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From Crisis To Strategy: Mainstreaming Climate Risk In Health Systems Planning.

Climate change poses a growing threat to health care systems worldwide, exposing weaknesses in infrastructure, workforce, and governance. Climate risk--defined by the interaction of hazard, exposure, and vulnerability--is both similar to and distinct from other systemic risks that health care system...

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Published in:Health Affairs Vol. 45; no. 5; pp. 489 - 497
Main Authors: Sorensen, Cecilia, Borghi, Josephine, Bauhoff, Sebastian
Format: Journal Article
Published: Health Affairs Publishing, LLC May2026
Online Access:View this record in EBSCOhost
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      dt: May2026
      vid: 45
      iid: 5
      pid: 1453
      pub: Health Affairs Publishing, LLC
      place: Washington, District of Columbia
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        193740747
        10.1377/hlthaff.2025.01641
        193740747
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        atl: From Crisis To Strategy: Mainstreaming Climate Risk In Health Systems Planning.
      aug:
        au:
          Sorensen, Cecilia
          Borghi, Josephine
          Bauhoff, Sebastian
        affil: Columbia University, New York, New York
      sug:
        subj:
          Implementation Science Pacific Islands
          Climate Change Adverse Effects
          Risk Assessment
          Health Systems Agencies
          Adaptation, Psychological
          Conceptual Framework
          Health Knowledge
          Health Policy
          Hardiness
          Public Health
          Community Health Workers
          Pacific Islands
      ab: Climate change poses a growing threat to health care systems worldwide, exposing weaknesses in infrastructure, workforce, and governance. Climate risk--defined by the interaction of hazard, exposure, and vulnerability--is both similar to and distinct from other systemic risks that health care systems must manage. We propose a risk-based framework that integrates insights from disaster risk management and health systems thinking to identify adaptation strategies. Our approach emphasizes understanding and addressing the upstream determinants of climate risk, including the intersectoral operating environment and social and environmental vulnerabilities that amplify health impacts. This perspective links climate risk reduction to the broader agenda of health equity.Within the health sector, climate change exerts simultaneous pressure on both demand and supply, challenging systems to move from reactive crisis response toward proactive, risk-informed planning. Established tools--such as strategic investment, workforce planning, and emergency preparedness--can be leveraged to manage climate-related risks while advancing core health policy goals. Framing climate change as a systemic risk encourages the integration of climate considerations into everyday policy and planning and strengthens health care system performance.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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