Article Types
Scoping review
Australian Research on Climate Change and Health Interventions: A Systematic Mapping Review
Objectives To review and thematically map published research on health-related climate change mitigation or adaptation interventions in Australia. Study Design Systematic mapping of published peer-reviewed research studies and reviews examining outcomes associated with climate change and health interventions in Australia. Data Sources MEDLINE, Scopus, Google Scholar, published from 1 January 2008 to 1 March 2024, and manual searches of peer-reviewed literature. Data Synthesis Eighty-three publications (49 original research, 34 reviews) were included, categorised under four themes: (i) health system decarbonisation (18); (ii) health system adaptation, vulnerability and resilience (24); (iii) health co-benefits of climate change mitigation (9); and (iv) adaptation outside the health system to protect health from climate impacts (26). Six additional studies spanned several of these themes. Ten decarbonisation studies focused on hospital-based clinical care interventions. In comparison, adaptation studies focused on interventions in a wider variety of health services and community settings. Twenty publications focused on heat, with fewer publications on other climate-related hazards (bushfires, floods and droughts). Adaptation interventions largely focused on addressing physical health impacts of climate change, with less attention on psychosocial or mental health impacts. Studies on health co-benefits of mitigation focused on urban greening, shading, cool materials, healthier diets, carbon pricing of food and Indigenous land management. Across all themes, four studies focused on First Nations peoples. Original studies mainly used survey methods, with three studies employing randomised controlled trials and seven using life cycle assessments. Overall, there was limited evidence of stakeholder engagement. Conclusions A sustained increase in research on climate change and health interventions will help realise the vision of ‘healthy, climate-resilient communities, and a sustainable, resilient, high quality, net zero health system’ of the National Health and Climate Strategy. Evidence from local contexts and priority populations, using interdisciplinary methods and stakeholder engagement, will support action on climate change and health in Australia.
Sotiris Vardoulakis, Luise Kazda, Rebecca Haddock, Alexandra L. Barratt, Forbes McGain, Kinley Wangdi, Enembe Okokon, Daniela Espinoza Oyarce, Gopika Indu, Nigel Goodman, Veronica Matthews, Phoebe Spurrier, Alice McGushin, Georgia Behrens, Madeleine Skell
The Extent and Nature of Lived Experience Engagement in the Development of Australian Clinical Practice Guidelines, 2014–2025: A Scoping Review
ObjectivesTo examine the extent and nature of lived experience engagement in Australian clinical practice guideline development.Study DesignScoping review of Australian clinical practice guidelines published 1 January 2014–20 March 2025 that reported using a systematic search method and standardised methods for appraising evidence quality and certainty.Data SourcesPubMed, Guidelines International Network library, Google Scholar, the websites of all 25 Australian medical colleges, the Cancer Council, the Heart Foundation, the Stroke Foundation, the National Blood Authority and Caring for Australians and New Zealanders with Kidney Impairment.Data SynthesisOne hundred and fifty guidelines met the inclusion criteria; 108 (72%) reported some degree of lived experience engagement in their development, of which 98 (91%) described engagement through all development stages and 95 (88%) reported their inclusion as guideline panel members. Other methods of engagement included participation in lived experience panels and advisory groups (10 guidelines, 9%) and online surveys (5 guidelines, 5%). Ninety-seven of 108 guidelines (90%) with lived experience engagement reported that people with lived experience were asked to decide, advise or vote on recommendations or guideline content. One person with lived experience participated in the development process for 61 guidelines (56%), two people for 14 guidelines (13%), 3–10 people for 19 guidelines (18%) and more than 10 people for 10 guidelines (9%). Little information was reported about the characteristics of participating people with lived experience. Sixty guidelines (56%) reported remunerating people with lived experience for their participation, 49 guidelines (45%) reported that they received practical support and 41 guidelines (38%) reported that group dynamics were managed to support lived experience engagement.ConclusionsIt is encouraging that most Australian guidelines published during 2014–2025 reported at least some lived experience engagement in their development. However, extensive lived experience engagement was not reported for the vast majority of guidelines. The engagement of people with lived experience in guideline development needs to be improved to ensure that their values, views and preferences are reflected.
Naomi MacPherson, Thomas Benning, Bernard Tso, Chuyue Wang, Antonia Arfaras, Brian A. Beh, Vanessa Cullen, Jessica D'Lima, Tony Finneran, David C. Fry, Michelle King, Alexander Meredith, Adrian O'Malley, Joanne Muller, Tari Turner, Samantha P. Chakraborty
Scoping review of variation in clinical guidelines for delivery of injectable long‐acting penicillin across Australia and Aotearoa New Zealand
Benzathine benzylpenicillin is a critical drug for Indigenous peoples and enablers of culturally safe care delivery should be considered for future administration guidance development
Shriyutha Vaka · Lisa J Whop · Sophie J Kirk · Laurens Manning · Rosemary Wyber
Values in health and health care for Indigenous people globally: an umbrella review
Culture, strong cultural identity, connection to land and Country, and spirit and spirituality are important values in health for Indigenous people
Lynda J Coe · Yvonne Dimitropoulos · Kiri Mealings · Dylan Barnes · Catherine M McMahon
Urgent care centres for reducing the demand on emergency departments: a scoping review of published quantitative and qualitative studies
Walk-in and after-hours clinics can help reduce the number of ED presentations and reduce health care costs
Feby Savira · Madison Frith · Clarissa J Aditya · Sean Randall · Naomi White · Andrew Giddy · Lauren Spark · Jamie Swann · Suzanne Robinson
The impact of patient enrolment in primary care on continuity and quality of care around the world, 2014–2024, and lessons for Australia: a scoping review
The Australian voluntary patient enrolment scheme should be continuously evaluated to assess levels of engagement by patients and general practices
Shona M Bates · Jialing Lin · Luke Allen · Michael Wright · Michael Kidd
The participation of Aboriginal and Torres Strait Islander parents in Australian trials of parenting programs for improving children's health: a scoping review
The specific needs and interests of Aboriginal and Torres Strait Islander families have not generally been considered in Australian trials of parenting programs
Jake MacDonald · Myles Young · Briana Barclay · Stacey McMullen · James Knox · Philip Morgan
