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Enhancing Health System Resilience: An Operational Imperative for Climate-Adaptive Healthcare

Articles in Press

Document Type : Letter to the Editor

Authors
Ali Ramezankhani 1
Mansoure Alipour-Anbarani 2
1 Professor, Health Promotion Research Center and Department of Epidemiology, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
2 Assistant Professor, Department of Health Education and Health Promotion, Faculty of Health, Sabzevar University of Medical Sciences, Sabzevar, Iran.
10.22034/hp.2026.588532.1085
Abstract
Climate change has emerged as a direct and escalating determinant of healthcare system performance, disrupting service delivery through extreme weather events, infrastructure stress, and shifting disease patterns. Despite growing recognition of these challenges, the operational integration of climate resilience into health systems remains limited. This letter proposes a concise operational framework—the Climate-Adaptive Clinical Governance Model (CACGM)—which integrates climate intelligence, infrastructure resilience, workforce preparedness, and interdisciplinary governance. The framework can be useful in supporting a transition from reactive crisis management to anticipatory, system-level preparedness in climate-sensitive health care.
Keywords
Climate-Resilient Health Systems
Clinical Governance
Climate Change
Health Infrastructure
Health System Resilience
Health Providers

Articles in Press, Accepted Manuscript
Available Online from 25 June 2026