While increasing literature demonstrating the direct and indirect impacts of climate change focuses on health, the capacity and preparedness of healthcare systems to deal with these impacts are less frequently considered. Here we performed a systematic analysis of peer-reviewed and grey literature to assess the current and projected coping capacity for healthcare systems under climate change. Data from the 129 included publications focused broadly on seven topics: workforce, tools and frameworks, infrastructure and urban planning, communication, surge capacity and increased system burden, service interruption and financial costs. Publications were biased towards high-level representation of acute disaster events, particularly in Global North countries. Non-peer-reviewed literature such as policy and planning documents, which may offer further insights into preparedness, were under-represented and could be a feature of next-generation research. Health systems need to be future proofed through effective policies, adequately trained workforces and redesigned infrastructure to meet the increasing burdens of climate change.

虽然越来越多的文献表明气候变化对健康的直接和间接影响，但很少考虑医疗保健系统应对这些影响的能力和准备情况。在这里，我们对同行评审和灰色文献进行了系统分析，以评估医疗系统当前和预计的气候变化应对能力。 129 份出版物的数据主要集中在七个主题：劳动力、工具和框架、基础设施和城市规划、通信、激增能力和增加的系统负担、服务中断和财务成本。出版物偏向于对严重灾害事件的高层报道，特别是在北半球国家。政策和规划文件等未经同行评审的文献可能会为准备工作提供进一步的见解，但代表性不足，可能会成为下一代研究的一个特点。卫生系统需要通过有效的政策、经过充分培训的劳动力和重新设计的基础设施来应对未来日益增长的气候变化负担。