Planetary Health Pathways for Primary Care Providers : Integrating Whole Health Perspectives - 21/09/26

Doi : 10.1016/j.pop.2026.07.003

Aterah Z. Nusrat, MSc, DIC ^a,^⁎ , Christine Vatovec, PhD ^b, Ann Vertovec, MD ^c, Katherine J. Cornwall, PhD ^d, Bruce Barrett, MD, PhD ^d

^a Division of Preventive Medicine, Department of Medicine, Osher Center for Integrative Health at Harvard Medical School and Brigham and Women’s Hospital, 900 Commonwealth Avenue, Boston, MA 02215, USA

^b College of Nursing and Health Sciences, Gund Institute for the Environment, Osher Center for Integrative Health, Gund Institute for Environment, University of Vermont, 184 South Prospect Street, Burlington, VT 05405, USA

^c Department of Emergency Medicine, Osher Center for Integrative Health, Northwestern University, 625 N. Michigan Avenue Suite 2700, Chicago, IL 60611, USA

^d Department of Family Medicine and Community Health, School of Medicine and Public Health, University of Wisconsin-Madison, 610 N Whitney Way, Madison, WI 53705, USA

^∗ Corresponding author. Osher Center for Integrative Health at Harvard Medical, School and Brigham and Women's Hospital, Division of Preventive Medicine, Department of Medicine, Brigham and Women's Hospital, 3rd Floor, 900 Commonwealth Avenue, Boston, MA 02215. Osher Center for Integrative Health at Harvard Medical School and Brigham and Women's Hospital Division of Preventive Medicine Department of Medicine Brigham and Women's Hospital 3rd Floor Boston MA 02215

Sous presse. Épreuves corrigées par l'auteur. Disponible en ligne depuis le Monday 21 September 2026

Résumé

Primary care providers are uniquely positioned to help patients respond to the increasing health impacts of environmental degradation and climate change. We identify 10 key “planetary determinants of health,” outline environmental harms of current primary care practices and present opportunities to improve the efficiency and effectiveness of conventional diagnostics, therapeutics, and chronic disease management. We also address the limited capabilities of existing primary care systems to meet these health challenges by proposing integrated wellness-based conceptual and pragmatic frameworks that prioritize prevention, resilience, and lifestyle adaptation: integrative medicine, whole person health, and planetary health .

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Keywords : Primary care, Planetary health, Whole person health, Integrative health, Climate change