The Role of Hospice and Palliative Care in Addressing Climate Change.

Climate change is a defining global health challenge of our time, acting as a threat multiplier that erodes decades of health gains and worsens social inequities. People living with serious illness, the population served by Hospice and Palliative Care (HaPC) professionals, are particularly vulnerable to these impacts. While leading health organizations have acknowledged the public health implications of climate change, HaPC has remained largely absent from this discourse. This narrative review and framework proposal situates the field's competencies within the growing climate and health literature and identifies avenues through which HaPC can contribute to addressing climate change. We argue that HaPC professionals - drawing on strengths in serious illness communication, interdisciplinary collaboration, and person-centered care - are uniquely positioned to advance equitable climate adaptation and mitigation at the individual, organizational, and societal levels. Through climate advocacy and climate-conscious care, HaPC professionals can protect patients' health while helping shape healthcare's broader response to climate change.