Skip to main content
Top
Published in: Asia Pacific Family Medicine 1/2012

Open Access 01-12-2012 | Commentary

General Practitioners’ responses to global climate change - lessons from clinical experience and the clinical method

Authors: Grant Blashki, Alan Abelsohn, Robert Woollard, Neil Arya, Margot W Parkes, Paul Kendal, Erica Bell, R Warren Bell

Published in: Asia Pacific Family Medicine | Issue 1/2012

Login to get access

Abstract

Background

Climate change is a global public health problem that will require complex thinking if meaningful and effective solutions are to be achieved. In this conceptual paper we argue that GPs have much to bring to the issue of climate change from their wide-ranging clinical experience and from the principles underpinning their clinical methods. This experience and thinking calls forth particular contributions GPs can and should make to debate and action.

Discussion

We contend that the privileged experience and GP way of thinking can make valuable contributions when applied to climate change solutions. These include a lifetime of experience, reflection and epistemological application to first doing no harm, managing uncertainty, the ability to make necessary decisions while possessing incomplete information, an appreciation of complex adaptive systems, maintenance of homeostasis, vigilance for unintended consequences, and an appreciation of the importance of transdisciplinarity and interprofessionalism.

Summary

General practitioners have a long history of public health advocacy and in the case of climate change may bring a way of approaching complex human problems that could be applied to the dilemmas of climate change.
Literature
1.
go back to reference IPCC: Summary for Policymakers. In Climate Change 2007: Impacts, Adaptation and Vulnerability. Contribution of Working Group II to the Fourth Assessment Report of the Intergovernmental Panel on Climate Change. Edited by: Parry ML, Canziani OF, Palutikof JP, Linden PJ, Hanson CE. Cambridge University Press, Cambridge, UK; 2007:7–22. IPCC: Summary for Policymakers. In Climate Change 2007: Impacts, Adaptation and Vulnerability. Contribution of Working Group II to the Fourth Assessment Report of the Intergovernmental Panel on Climate Change. Edited by: Parry ML, Canziani OF, Palutikof JP, Linden PJ, Hanson CE. Cambridge University Press, Cambridge, UK; 2007:7–22.
2.
go back to reference McMichael AJ, Friel S, Nyong A, Corvalan C: Global environmental change and health: impacts, inequalities, and the health sector. BMJ 2008,336(7637):191–4. 10.1136/bmj.39392.473727.ADPubMedCentralPubMedCrossRef McMichael AJ, Friel S, Nyong A, Corvalan C: Global environmental change and health: impacts, inequalities, and the health sector. BMJ 2008,336(7637):191–4. 10.1136/bmj.39392.473727.ADPubMedCentralPubMedCrossRef
3.
go back to reference Costello A, Grant M, Horton R: The Lancet-UCL Commission: health effects of climate change. Lancet 2008,371(9619):1145–7. 10.1016/S0140-6736(08)60502-4PubMedCrossRef Costello A, Grant M, Horton R: The Lancet-UCL Commission: health effects of climate change. Lancet 2008,371(9619):1145–7. 10.1016/S0140-6736(08)60502-4PubMedCrossRef
4.
go back to reference Roberts I, Stott R: Doctors and climate change. Lancet 2010,376(9755):1801–2. 10.1016/S0140-6736(10)62106-XPubMedCrossRef Roberts I, Stott R: Doctors and climate change. Lancet 2010,376(9755):1801–2. 10.1016/S0140-6736(10)62106-XPubMedCrossRef
6.
go back to reference Parmesan C, Yohe G: A globally coherent fingerprint of climate change impacts across natural systems. Nature 2003,421(6918):37–42. 10.1038/nature01286PubMedCrossRef Parmesan C, Yohe G: A globally coherent fingerprint of climate change impacts across natural systems. Nature 2003,421(6918):37–42. 10.1038/nature01286PubMedCrossRef
7.
9.
go back to reference McFarlane GJ: Climate change–the greatest public health threat of our time: seeing the wood, not just the trees. Perspect Public Health 2010,130(1):21–6. 10.1177/1757913909355217PubMedCrossRef McFarlane GJ: Climate change–the greatest public health threat of our time: seeing the wood, not just the trees. Perspect Public Health 2010,130(1):21–6. 10.1177/1757913909355217PubMedCrossRef
10.
go back to reference McMichael AJ, Powles JW, Butler CD, Uauy R: Food, livestock production, energy, climate change, and health. Lancet 2007,370(9594):1253–63. 10.1016/S0140-6736(07)61256-2PubMedCrossRef McMichael AJ, Powles JW, Butler CD, Uauy R: Food, livestock production, energy, climate change, and health. Lancet 2007,370(9594):1253–63. 10.1016/S0140-6736(07)61256-2PubMedCrossRef
11.
go back to reference Barnett TP, Adam JC, Lettenmaier DP: Potential impacts of a warming climate on water availability in snow-dominated regions. Nature 2005,438(7066):303–9. 10.1038/nature04141PubMedCrossRef Barnett TP, Adam JC, Lettenmaier DP: Potential impacts of a warming climate on water availability in snow-dominated regions. Nature 2005,438(7066):303–9. 10.1038/nature04141PubMedCrossRef
12.
go back to reference Kistin EJ, Fogarty J, Pokrasso RS, McCally M, McCornick PG: Climate change, water resources and child health. Arch Dis Child 2010,95(7):545–9. 10.1136/adc.2009.175307PubMedCrossRef Kistin EJ, Fogarty J, Pokrasso RS, McCally M, McCornick PG: Climate change, water resources and child health. Arch Dis Child 2010,95(7):545–9. 10.1136/adc.2009.175307PubMedCrossRef
13.
go back to reference Myers N: Environmental refugees: a growing phenomenon of the 21st century. Philos Trans R Soc Lond B Biol Sci 2002,357(1420):609–13. 10.1098/rstb.2001.0953PubMedCentralPubMedCrossRef Myers N: Environmental refugees: a growing phenomenon of the 21st century. Philos Trans R Soc Lond B Biol Sci 2002,357(1420):609–13. 10.1098/rstb.2001.0953PubMedCentralPubMedCrossRef
14.
go back to reference Berry HL, Bowen K, Kjellstrom T: Climate change and mental health: a causal pathways framework. Int J Public Health 2009,55(2):123–32.PubMedCrossRef Berry HL, Bowen K, Kjellstrom T: Climate change and mental health: a causal pathways framework. Int J Public Health 2009,55(2):123–32.PubMedCrossRef
16.
go back to reference Roberts I, Stott R: Doctors and climate change. Br Med J 2010, 17: 341. Roberts I, Stott R: Doctors and climate change. Br Med J 2010, 17: 341.
17.
go back to reference McWhinney IR: A textbook of family medicine. Oxford University Press, USA; 1997. McWhinney IR: A textbook of family medicine. Oxford University Press, USA; 1997.
18.
go back to reference Greenhalgh T: Primary Health Care: Theory and Practice. BMJ Books, USA; 2007.CrossRef Greenhalgh T: Primary Health Care: Theory and Practice. BMJ Books, USA; 2007.CrossRef
19.
go back to reference Fogarty A, Blashki G, Morrell E, Horton G: The GreenClinic pilot–educational intervention for environmentally sustainable general practice. Aust Fam Physician 2008,37(8):681–3.PubMed Fogarty A, Blashki G, Morrell E, Horton G: The GreenClinic pilot–educational intervention for environmentally sustainable general practice. Aust Fam Physician 2008,37(8):681–3.PubMed
20.
go back to reference Blashki G, McMichael T, Karoly DJ: Climate change and primary health care. Aust Fam Physician 2007,36(12):986–9.PubMed Blashki G, McMichael T, Karoly DJ: Climate change and primary health care. Aust Fam Physician 2007,36(12):986–9.PubMed
21.
go back to reference Phipps R, Randerson R, Blashki G: The climate change challenge for general practice in New Zealand. N Z Med J 2011, 124: 1333. Phipps R, Randerson R, Blashki G: The climate change challenge for general practice in New Zealand. N Z Med J 2011, 124: 1333.
22.
go back to reference Horton G, Magin P: Healthy patients, healthy planet–green recommendations for GP health promotion. Aust Fam Physician 2007,36(12):1006–8.PubMed Horton G, Magin P: Healthy patients, healthy planet–green recommendations for GP health promotion. Aust Fam Physician 2007,36(12):1006–8.PubMed
24.
go back to reference Parkes MW: Diversity, emergence, resilience: guides for a new generation of ecohealth research and practice. Ecohealth 2011,8(2):137–9. Editorial 10.1007/s10393-011-0732-8PubMedCrossRef Parkes MW: Diversity, emergence, resilience: guides for a new generation of ecohealth research and practice. Ecohealth 2011,8(2):137–9. Editorial 10.1007/s10393-011-0732-8PubMedCrossRef
27.
go back to reference McMichael AJ, Friel S, Nyong A, Corvalan C: Global environmental change and health: impacts, inequalities, and the health sector. Br Med J 2008,336(7637):191–4. 10.1136/bmj.39392.473727.ADCrossRef McMichael AJ, Friel S, Nyong A, Corvalan C: Global environmental change and health: impacts, inequalities, and the health sector. Br Med J 2008,336(7637):191–4. 10.1136/bmj.39392.473727.ADCrossRef
28.
go back to reference Chaves LF, Koenraadt CJ: Climate change and highland malaria: fresh air for a hot debate. Q Rev Biol 2010,85(1):27–55. 10.1086/650284PubMedCrossRef Chaves LF, Koenraadt CJ: Climate change and highland malaria: fresh air for a hot debate. Q Rev Biol 2010,85(1):27–55. 10.1086/650284PubMedCrossRef
30.
go back to reference Gething PW, Smith DL, Patil AP, Tatem AJ, Snow RW, Hay SI: Climate change and the global malaria recession. Nature 2010,465(7296):342–5. 10.1038/nature09098PubMedCentralPubMedCrossRef Gething PW, Smith DL, Patil AP, Tatem AJ, Snow RW, Hay SI: Climate change and the global malaria recession. Nature 2010,465(7296):342–5. 10.1038/nature09098PubMedCentralPubMedCrossRef
31.
go back to reference Glouberman S, Zimmerman B: Complicated and Complex Systems: What Would Successful Reform of Medicare Look Like? Discussion Paper Number 8. , Commission on the Future of Healthcare in Canada. 2002. Glouberman S, Zimmerman B: Complicated and Complex Systems: What Would Successful Reform of Medicare Look Like? Discussion Paper Number 8. , Commission on the Future of Healthcare in Canada. 2002.
32.
go back to reference Bell E, Horton G, Blashki GBS: Climate change: could it help teach adaptive expertise? Adv in Health Sci Educ 2010 doi:10.1007/s10459–010–9245–4 Bell E, Horton G, Blashki GBS: Climate change: could it help teach adaptive expertise? Adv in Health Sci Educ 2010 doi:10.1007/s10459–010–9245–4
33.
go back to reference Davies P: The Goldilocks Enigma- why is the universe just right for life?. The Penguin Press, United Kingdom; 2008. Davies P: The Goldilocks Enigma- why is the universe just right for life?. The Penguin Press, United Kingdom; 2008.
34.
go back to reference Kerr RA: Ocean acidification unprecedented, unsettling. Science 328(5985):1500–1. Jun 18 Kerr RA: Ocean acidification unprecedented, unsettling. Science 328(5985):1500–1. Jun 18
35.
go back to reference Parkes MW, Bienen L, Breilh J, Hsu L, McDonald M, Patz JA, et al.: All Hands on Deck: Transdisciplinary Approaches to Emerging Infectious Disease. Ecohealth 2005, 2: 258–72. 10.1007/s10393-005-8387-yCrossRef Parkes MW, Bienen L, Breilh J, Hsu L, McDonald M, Patz JA, et al.: All Hands on Deck: Transdisciplinary Approaches to Emerging Infectious Disease. Ecohealth 2005, 2: 258–72. 10.1007/s10393-005-8387-yCrossRef
Metadata
Title
General Practitioners’ responses to global climate change - lessons from clinical experience and the clinical method
Authors
Grant Blashki
Alan Abelsohn
Robert Woollard
Neil Arya
Margot W Parkes
Paul Kendal
Erica Bell
R Warren Bell
Publication date
01-12-2012
Publisher
BioMed Central
Published in
Asia Pacific Family Medicine / Issue 1/2012
Electronic ISSN: 1447-056X
DOI
https://doi.org/10.1186/1447-056X-11-6

Other articles of this Issue 1/2012

Asia Pacific Family Medicine 1/2012 Go to the issue