BULLETIN No 15 - AOÛT 2026

Cette veille scientifique de l’INESSS a comme objectif de nourrir la réflexion sur l’impact environnemental des systèmes de santé et sur les considérations environnementales en évaluation des technologies en santé (ETS). Chaque bulletin présente une sélection de publications, issues des littératures scientifique et grise, organisée en trois axes :

Sources

PubMed, MEDLINE, Embase, CINAHL Complete, HealthcareLCA, GreenFILE, sites Web d’organisations en évaluation des technologies de la santé et d’associations pour la santé environnementale (dernière mise à jour : 2026-07-23).

Intégration des considérations environnementales en ETS

Integrating environmental considerations in HTA: The strategy of the Institut national d’excellence en santé et services sociaux (INESSS)
International Journal of Technology Assessment in Health Care (juillet 2026)

Image : The goal, objectives, rationales, and means of the strategy.

Source : Lehoux et al. (2026)

Next-generation methods in health technology assessment (HTA): Need, rigor, and implementability
International Journal of Technology Assessment in Health Care (juillet 2026)

Image : Summary of the need, rigor, and implementability of environmental sustainability, adaptive HTA, and AI and RWE in HTA.

Source : Richardson et al. (2026)

Counting costs and carbon: A decision model for greener healthcare policy
Health Policy (juin 2026)

Systèmes de santé et de services sociaux

Sous-thématiques

Impact environnemental

A primer on Scope 3 emissions Category 1: Purchased goods and services
Canadian Coalition for Green Health Care et MaRS Discovery District (juin 2026)

Five years of Greener NHS: Improved carbon footprint assessment of the National Health Service in England
The Lancet – Planetary Health (mai 2026)

Image : Diagram of the emission sources included in the National Health Service Carbon Footprint (NHSCF) and National Health Service Carbon Footprint Plus (NHSCF+) and how they relate to the GHG Protocol scopes.

Source : Simpson et al. (2026)

Adaptation aux changements

4Ps framework: Practical actions to protect individual health in the current climate crisis
BMJ Leader (juin 2026)

Health integration in national climate adaptation policies from 198 countries: A global policy analysis
The Lancet – Planetary Health (mai 2026)

Initiating transformative medical practices to address environmental challenges – proceedings of "Santé en 2050", the French national conference on healthcare adaptation
Reviews on Environmental Health (mars 2026)

Initiatives en cours à l'international

Towards a greener pharmaceuticals' regulatory highway: A framework for regulators as enablers of decarbonization
World Health Organization (juillet 2026) : « This framework provides a roadmap for how pharmaceutical regulatory systems can support innovation that reduces the climate impact of medicines for human use while maintaining standards of safety, quality and efficacy and ensuring timely, affordable and equitable access for patients. »

First studies funded under initiative to decarbonise health and social care
National Institute for Health and Care Research (juillet 2026)

MHRA approves world's first lower-carbon beclometasone inhalers for patients with asthma
Medicines and Healthcare products Regulatory Agency (juillet 2026)

Promoting sustainable prescribing—A case study presenting experiences from two Swedish Drug and Therapeutics Committees
Pharmacology Research & Perspectives (juin 2026)

The healthcare leaders' handbook for setting decarbonisation targets
Health Care Without Harm – Europe (juin 2026)

Mapping the regulatory landscape for environmental sustainability of medical device practices within the European Union
European Journal of Public Health (avril 2026)

Au Canada

Decarbonization in action: Implementing climate solutions in Canadian hospitals
Canadian Coalition for Green Health Care (juillet 2026)

Canadian Medicine Carbon Footprint (MCF) Formulary
Canadian Coalition for Green Health Care (juin 2026) – Créer un compte : « The Canadian MCF Formulary provides MCF Ratings for about 800 medicines that are frequently prescribed in Canada, covering the cardiovascular system, anti-infectives for systemic use, nervous system, and the alimentary tract and metabolism. The Canadian MCF Formulary is a free educational tool designed to encourage awareness and research about the carbon emissions of common medicines. It is not a clinical decision-making tool. »

Le gouvernement du Canada accorde plus de 17 millions de dollars pour lutter contre les répercussions des changements climatiques sur la santé
Santé Canada (juin 2026) : « Ce programme comprend deux volets : des systèmes de santé résilients aux changements climatiques et à faibles émissions de carbone (ADAPTATIONSanté) ; et, la protection des personnes au Canada contre les vagues de chaleur extrême (ADAPTATIONChaleur). »

SE-QI Toolkit national launch: Making sustainability part of everyday quality improvement
CASCADES (juin 2026) 💻 Webinaire

Réflexions sur les changements de pratiques

Allied health professions (AHP) engagement with and leadership towards actionable carbon reduction interventions to meet the NHS net zero agenda: A consensus study
BMJ Leader (juillet 2026)

Reconciling subsistence emissions and prevention in environmentally sustainable healthcare
Journal of Bioethical Inquiry (juillet 2026)

Reusing single-use medical devices: How reprocessing makes healthcare cheaper, healthier and hospitals more resilient
Health Care Without Harm – Europe (juillet 2026)

The need to harmonise environmental sustainability assessments for pharmaceuticals
One Health Breakthrough Partnership (juin 2026)

How the carbon footprint of medications can be integrated into our prescriptions
Kidney International (juin 2026)

Impact environnemental des médicaments et pistes pour une utilisation plus écoresponsable
Revue Médicale de Liège (mai-juin 2026)

L'Éco-santé : regards croisés sur la pratique en soins primaires
Revue Médicale de Liège (mai-juin 2026)

Sustainable electronics in health technology - Using environmental life cycle assessments for circular business models
Cleaner Environmental Systems (mai 2026)

Image : Identified areas that influence LCA integration into CBMs.

Source : Abedi et al. (2026)

Towards the development of a framework for monitoring and evaluating the multidimensional sustainability of healthcare organisations: A scoping review protocol
BMJ Open (mai 2026)

Reducing carbon emissions in the healthcare sector: A real-time delphi on challenges and enablers
Global Bioethics (mai 2026)

Applications en contextes cliniques

Sous-thématiques

Milieux de soins et pathologies

Greenhouse gas emissions from surgical care: A retrospective cohort study of scope 1 and scope 2 emissions across specialties and operative approaches
BMJ Open (juillet 2026)

Conceptual approaches to guideline-relevant carbon footprint evaluation in dermatological treatments
British Journal of Dermatology (juin 2026)

Environmental footprint of peritoneal dialysis in Europe: A comparative life cycle assessment across four European centres
Clinical Kidney Journal (juin 2026)

Image : The environmental footprint of peritoneal dialysis in Europe: A comparative life cycle assessment across four European centres.

Source : Fehintola et al. (2026)

Advancing green nephrology: A scoping review of sustainability interventions in kidney care
International Urology and Nephrology (juin 2026)

Improving cancer care while reducing its carbon footprint: GHG-mitigating strategies highlighted at ESMO 2025
BJC Reports (juin 2026)

Environmental sustainability in palliative care: A narrative review
Annals of Palliative Medicine (mai 2026)

The environmental impact of diagnostic imaging: Opportunities for pediatric radiologists
Pediatric Radiology (mai 2026)

The environmental impacts of surgical care pathways: Same-day-discharge versus enhanced recovery following minimally invasive colectomy and stoma reversal
Surgical Endoscopy (mars 2026)

Environmental impact of eye care procedures and visual healthcare services
Ophthalmology (janvier 2026)

Médicaments et technologies

From infusion to push: Implementation of an intravenous iron administration quality improvement and waste reduction initiative in the hemodialysis unit
Healthcare Management Forum (juillet 2026)

From patient to planet: Integrating climate impact into a hospital medicine initiative reducing blood urea nitrogen testing
BMJ Open Quality (juillet 2026)

Economic and environmental impact of reducing unnecessary coagulation screen testing on an acute medical unit: A quality improvement project
Postgraduate Medical Journal (juillet 2026)

Appropriate thyroid test ordering: When clinical excellence meets environmental sustainability
Annales d'Endocrinologie (juillet 2026)

The environmental impacts and costs of cefotaxime versus ceftriaxone: An example drawn from Paris hospitals
Infectious Diseases Now (juillet 2026)

Comprehensive multicriteria life cycle assessment of biopsy processing in a surgical pathology department
American Journal of Clinical Pathology (juin 2026)

Sustainability of large-scale artificial intelligence models in health care
The Lancet Digital Health (juin 2026)

Artificial intelligence in dermatology: Clinical promise and environmental impact
Journal of Investigative Dermatology (juin 2026)

Image : AI in dermatology: Promise vs. Planet.

Source : Shen et al. (2026)

Environmental benefits of switching from intravenous to oral administration of ciprofloxacin
Journal of Antimicrobial Chemotherapy (juin 2026)

Exploring the impact of delivering allergy medication as self-care on healthcare greenhouse gas emissions in the United Kingdom
Advances in Therapy (juin 2026)

Are single-use duodenoscopes a cost-effective alternative to their reusable counterparts? Economic evaluation incorporating environmental impacts
Gastrointestinal Endoscopy (juin 2026)

Harmonizing diagnostic ultrasound practice with environmental sustainability: A life cycle assessment of diagnostic ultrasound in a single adult university hospital
Journal of the American College of Radiology (avril 2026)

Economic impact of disposable versus reusable instruments in minimally invasive surgery: A systematic review
Surgical Endoscopy (avril 2026)

Exploring sevoflurane consumption and CO2 emissions of individual patients undergoing noncardiac surgery using a target-controlled sevoflurane administration system
Journal of Clinical Monitoring and Computing (avril 2026)

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