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Physicians’ views of patient–planetary health co-benefit prescribing: a mixed methods systematic review

Abstract:
Health professionals are increasingly called to become partners in planetary health. Using patient–planetary health (P–PH) co-benefit prescribing framing, we did a mixed methods systematic review to identify barriers and facilitators to adopting P–PH co-benefit prescribing by physicians and mapped these onto the Capability, Opportunity, Motivation, and Behaviour (COM-B) model and Theoretical Domains Framework (TDF). We searched electronic databases from inception until October, 2022, and did a content analysis of the included articles (n=12). Relevant categories were matched to items in the COM-B model and TDF. Nine barriers and eight facilitators were identified. Barriers included an absence of, or little, knowledge of how to change practice and time to implement change; facilitators included having policy statements and guidelines from respected associations. More diverse study designs that include health professionals, patients, and health-care system stakeholders are needed to ensure a more holistic understanding of the individual, system, and policy levers involved in implementing clinical work informed by planetary health.
Publication status:
Published
Peer review status:
Peer reviewed

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Publisher copy:
10.1016/s2542-5196(23)00050-5

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More by this author
Institution:
University of Oxford
Division:
MSD
Department:
Primary Care Health Sciences
Role:
Author
More by this author
Institution:
University of Oxford
Division:
MSD
Department:
Primary Care Health Sciences
Role:
Author
ORCID:
0000-0001-9898-3049
More by this author
Institution:
University of Oxford
Division:
MSD
Department:
Primary Care Health Sciences
Role:
Author
ORCID:
0000-0003-4470-1151


Publisher:
Elsevier
Journal:
Lancet Planetary Health More from this journal
Volume:
7
Issue:
5
Pages:
e407-e417
Publication date:
2023-05-08
DOI:
ISSN:
2542-5196


Language:
English
Keywords:
Pubs id:
1340283
Local pid:
pubs:1340283
Deposit date:
2023-05-09

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