Climate change and health: intercultural dialogue strategies between primary-care physicians and patients : a systematic review

Ponte, Nidia; Alves, Fátima; Vidal, Diogo Guedes

http://hdl.handle.net/10400.2/20653

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Authors

Ponte, Nidia

Alves, Fátima

Vidal, Diogo Guedes

Abstract(s)

Climate change represents one of the most serious global threats to public health, with growing impacts on morbidity, mortality and health inequalities. These effects are not evenly distributed, and people and communities in greater social and cultural vulnerability are generally the most affected. At the same time, health services face growing challenges related to the socio-cultural diversity of their users, especially in primary health care, where the first contact with the system is established. Although the scientific literature recognises the importance of intercultural communication in the quality of care, there remains a critical gap in research that systematically explores how intercultural dialogue strategies have been thought through and applied in the context of the health impacts of climate change. Most existing studies treat these dimensions - healthcare, intercultural dialogue and climate change - in a fragmented way, without considering their intersection or combined effects on equity and community resilience. This fragmentation requires the review to be conducted based on three thematic blocks linked to each other: healthcare, intercultural dialogue and climate change. This mapping by blocks will make it possible to identify the existing contributions in each axis separately, and then explore their convergences, gaps and potential for integration. Recognising this dispersion, this review takes a critical and reflexive approach from the outset, seeking to build an analytical cartography of the field, sensitive to the methodological and epistemological diversity of the studies included. This review is link to the registered https://doi.org/10.17605/OSF.IO/AXYDW.

Keywords

Alterações Climáticas Climate Change Saúde Health Perceptions Perceções Interculturalidade Diálogo Intercultural Intercultural Dialogue

URI

http://hdl.handle.net/10400.2/20653

Citation

Ponte, N., Alves, F., & Vidal, D. G. (2025). Climate Change and Health: Intercultural Dialogue Strategies between Primary-Care Physicians and Patients – A Systematic Review (International Prospective Register of Systematic Reviews No. CRD420251038912). PROSPERO. https://www.crd.york.ac.uk/PROSPERO/view/CRD420251038912