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Peer-reviewedCC BY 4.0Yearbook of Medical Informatics

The Role of Digital Primary Care on Cardiovascular Health in a Changing Climate

  • Jitendra Jonnagaddala1
  • Debasish Kar2,3
  • Craig Kuziemsky4
  • Karen Tu5
  • Sabrina Kay Wye Wong6,7
  • Myron Godinho8
  • Anthony Paulo Sunjaya1,9
  • María Sofía Cuba Fuentes10
  • Javier Silva-Valencia11
  • Alvin B Marcelo12
  • Simon de Lusignan3
  • Siaw-Teng Liaw1,13
13 affiliations
  1. 1School of Population Health, UNSW Sydney Kensington Australia
  2. 2Community and Primary Care Research Group, University of Plymouth Plymouth UK
  3. 3Nuffield Department of Primary Care Health Sciences, University of Oxford UK
  4. 4MacEwan University Edmonton Alberta Canada
  5. 5Department of Family and Community Medicine, University of Toronto Toronto ON Canada
  6. 6National Healthcare Group Polyclinics Singapore
  7. 7Lee Kong Chian School of Medicine Singapore
  8. 8Westmead Applied Research Centre, The University of Sydney Westmead Australia
  9. 9Respiratory Health, The George Institute for Global Health Sydney Australia
  10. 10Centre for Research in Primary Health Care (CINAPS), Universidad Peruana Cayetano Heredia Peru
  11. 11Public Health Division, Pacific Community (SPC) Suva Fiji
  12. 12University of the Philippines Manila Philippines
  13. 13Discipline of General Practice, School of Clinical Medicine, UNSW Sydney NSW Australia
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Abstract

Objectives: Climate change poses a major threat to cardiovascular health, particularly for those who are more vulnerable. Digital primary care (DPC) offers innovative ways to mitigate these effects by incorporating digital health interventions (DHIs) into primary care settings. This paper reviews recent work in integrating climate data with DPC systems to improve cardiovascular outcomes.

Methods: We conducted a scoping review using PubMed to find studies from the past decade that examined how climate change affects cardiovascular disease (CVD) and primary care. We also included case studies from the International Medical Informatics Association Primary Care Informatics Working Group (IMIA PCI WG). We screened and selected studies based on predefined criteria that focused on climate change, CVD, and primary care integration, and data were extracted to identify research gaps and priorities.

Results: We included eight studies from PubMed and seven international case studies from the IMIA PCI WG. Key studies have shown that cold weather, air pollution, and wildfire smoke can affect CVD outcomes. However, there is still a lack of evidence on effectively combining climate data with DPC tools in primary care settings to improve cardiovascular outcomes.

Conclusions: DPC has the potential to improve cardiovascular health outcomes in the context of climate change. However, there is a need for more research and real-world evaluation of DPC tools. By integrating climate data with primary care systems, we can provide early warnings and targeted interventions, especially in low- and middle- income countries (LMICs). Future research should address these gaps to strengthen healthcare systems against the challenges posed by climate change.

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Cite

BibTeXRIS
BibTeX
@article{jonnagaddala2026role,
  title = {{The Role of Digital Primary Care on Cardiovascular Health in a Changing Climate}},
  author = {Jitendra Jonnagaddala and Debasish Kar and Craig Kuziemsky and Karen Tu and Sabrina Kay Wye Wong and Myron Godinho and Anthony Paulo Sunjaya and María Sofía Cuba Fuentes and Javier Silva-Valencia and Alvin B Marcelo and Simon de Lusignan and Siaw-Teng Liaw},
  journal = {Yearbook of Medical Informatics},
  year = {2026},
  month = nov,
  doi = {10.1055/s-0046-1816593},
  url = {https://doi.org/10.1055/s-0046-1816593},
  note = {CC BY 4.0},
}
RIS
TY  - JOUR
TI  - The Role of Digital Primary Care on Cardiovascular Health in a Changing Climate
AU  - Jitendra Jonnagaddala
AU  - Debasish Kar
AU  - Craig Kuziemsky
AU  - Karen Tu
AU  - Sabrina Kay Wye Wong
AU  - Myron Godinho
AU  - Anthony Paulo Sunjaya
AU  - María Sofía Cuba Fuentes
AU  - Javier Silva-Valencia
AU  - Alvin B Marcelo
AU  - Simon de Lusignan
AU  - Siaw-Teng Liaw
PY  - 2026
DA  - 2026/11/03
JO  - Yearbook of Medical Informatics
DO  - 10.1055/s-0046-1816593
UR  - https://doi.org/10.1055/s-0046-1816593
AB  - Objectives: Climate change poses a major threat to cardiovascular health, particularly for those who are more vulnerable. Digital primary care (DPC) offers innovative ways to mitigate these effects by incorporating digital health interventions (DHIs) into primary care settings. This paper reviews recent work in integrating climate data with DPC systems to improve cardiovascular outcomes.  Methods: We conducted a scoping review using PubMed to find studies from the past decade that examined how climate change affects cardiovascular disease (CVD) and primary care. We also included case studies from the International Medical Informatics Association Primary Care Informatics Working Group (IMIA PCI WG). We screened and selected studies based on predefined criteria that focused on climate change, CVD, and primary care integration, and data were extracted to identify research gaps and priorities.  Results: We included eight studies from PubMed and seven international case studies from the IMIA PCI WG. Key studies have shown that cold weather, air pollution, and wildfire smoke can affect CVD outcomes. However, there is still a lack of evidence on effectively combining climate data with DPC tools in primary care settings to improve cardiovascular outcomes.  Conclusions: DPC has the potential to improve cardiovascular health outcomes in the context of climate change. However, there is a need for more research and real-world evaluation of DPC tools. By integrating climate data with primary care systems, we can provide early warnings and targeted interventions, especially in low- and middle- income countries (LMICs). Future research should address these gaps to strengthen healthcare systems against the challenges posed by climate change.
SN  - 0943-4747
SN  - 2364-0502
ER  -