{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T01:43:59Z","timestamp":1777859039079,"version":"3.51.4"},"reference-count":42,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2023,1,1]],"date-time":"2023-01-01T00:00:00Z","timestamp":1672531200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/100007316","name":"Division of Cancer Prevention, National Cancer Institute","doi-asserted-by":"publisher","award":["P50CA244289"],"award-info":[{"award-number":["P50CA244289"]}],"id":[{"id":"10.13039\/100007316","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100007316","name":"Division of Cancer Prevention, National Cancer Institute","doi-asserted-by":"publisher","award":["P50CA244289-03S1"],"award-info":[{"award-number":["P50CA244289-03S1"]}],"id":[{"id":"10.13039\/100007316","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Prim Care Community Health"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:p>As recent extreme weather events demonstrate, climate change presents unprecedented and increasing health risks, disproportionately so for disadvantaged communities in the U.S. already experiencing health disparities. As patients in these frontline communities live through extreme weather events, socioeconomic and health stressors are compounded; thus, their healthcare teams will need tools to provide precision ecologic medicine approaches to their care. Many primary care teams are taking actionable steps to bring community-level socioeconomic data (\u201ccommunity vital signs\u201d) into electronic medical records, to facilitate tailoring care based on a given patient\u2019s circumstances. This work can be extended to include environmental risk data, thus equipping healthcare teams with an awareness of clinical and community vital signs and making them better positioned to mitigate climate impacts on health. For example, if healthcare teams can easily identify patients who have multiple chronic conditions and live in an urban heat island, they can proactively arrange to \u201cprescribe\u201d an air conditioner, heat pump, and\/or air purifier. Or, when a severe storm\/heat event\/poor air quality event is predicted, they can take preemptive steps to get help to patients at high medical and socioeconomic risk, rather than waiting for them to arrive in the emergency department. Advances in health information technologies now make it technically feasible to integrate a wealth of publicly-available community-level data into EMRs. Efforts to bring this contextual data into clinical settings must be accelerated to equip healthcare teams to provide precision ecologic medicine interventions to their patients.<\/jats:p>","DOI":"10.1177\/21501319231170585","type":"journal-article","created":{"date-parts":[[2023,4,22]],"date-time":"2023-04-22T07:06:40Z","timestamp":1682147200000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Precision Ecologic Medicine: Tailoring Care to Mitigate Impacts of Climate Change"],"prefix":"10.1177","volume":"14","author":[{"given":"Jennifer E.","family":"DeVoe","sequence":"first","affiliation":[{"name":"Oregon Health & Science University, Portland, OR, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4064-1553","authenticated-orcid":false,"given":"Nathalie","family":"Huguet","sequence":"additional","affiliation":[{"name":"Oregon Health & Science University, Portland, OR, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4568-7136","authenticated-orcid":false,"given":"Sonja","family":"Likumahuwa-Ackman","sequence":"additional","affiliation":[{"name":"Oregon Health & Science University, Portland, OR, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew","family":"Bazemore","sequence":"additional","affiliation":[{"name":"American Board of Family Medicine, Washington, DC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rachel","family":"Gold","sequence":"additional","affiliation":[{"name":"OCHIN, Inc., Portland, OR, USA"},{"name":"Kaiser Permanente Northwest Center for Health Research, Portland, OR, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leah","family":"Werner","sequence":"additional","affiliation":[{"name":"Oregon Health & Science University, Portland, OR, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,4,22]]},"reference":[{"key":"bibr1-21501319231170585","doi-asserted-by":"publisher","DOI":"10.1029\/2019GH000202"},{"key":"bibr2-21501319231170585","doi-asserted-by":"publisher","DOI":"10.1001\/jama.291.10.1238"},{"key":"bibr3-21501319231170585","doi-asserted-by":"publisher","DOI":"10.1177\/0022146512455804"},{"key":"bibr4-21501319231170585","doi-asserted-by":"publisher","DOI":"10.1136\/jech.2005.044727"},{"key":"bibr5-21501319231170585","unstructured":"World Health Organization. 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