Feb 29, 2024
Environmental Impact of Primary Care- Australian Perspective: A Scoping Review
- jessica.jaja 1,2
- 1WentWest;
- 2University of Sydney
Protocol Citation: jessica.jaja 2024. Environmental Impact of Primary Care- Australian Perspective: A Scoping Review. protocols.io https://dx.doi.org/10.17504/protocols.io.14egn35epl5d/v1
License: This is an open access protocol distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited
Protocol status: Working
We use this protocol and it's working
Created: February 29, 2024
Last Modified: February 29, 2024
Protocol Integer ID: 95927
Keywords: primary care, primary healthcare, environment, carbon footprint, impact of primary care, primary healthcare, effects of the primary healthcare sector, primary care, primary healthcare sector, scoping review climate change, climate crisis, environmental impact, global warming, significant detrimental impacts on human health, human health, greenhouse gas, healthcare sector, australian perspective, co2, increased patient demand, patient demand, mortality, environment, equivalent emission
Abstract
Climate Change has significant detrimental impacts on human health, well-being, and mortality. As the first responder during a climate crisis, primary healthcare is implicated by increased patient demand and burden on the system. Paradoxically, primary healthcare, and the healthcare sector as a whole, are major greenhouse gas emitters and contributors to anthropocentric global warming. In Australia, few studies have been conducted on the effects of the primary healthcare sector on the environment. This study was conducted to understand the impact of primary care on the environment. Greenhouse gas, CO2, and CO2-equivalent emissions are investigated to elucidate the environmental impact.
Background/Purpose
Climate Change has significant detrimental impacts on human health, well-being, and mortality. As the first responder during a climate crisis, primary healthcare is implicated by increased patient demand and burden on the system. Paradoxically, primary healthcare, and the healthcare sector as a whole, are major greenhouse gas emitters and contributors to anthropocentric global warming. In Australia, few studies have been conducted on the effects of the primary healthcare sector on the environment. This study was conducted to understand the impact of primary care on the environment. Greenhouse gas, CO2, and CO2-equivalent emissions are investigated to elucidate the environmental impact.
Methods
Selection Criteria: The PRISMA-2020 (Page, et.al., 2021) guideline will be followed, with peer-reviewed primary research and grey literature included in the process. Grey literature documents published by governments and advisory bodies will be included, whilst reviews, editorials, opinion pieces, commentaries, letters and book chapters are excluded. Articles written in a language other than English and articles published prior to 2010 will be excluded.
Search Strategy: Search strategy: A search of OVID, PubMed and Google Search databases is conducted using Boolean operators. Operators of (Primary healthcare) AND (environmental sustainability), ((Environmental sustainability) AND (primary healthcare)) AND (Australia), ((Waste management) AND (Primary healthcare)) , ((Carbon emissions) AND (general practice)) AND (Australia), ((Carbon footprint) AND (Primary healthcare)) AND (Australia) will be used. To determine the quality and bias of assessed studies, Hawker et.al.’s 2002 Quality Assessment Tool is going to be used.
Data Collection: Data screening as per PRISMA 2020 guidelines will be conducted, via Rayyan software and reading of abstracts by reviewers. Three reviewers will take part in the screening process with any disagreements over data extraction are resolved via discussions reaching a mutual consensus
Displaying Data: Data will be displayed using a PRISMA flow diagram as per PRISMA-2020 guidelines.
Analysis and synthesis: Rayyan software will be utilised to categorise and analyse data based on the inclusion/exclusion criteria and relevance determined by reviewers. Limitations in the methodology include the lack of automation in the screening stage, where identification of relevant studies will be solely completed by the reviewer, thus introducing possible sources of bias and possibly removing relevant studies as a result.
Protocol references
Hawker, S., Payne, S., Kerr, C., Hardey, M., Powell, J. (2002). Appraising the evidence: Reviewing disparate data systematically. Qualitative Health Research, 12(9), 1284-1299. Doi: 10.1177/1049732302238251
Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ 2021;372:n71. doi: 10.1136/bmj.n71