医生认为 HHI 未来的相关性正在增强。造成这种情况的主要原因是人口老龄化，而气候变化的影响被许多人认为是不确定的。全科医生的看法（部分与文献不同）表明，全科医生对 HHI 和气候变化的知识和意识需要加强。然而，他们也强调需要对流动医疗保健环境中的 HHI 进行更多研究。此外，全科医生的看法表明，强大的老年人护理和社交网络是适应气候变化的卫生系统的主要要素。
Heat health impacts (HHI) on the elderly are a growing concern in the face of climate change and aging populations. General practitioners (GPs) have an important role in health care for the elderly. To inform the development of effective prevention measures, it is important to investigate GPs’ perceptions of HHI. Twenty four qualitative expert interviews were conducted with GPs and analyzed using the framework approach. GPs were generally aware of heat health impacts, focusing on cardiovascular morbidity and volume imbalances. Perceptions of mortality and for instance impacts on respiratory diseases or potentially risky drugs in heat waves partly diverged from findings in literature. GPs judged the current relevance of HHI differently depending on their attitudes towards: (i) sensitivity of the elderly, (ii) status of nursing care and (iii) heat exposure in Baden-Württemberg. Future relevance of HHI was perceived to be increasing by most GPs. The main cause identified for this was population aging, while impacts of climate change were judged as uncertain by many. GPs’ perceptions, partly diverging from literature, show that GPs’ knowledge and awareness on HHI and climate change needs to be strengthened. However, they also emphasize the need for more research on HHI in the ambulant health care setting. Furthermore, GPs perceptions suggest that strong nursing care and social networks for elderly are major elements of a climate resilient health system.
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DOI：
10.1186/1748-5908-4-50
发表时间：
2009-08-07
期刊：
Implementation science : IS
影响因子：
--
作者：
Damschroder LJ;Aron DC;Keith RE;Kirsh SR;Alexander JA;Lowery JC
通讯作者：
Lowery JC
DOI：
10.1007/s00103-009-0995-1
发表时间：
2010-01-01
影响因子：
1.7
作者：
Blaettner, B.;Heckenhahn, M.;Kupski, S.
通讯作者：
Kupski, S.
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DOI：
10.3205/psm000083
发表时间：
2012
期刊：
Psycho-social medicine
影响因子：
--
作者：
Bittner MI;Stößel U
通讯作者：
Stößel U
影响因子：
3.8
作者：
Anaker, Anna;Nilsson, Maria;Elf, Marie
通讯作者：
Elf, Marie
影响因子：
16.4
作者：
Gifford, Robert
通讯作者：
Gifford, Robert