Abstract

BackgroundInternational overview reports and the majority of scientific publications on interlinkages between nature and human health (NHI) do not seem to focus on the role of the health care sector. Primary health care (PHC) is often the first point of contact people have with the health care system and provides comprehensive, accessible, and community-based care that meets the health needs of individuals throughout their life. PHC is a vital backbone for linking knowledge and practice within the organization of health care. This scoping review aims to focus on the potential role of PHC in relation to NHI.ObjectiveThe objective of this protocol is to present the method used to scope international overview reports and scientific publications on what is mentioned on the integration of NHI in PHC.MethodsThe international overview reports have been screened for keywords relating to PHC. We developed a specific search strategy to scope scientific literature on NHI in relation to PHC. The scientific literature search ran in Web of Science (WOS) and PubMed from inception to May 2017. The scientific publications are screened by 2 independent reviewers, which will result in a list of relevant publications that meet eligibility and inclusion criteria.ResultsOn the basis of a first screen on the title of the first 200 results in both search engines, we decided to restrict to WOS. First insights in the international overview reports and the quantitative overview of the results in WOS give a first impression of a missing link between NHI and PHC. The findings are expected to identify knowledge gaps in the translation of evidence on NHI in PHC practices and the role of PHC regarding the application of that evidence in health care practice.ConclusionsThis is, to our knowledge, the first study that seeks to relate existing knowledge on NHI to PHC. The presentation of our method through this protocol allows researchers to build upon and improve our work in future research on the practical implementation of NIH. The findings of the scoping review are expected to guide future scientific research, international policy directives, and PHC workers to fill the gaps in the integration of NHI in PHC.International Registered Report Identifier (IRRID)DERR1-10.2196/12510

Highlights

  • BackgroundThe interlinkages between nature and human health (NHI) have been approached differently by health care over time and space

  • 2 international overview reports initiated by the European Commission (Directorate General Environment) on one hand [5] and World Health Organization (WHO)/Europe on the other hand [6] are included as they illustrate the new trend in the international interest, especially in industrialized and urbanized countries, for the potential human health benefits from nature

  • A first screen of the selected international overview reports on interlinkages between nature and human health Primary health care (PHC) (NHI) through the search for the PHC keywords has shown that the role of PHC remains mainly underreported

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Summary

Introduction

BackgroundThe interlinkages between nature and human health (NHI) have been approached differently by health care over time and space. The Dahlgren-Whitehead model portrays health as determined by a multilevel interaction running from individual to family to community to living and working social status to external forces of society, economy, culture, and environment [2] (Figure 1) This approach of human health reflects the increased attention for preventive health care complementing curative health care. International overview reports and the majority of scientific publications on interlinkages between nature and human health (NHI) do not seem to focus on the role of the health care sector. PHC is a vital backbone for linking knowledge and practice within the organization of health care This scoping review aims to focus on the potential role of PHC in relation to NHI.

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