The Environmental Dimension in the Training of Health Professionals: Theoretical Systematization and Bibliometric Analysis

Authors

DOI:

https://doi.org/10.62697/rmiie.v5i3.412

Keywords:

Climate change, professional competencies, socio-environmental determinants, planetary health

Abstract

The intensification of risks associated with climate change, pollution, biodiversity loss, and socio-environmental inequalities presents an unavoidable challenge to higher education in health: to incorporate the environmental dimension holistically and across all disciplines. This article aimed to systematize the scientific evidence supporting this integration from the perspectives of planetary health, One Health, and socio-environmental determinants. A mixed-methods approach was used, combining a theoretical systematization guided by PRISMA 2020 with a bibliometric analysis of Scopus records processed using VOSviewer 1.6.20 software. Nineteen studies were included for qualitative synthesis, and 234 records were used for data and metadata analysis. The results showed a sustained increase in publications since 2022, a predominance of reviews and descriptive studies, and a thematic concentration on planetary health, One Health, sustainability, climate change, and curriculum development. The bibliometric analysis identified five clusters of keyword co-occurrence: public health and environmental epidemiology, curriculum development, climate change and sustainability, human-animal-environment interface, and inequality and social justice. It concludes that there is a consensus on the need to mainstream these approaches into health curricula, although further empirical evidence needs to be strengthened and Latin American experiences explored in greater depth.

Downloads

Download data is not yet available.

References

Arroyo, R., Espinoza, J., & Lujan, A. (2021). Dimensión ambiental en la formación de profesionales de la salud: concepciones de los docentes de una universidad pública. Anales de la Facultad de Medicina, 82(1), 39–43. https://revistasinvestigacion.unmsm.edu.pe/index.php/anales/article/view/20751

Asaduzzaman, M., Ara, R., Afrin, S., Meiring, J., & Saif-Ur-Rahman, K. (2022). Planetary Health Education and Capacity Building for Healthcare Professionals in a Global Context: Current Opportunities, Gaps and Future Directions. International Journal of Environmental Research and Public Health, 19(18). https://doi.org/10.3390/ijerph191811786

Blom, I., Rupp, I., De Graaf, I., Kapitein, B., Timmermans, A., & Weiland, N. (2023). Putting planetary health at the core of the medical curriculum in Amsterdam. The Lancet. Planetary health, 7(1), e15-e17. https://doi.org/10.1016/s2542-5196(22)00316-3

Bonnamy, J., Levett-Jones, T., Carr, B., Lokmic-Tomkins, Z., Maguire, J., Catling, C., Pich, J., Fields, L., & Brand, G. (2024). Australian and New Zealand nursing and midwifery educators' planetary health knowledge, views, confidence and teaching practices: A descriptive survey study. Journal of Advanced Nursing, 81(12), 8170 - 8181. https://doi.org/10.1111/jan.16317

Carrión, C., Llamas, C., Safitri, E., Domènech-Panicello, C., Downward, G., Findyartini, A., Greviana, N., Murni, I., Lee, S., Llimós, M., Moreno, A., O’Brien, S., Ruiz‐Mallén, I., Soemantri, D., Widyahening, I., Ranakusuma, R., Fitriani, D., & O’Callaghan-Gordo, C. (2025). Conceptual frameworks, competencies, contents and teaching methods in planetary health education for health students and professionals: a global systematic scoping review. BMC Medical Education, 25. https://doi.org/10.1186/s12909-025-07450-x

Fink, H., Langselius, O., Vignat, J., Rumgay, H., Rehm, J., Martinez, R. X., Santero, M., Lopez-Pérez, L., Inoue, M., Zeng, H. M., Shield, K., Morgan, E., Ilbawi, A., & Soerjomataram, I. (2026). Global and regional burden of cancer attributable to modifiable risk factors to inform prevention. Nature Medicine. Advance online publication, 32. https://doi.org/10.1038/s41591-026-04219-7

Garzón-Villalba, X. (2024). Todos merecemos vivir en un ambiente limpio: desnutrición y contaminación en Ecuador. Journal of Public Health and Emergency, 8, 35. https://doi.org/10.21037/jphe-24-46

Hamerski Trombetta, G., Soares Rech, R., & Tetelbom Stein, A. (2023). Planetary health curriculum in higher education: Scoping review. International Health Trends and Perspectives, 3(3), 316–335. https://doi.org/10.32920/ihtp.v3i3.1804

Howick, J., Glasziou, P., & Aronson, J. K. (2010). The evolution of evidence hierarchies: What can Bradford Hill's 'guidelines for causation' contribute? Journal of the Royal Society of Medicine, 103(11). https://doi.org/10.1258/jrsm.2010.100146

Jacobsen, K., Waggett, C., Berenbaum, P., Bayles, B., Carlson, G., English, R., Guzmán, C., Gartin, M., Grant, L., Henshaw, T., Iannotti, L., Landrigan, P., Lansbury, N., Li, H., Lichtveld, M., McWhorter, K., Rettig, J., Sorensen, C., Wetzel, E., Whitehead, D., Winch, P., & Martin, K. (2024). Planetary health learning objectives: foundational knowledge for global health education in an era of climate change. The Lancet. Planetary health, 8(9), e706-e713. https://doi.org/10.1016/s2542-5196(24)00167-0

Judson, S., Ripp, K., Benzekri, N., LaBeaud, A., Veidis, E., Xie, M., Tin, A., Barry, M., & Rabinowitz, P. (2025). Medicine for a Changing Planet: Online Clinical Cases in Planetary Health and Infectious Diseases. Open Forum Infectious Diseases, 12(10). https://doi.org/10.1093/ofid/ofae691

LeClair, J., Luebke, J., Gingerich, S., Oakley, L., Olson, E., & Potter, T. (2024). The Future of Nursing for Planetary Health Is Today: Essential Transitions for Education and Research. Quality Advancement in Nursing Education - Avancées en formation infirmière, 10(4). https://doi.org/10.17483/2368-6669.1464

Lokmic-Tomkins, Z., Barbour, L., LeClair, J., Luebke, J., McGuinness, S., Limaye, V., Pillai, P., Flynn, M., Kamp, M., Leder, K., & Patz, J. (2024). Integrating planetary health education into tertiary curricula: a practical toolbox for implementation. Frontiers in Medicine, 11. https://doi.org/10.3389/fmed.2024.1437632

MacKenzie‐Shalders, K., Zadow, G., Hensley-Hackett, K., Marko, S., & McLean, M. (2023). Rapid review: Guides and frameworks to inform planetary health education for health professions. Health promotion journal of Australia: official journal of Australian Association of Health Promotion Professionals, 35(4), 864-874. https://doi.org/10.1002/hpja.819

Matthew, J., Pagea, J.E., Mckenziea, P.M., Bossuyt, P.M., Boutron, I., Hoffmann, T.C., Mulrow, C.D., Shamseer, L., Tetzlaff, J.M., Akl, E.A., Brennan, S.E., Chou, R., Glanville, J., Grimshaw, J.M., Hróbjartsson, A., Lalu, M.M., Li, T., Loder, E.W., Mayo-Wilson, E., ... & Moher, D. (2021). Declaración PRISMA 2020: Una guía actualizada para la publicación de revisiones sistemáticas. Revista Española de Cardiología, 74(9), 790-799. https://doi.org/10.1016/j.recesp.2021.06.016

Moro, C., McLean, M., & Phelps, C. (2022). Embedding planetary health concepts in a pre-medical physiology subject. Medical Teacher, 45(2), 179 - 186. https://doi.org/10.1080/0142159x.2022.2118041

Pan American Health Organization. (2024, June 26). Ecuador – Flood and landslide (PAHO, Secretaría de Gestión de Riesgos del Ecuador, NOAA CPC, ECHO Daily Flash). ReliefWeb. https://reliefweb.int/report/ecuador/ecuador-flood-and-landslide-paho-secretaria-de-gestion-de-riesgos-ecuador-noaa-cpc-echo-daily-flash-26-june-2024

Pendrey, C., Chanchlani, S., Beaton, L., & Madden, D. (2023). Planetary health: a new standard for medical education. Medical Journal of Australia, 219(11). https://doi.org/10.5694/mja2.52158

Riojas-Rodríguez, H., Zúñiga-Bello, P., & Schilmann, A. (2024). Salud planetaria: sindemias desde los escenarios de Latinoamérica y el Caribe. Revista de Salud Ambiental, 24(2), 206–223. https://ojs.diffundit.com/index.php/rsa/article/view/1700

Rodríguez Cabrera, I., Vicedo Tomey, A., Valcárcel Izquierdo, N., & Obregón Ballester, G. (2020). Necesidad de una formación ambiental en la carrera de medicina. Educación Médica Superior, 34(4), e2720. http://scielo.sld.cu/pdf/ems/v34n4/1561-2902-ems-34-04-e2720.pdf

Romanello, M., Di Napoli, C., Green, C., Kennard, H., Lampard, P., Scamman, D., ... & Costello, A. (2023). The 2023 report of the Lancet Countdown on health and climate change: the imperative for a health-centred response in a world facing irreversible harms. The Lancet, 402(10419), 2346-2394. https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(23)01859-7/abstract

Roopnarine, R., Webb, T., Riles, A., Tucker, C., Watson, B., & Chun, R. (2025). Can interprofessional education that embeds LeClair et al., 2024h be an effective platform for climate change education in veterinary and medical curricula? American journal of veterinary research, 1, 1-8. https://doi.org/10.2460/ajvr.24.12.0385

Selvam, R., Seguin, N., Zhang, L., Lacaille-Ranger, A., Sikora, L., Raiche, I., McIsaac, D., & Moloo, H. (2024). International Planetary Health Education in Undergraduate and Graduate Medical Curricula: A Scoping Review. Journal of graduate medical education, 16(6 Supp)l, 58-68. https://doi.org/10.4300/jgme-d-24-00027.1

Simon, J., Parisi, S., Wabnitz, K., Simmenroth, A., & Schwienhorst-Stich, E. (2023). Ten characteristics of high-quality planetary health education. Results from a qualitative study with educators, students as educators and study deans at medical schools in Germany. Frontiers in Public Health, 11. https://doi.org/10.3389/fpubh.2023.1143751

United Nations Children's Fund. (2025). Ecuador situations report and response plan No. 1 (Oil spill in Esmeraldas) – 07 April 2025. https://www.unicef.org/documents/ecuador-situation-report-and-response-plan-no-1-oil-spill-esmeraldas-07-april-2025

Walpole, S., Barna, S., Richardson, J., & Rother, H. (2019). Sustainable healthcare education: integrating planetary health into clinical education. The Lancet. Planetary health, 3(1), e6-e7. https://doi.org/10.1016/s2542-5196(18)30246-8

Yasobant, S., Daptardar, M., Kurup, K., Panwar, D., Bongcac, M., De Los Santos, M., Guinto, R., Saxena, D., & Tiwari, S. (2022). One (vis‐à‐vis Planetary, Eco) health: A landscape analysis of educational programs. Public Health Challenges, 1(4). https://doi.org/10.1002/puh2.24

Published

2026-06-26

How to Cite

Contreras-Velázquez, L. M., Pérez-Rodríguez, M., & Zambrano-Sanguinetti, L. (2026). The Environmental Dimension in the Training of Health Professionals: Theoretical Systematization and Bibliometric Analysis. Revista Mexicana De Investigación E Intervención Educativa, 5(3), 241–251. https://doi.org/10.62697/rmiie.v5i3.412