A multi-layered governance framework for incorporating social science insights into adapting to the health impacts of climate change.
A multi-layered governance framework for incorporating social science insights into adapting to the health impacts of climate change.
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DOI：
10.3402/gha.v6i0.21820
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发表时间：
2013-09-10
影响因子：
2.6
通讯作者：
McMichael AJ
中科院分区：
文献类型：
--
作者：
Bowen KJ;Ebi K;Friel S;McMichael AJ
应对气候变化及其相关影响是一个多层面的持续挑战。这包括认识到气候变化将在短期和长期内影响所有人口的健康和福祉，尽管方式和强度各不相同。这一认识促使人们注意到，需要采取适应行动，以减少不可避免的气候变化在今后几十年中造成的不利影响，特别是在发展中国家。一系列部门负责采取适当的适应性政策和措施，以应对气候变化的健康风险，包括保健服务、水和卫生、贸易、农业、灾害管理和发展。扩大治理和决策进程的框架，采用创新方法和评估，说明与健康有关的气候变化适应工作的多部门性质。这是从针对具体部门的系统转变为跨时间和空间尺度涵盖部门和行为者的多层次系统。审查和综合卫生和气候变化适应、治理和决策进程领域的现有知识。提出了一个新的框架，将社会科学的见解纳入适应活动和政策的制定和实施，以减少气候变化带来的健康风险。澄清不同部门、组织和个人在制定与健康有关的适应战略方面的作用，将有助于将健康和福祉纳入多部门适应政策，从而加强整套应对措施，最大限度地减少气候变化对健康的不利影响。
Addressing climate change and its associated effects is a multi-dimensional and ongoing challenge. This includes recognizing that climate change will affect the health and wellbeing of all populations over short and longer terms, albeit in varied ways and intensities. That recognition has drawn attention to the need to take adaptive actions to lessen adverse impacts over the next few decades from unavoidable climate change, particularly in developing country settings. A range of sectors is responsible for appropriate adaptive policies and measures to address the health risks of climate change, including health services, water and sanitation, trade, agriculture, disaster management, and development. To broaden the framing of governance and decision-making processes by using innovative methods and assessments to illustrate the multi-sectoral nature of health-related adaptation to climate change. This is a shift from sector-specific to multi-level systems encompassing sectors and actors, across temporal and spatial scales. A review and synthesis of the current knowledge in the areas of health and climate change adaptation governance and decision-making processes. A novel framework is presented that incorporates social science insights into the formulation and implementation of adaptation activities and policies to lessen the health risks posed by climate change. Clarification of the roles that different sectors, organizations, and individuals occupy in relation to the development of health-related adaptation strategies will facilitate the inclusion of health and wellbeing within multi-sector adaptation policies, thereby strengthening the overall set of responses to minimize the adverse health effects of climate change.