BACKGROUND There is a pressing need for healthcare to respond to the climate crisis. Family physicians, given their central role in community healthcare provision, are strategically placed to lead, support, and promote sustainable healthcare, yet guidance on how to do this is fragmented. OBJECTIVE To identify and evaluate toolkits and aids on sustainable healthcare to act as a curated resource for family physicians and their care teams interested in delivering evidence-based sustainable healthcare in their clinical practices. METHODS A scoping review was completed of the published and grey literature across 4 databases and 2 search engines to identify articles and aids/toolkits from 1990 to present. Toolkits were subsequently evaluated for purpose, evidence-base, implementation process, adaptability to family medicine, and outcome measures. RESULTS The search identified 17,751 articles. Screening resulted in 20 published articles and 11 toolkits. Most articles presented simple checklists to support greening clinic initiatives, 3 studies focussed on partial carbon footprint analyses, and 4 on educational initiatives. Toolkits ranged in sustainability topics and degree of depth covered, and adaptability and outcome measures. None of the resources identified have been formally evaluated for effectiveness. CONCLUSIONS A range of aids exist to support greening of clinic operations; however, there is a significant gap in the literature for greening clinical care. Two toolkits were found to be comprehensive, one requiring tracking and reporting of sustainability initiatives. This scoping review provides a starting point for motivated family doctors and community clinics to initiate change and support more sustainable healthcare.

中文翻译：

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绿化家庭医学诊所运作和临床护理，我们从哪里开始？工具包和辅助工具的范围界定审查。

背景迫切需要医疗保健来应对气候危机。鉴于家庭医生在社区医疗保健服务中的核心作用，他们在战略上处于领导、支持和促进可持续医疗保健的位置，但关于如何做到这一点的指导却很零散。目标 确定和评估可持续医疗保健的工具包和辅助工具，作为有兴趣在其临床实践中提供循证可持续医疗保健的家庭医生及其护理团队的精选资源。方法 对 4 个数据库和 2 个搜索引擎的已发表文献和灰色文献进行了范围界定审查，以识别 1990 年至今的文章和辅助工具/工具包。随后对工具包进行了目的、证据基础、实施过程、对家庭医学的适应性和结果测量的评估。结果 检索确定了 17,751 篇文章。筛选产生了 20 篇发表的文章和 11 个工具包。大多数文章提供了简单的清单来支持绿色诊所计划，3 篇研究侧重于部分碳足迹分析，4 篇关于教育计划。工具包涵盖可持续性主题和涵盖的深度，以及适应性和成果措施。所确定的资源都没有经过正式的有效性评估。结论 存在一系列辅助手段来支持诊所运营的绿色化；然而，关于绿色临床护理的文献存在重大差距。两个工具包被发现是全面的，一个需要跟踪和报告可持续性举措。