BULLETIN No 10 - JUILLET 2025

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 : 2025-05-05).

Intégration des considérations environnementales en ETS

How can HTA shape a more sustainable future for healthcare?
York Health Economics Consortium (avril 2025)

HTA responsiveness to today's challenges to health systems: A responsible innovation in health perspective ⭐⭐⭐
International Journal of Technology Assessment in Health Care (mars 2025)

Image : The direction taken by new technologies tends to exacerbate today’s key challenges to health systems

Source : Lehoux et al., 2025

Incorporating sustainability into health technology assessment
Global Consortium on Climate and Health Education (mars 2025) 💻 Webinaire

Leveraging stringency and lifecycle thinking to advance environmental sustainability in health technology regulation
Health Affairs Scholar (février 2025)

Systèmes de santé et de services sociaux

Sous-thématiques

Impact environnemental

Environmental costs in healthcare system: The case studies of Greece health care
BMC Health Services Research (avril 2025)

Estimates of Australian health system greenhouse gas emissions, 2021-22
Australian Centre for Disease Control (avril 2025)

Building climate-resilient and low-carbon healthcare systems in Canada: A need for policy shift for a path to net zero
Healthcare Management Forum (mars 2025)

The greenhouse gas emissions of pharmaceutical consumption and production: An input–output analysis over time and across global supply chains
The Lancet Planetary Health (mars 2025)

Health system performance on greenhouse gas emissions, climate change and development status in 38 OECD countries
Scientific Reports (février 2025)

Image : Healthcare's unique challenge

Source : Braithwaite et al., 2025

Initiatives en cours à l'international

Transition Action! Schéma directeur de la transition écologique 2024-2027
Assurance Maladie – France (avril 2025)

A nationwide approach to reduction in anaesthetic gas use: The Dutch Approach to decarbonising anaesthesia
British Journal of Anaesthesia (avril 2025)

UK Hub for One Health Systems: Creating sustainable health and social care pathways – A groundbreaking step towards net zero healthcare
One Health Breakthrough Partnership (mars 2025) – « Seven new transdisciplinary research hubs will explore ways to ensure the UK’s transition to net zero also protects and promotes physical and mental health. » (UK Research and Innovation, 2025)

Operation Zero : première étape vers la décarbonisation des soins de santé!
Environnement – Santé Belgique (février 2025) : « L’étude s’articule autour de trois volets : 1. Un aperçu des émissions de gaz à effet de serre du secteur, 2. Une feuille de route projetant l’évolution des émissions et proposant des actions politiques pour les réduire, 3. Un cadre de mise en œuvre, avec des recommandations en matière de gouvernance, de suivi et de mesures concrètes à adopter. »

Improving the sustainability and quality of kidney health care through life cycle assessments, quality improvement, education and technical innovations: The KitNewCare approach
Journal of Nephrology (novembre 2024) – Site Web KitNewCare

Canada

Preparing Canada's health care buildings for net-zero
The Canadian Coalition for Green Health Care (février 2025)

Decentering desflurane: A climate action success story
Choosing Wisely Canada (janvier 2025)

Réflexions sur les changements de pratiques

The environmental elephant in the office: Medications ⭐⭐⭐
Canadian Family Physician (avril 2025)

Radiology AI and sustainability paradox: Environmental, economic, and social dimensions
Insights into Imaging (avril 2025)

Image : Environmental impact and challenges of AI

Source : Kocak et al., 2025

Environmental sustainability in intensive care: An international survey of intensive care professionals' views, practices and proposals to the European Society of Intensive Care Medicine
Journal of Critical Care (avril 2025)

Une approche produits réutilisables d'abord
CASCADES (avril 2025)

Perspectives et actions pour des pratiques de pharmacie durables au Québec
CASCADES (mars 2025) 💻 Webinaire

Steps toward environmental sustainability in interventional radiology
Canadian Association of Radiologists Journal (mars 2025)

Endoscopic Sustainability PrimAry Reporting Essentials (E-SPARE): European Society of Gastrointestinal Endoscopy (ESGE) Position Statement
Endoscopy (mars 2025)

Planetary health and climate action in radiology
Canadian Association of Radiologists Journal (mars 2025)

Image : Planetary health

Source : Yan et al., 2025

Toward the sustainability of health care innovations to "transform our world": Current status and the road ahead
JBI Evidence Implementation (février 2025)

Eight ways general internists can practice high-value, low-carbon care: The Canadian Society of Internal Medicine's climate conscious Choosing Wisely Canada recommendations
Journal of General Internal Medicine (février 2025)

The hidden economic and environmental costs of antimicrobial therapies: A call to action
Antimicrobial Stewardship & Healthcare Epidemiology (janvier 2025)

Image :  A visual representation highlighting the direct costs and indirect costs associated with IV antibiotic use

Source : Nelson et al., 2025

Applications en contextes cliniques

Sous-thématiques

Milieux de soins et pathologies

The ecological footprint of gynecology: Lessons from Dutch hospitals and implications for future healthcare management
Studies in health technology and informatics (avril 2025)

Environmental impact of physical visits and telemedicine in nursing care at home: Comparative life cycle assessment
Journal of Medical Internet Research (avril 2025)

Environmental sustainability in urologic practices: A systematic review
World Journal of Urology (mars 2025)

Environmental sustainability in ICUs: A report from the Society of Critical Care Medicine Sustainability Task Force
Critical Care Medicine (mars 2025)

Advancing sustainability in healthcare: A scoping review of global recycling practices in operating rooms
The American Journal of Surgery (mars 2025)

Estimating the cost and carbon output of musculoskeletal primary care management decisions: A retrospective analysis of electronic health records
The International Journal of Health Planning and Management (mars 2025)

Estimating patient and family costs and CO2 emissions for telehealth and in-person health care appointments in British Columbia, Canada: Geospatial mixed methods study
Journal of Medical Internet Research (février 2025)

Implementation of decarbonisation actions in general practice: A systematic review and narrative synthesis
BMJ Open (février 2025)

Médicaments et technologies

The carbon footprint of general anaesthesia in adult patients: A multicentre observational comparison of intravenous and inhalation anaesthetic strategies in 35,242 procedures
British Journal of Anaesthesia (avril 2025)

The environmental impact of intravenous antimicrobial therapies: A comparison of OPAT and inpatient administration care pathways
JAC-Antimicrobial Resistance (avril 2025)

Journey of a pill ⭐⭐⭐
Canadian Family Physician (avril 2025)

Enhancing environmental sustainability in diagnostic radiology: Focus on CT, MRI, and nuclear medicine
Canadian Association of Radiologists Journal (avril 2025)

Image : Infographic highlighting key take home points including energy use, wastewater contamination, and mitigation strategies

Source : Leswick et al., 2025

Counting the carbon: Quantifying financial and environmental implications of wasted inhaler doses in the hospital setting
Canadian Journal of Hospital Pharmacy (avril 2025)

Assessing the environmental impact of medicines in Italy using data from the Italian Medicines Agency
British Journal of Clinical Pharmacology (mars 2025)

The environmental impact of multi-specialty robotic-assisted surgery: A waste audit analysis
Journal of Robotic Surgery (mars 2025)

Need for life cycle assessment of pharmaceuticals for kidney healthcare
Clinical and Experimental Nephrology (mars 2025)

Environmental impact of commonly used anaesthetic agents: Systematic literature review with narrative synthesis
BJA Open (mars 2025)

Clearing the air: Assessing inhaler usage and associated greenhouse gas emissions in a health system
American Journal of Health-System Pharmacy (mars 2025)

Contribution of hospital pharmacists to sustainable healthcare: A systematic review
European Journal of Hospital Pharmacy (février 2025)

Trends in low global warming potential inhaler prescribing: A UK-wide cohort comparison from 2018–2024
npj Primary Care Respiratory Medicine (février 2025)

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