• Family practice · May 2023

    Review

    Greening Family Medicine clinic operations and clinical care, where do we start? A scoping review of toolkits and aids.

    • Sonja C Wicklum, Kate Nuique, Martina A Kelly, Colleen C Nesbitt, Jessica J Zhang, and Clark P Svrcek.
    • Department of Family Medicine, University of Calgary, Cumming School of Medicine, Calgary, AB, Canada.
    • Fam Pract. 2023 May 31; 40 (3): 473485473-485.

    BackgroundThere is a pressing need for healthcare to respond to the climate crisis. Family physicians, given their central role in community healthcare provision, are strategically placed to lead, support, and promote sustainable healthcare, yet guidance on how to do this is fragmented.ObjectiveTo identify and evaluate toolkits and aids on sustainable healthcare to act as a curated resource for family physicians and their care teams interested in delivering evidence-based sustainable healthcare in their clinical practices.MethodsA scoping review was completed of the published and grey literature across 4 databases and 2 search engines to identify articles and aids/toolkits from 1990 to present. Toolkits were subsequently evaluated for purpose, evidence-base, implementation process, adaptability to family medicine, and outcome measures.ResultsThe search identified 17,751 articles. Screening resulted in 20 published articles and 11 toolkits. Most articles presented simple checklists to support greening clinic initiatives, 3 studies focussed on partial carbon footprint analyses, and 4 on educational initiatives. Toolkits ranged in sustainability topics and degree of depth covered, and adaptability and outcome measures. None of the resources identified have been formally evaluated for effectiveness.ConclusionsA range of aids exist to support greening of clinic operations; however, there is a significant gap in the literature for greening clinical care. Two toolkits were found to be comprehensive, one requiring tracking and reporting of sustainability initiatives. This scoping review provides a starting point for motivated family doctors and community clinics to initiate change and support more sustainable healthcare.© The Author(s) 2023. Published by Oxford University Press.

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