{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T06:55:48Z","timestamp":1790751348687,"version":"4.1.0"},"reference-count":48,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T00:00:00Z","timestamp":1790726400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Health Serv."],"abstract":"<jats:p>\n                    Primary healthcare, climate-related health impacts, and intercultural dialogue are increasingly relevant to health equity and health service adaptation, yet it remains unclear whether these domains form an integrated research field or remain partially connected literatures. This systematic bibliometric analysis addresses this question by mapping how primary healthcare, climate-related health impacts, and intercultural dialogue appear in the literature. For this purpose, records were retrieved from Scopus, Web of Science Core Collection, PubMed, SciELO, RCAAP and Google Scholar, with additional records identified through exploratory searching and the lead author's library. Records published between 1 January 2007 and 31 March 2026 in English, Portuguese or Spanish were included if they addressed one or more domains of the pre-specified Population\u2013Exposure\u2013Outcome framework: primary healthcare physicians and culturally diverse adult patients (Population); direct or indirect health impacts of climate change (Exposure); and intercultural dialogue strategies relevant to the primary-care doctor\u2013patient relationship (Outcome). Records were managed in Rayyan and Microsoft Excel. Descriptive analyses characterised search yield, source contribution, screening attrition, document profile, language, geographical context, publication venues and citation visibility. VOSviewer supported keyword co-occurrence, temporal overlay and co-authorship mapping. These analyses were conducted on the full-text assessed corpus, distinct from the smaller subset retained for qualitative synthesis. Searches identified 19,211 records: 13,816 after deduplication; 801 reports sought for retrieval, of which 56 could not be retrieved. This left 745 reports for full-text assessment, none of which met the complete Population\u2009+\u2009Exposure\u2009+\u2009Outcome configuration; the strongest partial intersection comprised 64 reports addressing only Population and Outcome. Keyword co-occurrence analysis reinforced this pattern: a consolidated thematic core centred on access to healthcare, cultural competence, primary healthcare, communication, migrant populations and sociocultural diversity, whereas climate-related terms remained more peripheral, more recent and less structurally embedded. Taken together, these findings indicate that primary healthcare, climate-related health impacts and intercultural dialogue remain adjacent rather than integrated bodies of literature, with cultural competence and migrant-health research far more consolidated than the climate-health dimension. Closing this gap requires research that directly examines how climate-sensitive health risks are recognised, communicated and negotiated in intercultural primary-care encounters, to inform both clinical training and climate-adaptation policy.\n                    <jats:bold>Systematic Review Registration<\/jats:bold>\n                    :\n                    <jats:ext-link>https:\/\/www.crd.york.ac.uk\/PROSPERO\/view\/CRD420251038912<\/jats:ext-link>\n                    , PROSPERO CRD420251038912.\n                  <\/jats:p>","DOI":"10.3389\/frhs.2026.1909093","type":"journal-article","created":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T06:01:47Z","timestamp":1790748107000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Primary healthcare, climate-related health impacts and intercultural dialogue: bibliometric evidence of a fragmented research field"],"prefix":"10.3389","volume":"6","author":[{"given":"Nidia","family":"Ponte","sequence":"first","affiliation":[{"name":"Department of Social Sciences and Management, Universidade Aberta","place":["Lisbon, Portugal"]},{"name":"Centre for Functional Ecology - Science for People & the Planet (CFE), TERRA Associate Laboratory, Department of Life Sciences (DCV), University of Coimbra (UC)","place":["Coimbra, Portugal"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F\u00e1tima","family":"Alves","sequence":"additional","affiliation":[{"name":"Department of Social Sciences and Management, Universidade Aberta","place":["Lisbon, Portugal"]},{"name":"Centre for Functional Ecology - Science for People & the Planet (CFE), TERRA Associate Laboratory, Department of Life Sciences (DCV), University of Coimbra (UC)","place":["Coimbra, Portugal"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diogo Guedes","family":"Vidal","sequence":"additional","affiliation":[{"name":"Department of Social Sciences and Management, Universidade Aberta","place":["Lisbon, Portugal"]},{"name":"Centre for Functional Ecology - Science for People & the Planet (CFE), TERRA Associate Laboratory, Department of Life Sciences (DCV), University of Coimbra (UC)","place":["Coimbra, Portugal"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,9,30]]},"reference":[{"key":"B1","year":"2023"},{"key":"B2","doi-asserted-by":"publisher","first-page":"129","DOI":"10.1016\/S0140-6736(20)32290-X","article-title":"The 2020 report of the Lancet Countdown on health and climate change: responding to converging crises","volume":"397","author":"Watts","year":"2021","journal-title":"Lancet"},{"key":"B3","doi-asserted-by":"publisher","first-page":"78","DOI":"10.1111\/imig.13198","article-title":"Human mobility and environmental degradation: shaping rural Morocco","volume":"62","author":"Fernandes","year":"2024","journal-title":"Int Migr"},{"key":"B4","doi-asserted-by":"publisher","first-page":"e4104181","DOI":"10.47820\/recima21.v4i10.4181","article-title":"Doen\u00e7as transmitidas por vetores num contexto de altera\u00e7\u00f5es clim\u00e1ticas: antecipando riscos para uma melhor prepara\u00e7\u00e3o dos territ\u00f3rios. 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