title: It's here! Are we ready? Five case studies of health promotion practices that address climate change from within Victorian health care settings.
abstract: OBJECTIVE
  Climate changes and environmental degradation caused by anthropogenic activities are having an irrefutable impact on human health. The critical role played by health promotion in addressing environmental challenges has a history in seminal charters--such as the Ottawa Charter for Health Promotion--that explicitly link human well-being with the natural environment. The lack of documented practice in this field prompted an investigation of health promotion practice that addresses climate change issues within health care settings.
  
  
  METHODS
  This qualitative study involved five case studies of Victorian health care agencies that explicitly identified climate change as a priority. Individual and group interviews with ten health promotion funded practitioners as well as document analysis techniques were used to explore diverse practices across these rural, regional and urban health care agencies.
  
  
  RESULTS
  Health promotion practice in these agencies was oriented toward: active and sustainable transport; healthy and sustainable food supply; mental health and community resilience; engaging vulnerable population groups such as women; and organisational development.
  
  
  CONCLUSIONS
  Despite differences in approach, target population and context, the core finding was that health promotion strategies, competencies and frameworks were transferable to action on climate change in these health care settings.
authors.affiliation: School of Health & Social Development, Deakin University, Burwood, Victoria. rebecca.patrick@deakin.edu.au
authors.forename: Rebecca
authors.initials: R
authors.lastname: Patrick
authors.forename: Teresa
authors.initials: T
authors.lastname: Capetola
mesh_terms: D000328:Adult; D057231:Climate Change; D003256:Community Participation; D005260:Female; D005523:Food Supply; D006282:Health Personnel / Q000458:organization & administration; D006291:Health Policy; D006293:Health Promotion / Q000379:methods / Q000458:organization & administration*; D006801:Humans; D008603:Mental Health; D008875:Middle Aged; D019982:Organizational Case Studies; D011320:Primary Health Care / Q000458:organization & administration; D036301:Qualitative Research; D014739:Victoria; D035862:Vulnerable Populations; D014932:Women's Health Services / Q000458:organization & administration