Publications

2025

Wiskel, Tess, Nathaniel Matthews-Trigg, Kristin Stevens, Thomas T Miles, Caleb Dresser, and Aaron Bernstein. (2025) 2025. “Frontline Clinic Administrator Perspectives on Extreme Weather Events, Clinic Operations, and Climate Resilience.”. The Journal of Ambulatory Care Management. https://doi.org/10.1097/JAC.0000000000000519.

Climate-sensitive extreme weather events are increasingly impacting frontline clinic operations. We conducted a national, cross-sectional survey of 284 self-identified administrators and other staff at frontline clinics determining their attitudes toward climate change and the impacts, resilience, and preparedness of clinics for extreme weather events. Most respondents (80.2%) reported that humans are causing climate change, and nearly half (45.9%) reported concerns about extreme weather impacting their job, with barriers to preparedness including financing and knowledge and resources. Over a third (41.8%) of respondents reported taking steps to protect their clinic infrastructure from extreme weather, including by addressing power and improving ventilation.

2024

Dresser, Caleb, Zachary Johns, Avery Palardy, Sarah McKINNON, Suellen Breakey, Ana M Viamonte Ros, and Patrice K Nicholas. (2024) 2024. “Toward a Climate-Ready Health Care System: Institutional Motivators and Workforce Engagement.”. The Milbank Quarterly 102 (2): 302-24. https://doi.org/10.1111/1468-0009.12687.

Policy Points The US health care system faces mounting pressure to reduce greenhouse gas emissions and adapt to the impacts of climate change; motivated institutions and an engaged health care workforce are essential to the development, implementation, and maintenance of a climate-ready US health care system. Health care workers have numerous profession-specific and role-specific opportunities to address the causes and impacts of climate change. Policies must address institutional barriers to change and create incentives aligned with climate readiness goals. Institutions and individuals can support climate readiness by integrating content on the health care implications of climate change into educational curricula.