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A Qualitative Study on Concerns, Needs, and Expectations of Hospital Patients Related to Climate Change: Arguments for a Patient-Centered Adaptation

This study explores the concerns, needs, and expectations of inpatients with the goal to develop a patient-centered climate change adaptation agenda for hospitals. Statements of patients from geriatrics, internal medicine, psychiatry, and surgery (N = 25) of a German tertiary care hospital were anal...

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Autores principales: Lenzer, Benedikt, Hoffmann, Christina, Hoffmann, Peter, Müller-Werdan, Ursula, Rupprecht, Manuel, Witt, Christian, Herzig, Cornelius, Liebers, Uta
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8201225/
https://www.ncbi.nlm.nih.gov/pubmed/34198870
http://dx.doi.org/10.3390/ijerph18116105
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author Lenzer, Benedikt
Hoffmann, Christina
Hoffmann, Peter
Müller-Werdan, Ursula
Rupprecht, Manuel
Witt, Christian
Herzig, Cornelius
Liebers, Uta
author_facet Lenzer, Benedikt
Hoffmann, Christina
Hoffmann, Peter
Müller-Werdan, Ursula
Rupprecht, Manuel
Witt, Christian
Herzig, Cornelius
Liebers, Uta
author_sort Lenzer, Benedikt
collection PubMed
description This study explores the concerns, needs, and expectations of inpatients with the goal to develop a patient-centered climate change adaptation agenda for hospitals. Statements of patients from geriatrics, internal medicine, psychiatry, and surgery (N = 25) of a German tertiary care hospital were analyzed using semi-structured interviews and the framework method. Areas of future adaptation were elaborated in joint discussions with transdisciplinary experts. Concerns included the foresight of severe health problems. The requested adaptations comprised the change to a patient-centered care, infrastructural improvements including air conditioning, and adjustments of the workflows. Guidelines for the behavior of patients and medical services appropriate for the climatic conditions were demanded. The patient-centered agenda for adaptation includes the steps of partnering with patients, reinforcing heat mitigation, better education for patients and medical staff, and adjusting work processes. This is the first study demonstrating that hospital patients are gravely concerned and expect adjustments according to climate change. Since heat is seen as a major risk by interviewees, the fast implementation of published recommendations is crucial. By synthesizing inpatients’ expectations with scientific recommendations, we encourage patient-centered climate change adaptation. This can be the start for further collaboration with patients to create climate change resilient hospitals.
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spelling pubmed-82012252021-06-15 A Qualitative Study on Concerns, Needs, and Expectations of Hospital Patients Related to Climate Change: Arguments for a Patient-Centered Adaptation Lenzer, Benedikt Hoffmann, Christina Hoffmann, Peter Müller-Werdan, Ursula Rupprecht, Manuel Witt, Christian Herzig, Cornelius Liebers, Uta Int J Environ Res Public Health Article This study explores the concerns, needs, and expectations of inpatients with the goal to develop a patient-centered climate change adaptation agenda for hospitals. Statements of patients from geriatrics, internal medicine, psychiatry, and surgery (N = 25) of a German tertiary care hospital were analyzed using semi-structured interviews and the framework method. Areas of future adaptation were elaborated in joint discussions with transdisciplinary experts. Concerns included the foresight of severe health problems. The requested adaptations comprised the change to a patient-centered care, infrastructural improvements including air conditioning, and adjustments of the workflows. Guidelines for the behavior of patients and medical services appropriate for the climatic conditions were demanded. The patient-centered agenda for adaptation includes the steps of partnering with patients, reinforcing heat mitigation, better education for patients and medical staff, and adjusting work processes. This is the first study demonstrating that hospital patients are gravely concerned and expect adjustments according to climate change. Since heat is seen as a major risk by interviewees, the fast implementation of published recommendations is crucial. By synthesizing inpatients’ expectations with scientific recommendations, we encourage patient-centered climate change adaptation. This can be the start for further collaboration with patients to create climate change resilient hospitals. MDPI 2021-06-05 /pmc/articles/PMC8201225/ /pubmed/34198870 http://dx.doi.org/10.3390/ijerph18116105 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Lenzer, Benedikt
Hoffmann, Christina
Hoffmann, Peter
Müller-Werdan, Ursula
Rupprecht, Manuel
Witt, Christian
Herzig, Cornelius
Liebers, Uta
A Qualitative Study on Concerns, Needs, and Expectations of Hospital Patients Related to Climate Change: Arguments for a Patient-Centered Adaptation
title A Qualitative Study on Concerns, Needs, and Expectations of Hospital Patients Related to Climate Change: Arguments for a Patient-Centered Adaptation
title_full A Qualitative Study on Concerns, Needs, and Expectations of Hospital Patients Related to Climate Change: Arguments for a Patient-Centered Adaptation
title_fullStr A Qualitative Study on Concerns, Needs, and Expectations of Hospital Patients Related to Climate Change: Arguments for a Patient-Centered Adaptation
title_full_unstemmed A Qualitative Study on Concerns, Needs, and Expectations of Hospital Patients Related to Climate Change: Arguments for a Patient-Centered Adaptation
title_short A Qualitative Study on Concerns, Needs, and Expectations of Hospital Patients Related to Climate Change: Arguments for a Patient-Centered Adaptation
title_sort qualitative study on concerns, needs, and expectations of hospital patients related to climate change: arguments for a patient-centered adaptation
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8201225/
https://www.ncbi.nlm.nih.gov/pubmed/34198870
http://dx.doi.org/10.3390/ijerph18116105
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