The Client's Goals Are My Primary Responsibility: A Qualitative Study Examining Dietitians' Perceptions of the Barriers and Facilitators to Incorporating Environmentally Sustainable Food Systems in Clinical and Food Services Practice Within Healthcar

This study underscores the important work that dietitians are already doing across countries with different yet comparable dietetic professions and health systems. Recognizing that the barriers and facilitators identified in this study will vary between nations, institutions and practitioners, four areas of consideration were suggested, including expanding the client-practitioner relationship to include planetary health; learning from what dietetics and nutrition professionals are doing in other countries; advocating for policy and organizational changes within healthcare, and communicating in the 'cost language' of decision-makers. This study identified that there may be gaps for some dietitians in understanding client-centredness in the context of planetary health. This study highlights the need for further research to support more formalized approaches to the incorporation of SFS and planetary health considerations across all dietetic practice areas.