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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

Author

Listed:
  • Benedikt Lenzer

    (Institute of Laboratory Medicine, Clinical Chemistry, and Pathobiochemistry, Charité—Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Augustenburger Platz 1, 13353 Berlin, Germany)

  • Christina Hoffmann

    (Institute of Laboratory Medicine, Clinical Chemistry, and Pathobiochemistry, Charité—Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Augustenburger Platz 1, 13353 Berlin, Germany)

  • Peter Hoffmann

    (Institute of Laboratory Medicine, Clinical Chemistry, and Pathobiochemistry, Charité—Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Augustenburger Platz 1, 13353 Berlin, Germany)

  • Ursula Müller-Werdan

    (Department of Geriatrics, Charité—Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Hindenburgdamm 30, 12200 Berlin, Germany
    Protestant Geriatric Center Berlin, 13347 Berlin, Germany)

  • Manuel Rupprecht

    (Institute of Physiology, Charité—Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Charitéplatz 1, 10117 Berlin, Germany)

  • Christian Witt

    (Institute of Physiology, Charité—Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Charitéplatz 1, 10117 Berlin, Germany)

  • Cornelius Herzig

    (Department of Pneumology, Evangelische Lungenklinik Berlin Buch, Lindenberger Weg 27, 13125 Berlin, Germany
    Shared last authorship.)

  • Uta Liebers

    (Institute of Physiology, Charité—Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Charitéplatz 1, 10117 Berlin, Germany
    Department of Pneumology, Evangelische Lungenklinik Berlin Buch, Lindenberger Weg 27, 13125 Berlin, Germany
    Shared last authorship.)

Abstract

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.

Suggested Citation

  • Benedikt Lenzer & Christina Hoffmann & Peter Hoffmann & Ursula Müller-Werdan & Manuel Rupprecht & Christian Witt & Cornelius Herzig & Uta Liebers, 2021. "A Qualitative Study on Concerns, Needs, and Expectations of Hospital Patients Related to Climate Change: Arguments for a Patient-Centered Adaptation," IJERPH, MDPI, vol. 18(11), pages 1-13, June.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:11:p:6105-:d:569542
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    References listed on IDEAS

    as
    1. Sherry R. Arnstein, 2019. "A Ladder of Citizen Participation," Journal of the American Planning Association, Taylor & Francis Journals, vol. 85(1), pages 24-34, January.
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