BULLETIN No 7 - JUILLET 2024

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, Embase, CINAHL Complete, base de données HealthcareLCA, sites Web d’organisations en évaluation des technologies de la santé et d’associations pour la santé environnementale (dernière mise à jour : 2024-06-28).

Intégration des considérations environnementales en ETS

Environmental impact assessment in healthcare: Utility and limitations
Frontline Gastroenterology (juin 2024)

Cost of carbon in the total cost of healthcare procedures: A methodological challenge
Applied Health Economics and Health Policy (juin 2024)

Evaluating environmental sustainability in health technology assessment: A multisectoral systematic review
York Health Economics Consortium – HTAi 2024 Annual Meeting (juin 2024)

Health technology assessment and healthcare environmental sustainability: Prioritizing effort and maximizing impact ⭐⭐⭐
International Journal of Technology Assessment in Health Care (mai 2024)                                             

Image : Intrinsic versus generic environmental consequences and characteristics of health technologies

Source : Hensher, 2024

Systèmes de santé et de services sociaux

Sous-thématiques

Impact environnemental

Understanding medication recycling practices in Canadian hospitals
International Journal of Pharmacy Practice (juin 2024)

Bioplastics: No solution to healthcare's plastic pollution problem
Healthcare Management Forum (juin 2024)

The carbon footprint of a Dutch academic hospital—using a hybrid assessment method to identify driving activities and departments
Frontiers in Public Health (mai 2024)

Carbon footprint of healthcare systems: A systematic review of evidence and methods ⭐⭐⭐
BMJ Open (avril 2024)

Health systems and environmental sustainability: Updating frameworks for a new era
BMJ (avril 2024)

Impact global du système de santé et place du médicaments et dispositifs médicaux
The Shift Project (février 2024)

Initiatives en cours à l'international

Citizens' Panel for health and social care: Survey on preferred methods of accessing health and care services and NHSScotland Climate Emergency and Sustainability Strategy
Healthcare Improvement Scotland (mai 2024)

Health care climate learning initiative
Health Care Without Harm (2024) : « [...] Health Care Without Harm convened representatives from 98 health care organizations spanning 20 countries to share their learnings from implementing decarbonization and climate resilience initiatives.»

Au Canada

Choisir avec soin et action climatique : nouvelles recommandations
Choisir avec soin (2024) : « [...] des spécialistes de plus de 20 disciplines cliniques se sont alliés pour créer plus de 40 recommandations axées sur le climat pour Choisir avec soin. Ces recommandations visent à convaincre les prestataires de soins de santé de limiter ou de cesser leur recours aux pratiques de faible valeur nuisant à l’environnement, tant que cela ne compromet pas la qualité des soins.»

Réflexions sur les changements de pratiques

Design of greener drugs: Aligning parameters in pharmaceutical R&D and drivers for environmental impact
Drug Discovery Today (juillet 2024)

Knowledge, behaviours, practices, and expectations regarding climate change and environmental sustainability among health workers in France: A multicentre, cross-sectional study
The Lancet Planetary Health (juin 2024)

The barriers and facilitators to the design and delivery of sustainable healthcare across NHS Scotland: A forcefield analysis
Future Healthcare Journal (juin 2024)

Image : Forcefield analysis of barriers and facilitators to the design and delivery of sustainable healthcare

Source : Harpur et al., 2024

Sustainability in healthcare by reducing low-value imaging – A narrative review
Radiography (juin 2024)

Challenges confronting sustainability in nuclear medicine practice
Radiography (mai 2024)

Climate change, kidney health, and environmentally sustainable kidney care: A multinational survey of health care professionals
Journal of the American Society of Nephrology (mai 2024)

Taking action towards climate-resilient, low-carbon, health systems: Perspectives from Canadian health leaders and healthcare professionals ⭐⭐⭐
Healthcare Management Forum (mai 2024)

Contribution of hospital pharmacists to sustainable healthcare: A systematic review
European Journal of Hospital Pharmacy (mai 2024)

Opportunities to address the environmental impacts of medication in primary care
CASCADES (mai 2024) 💻 Webinaire

Healthcare sustainability to address climate change: Call for action to the infectious diseases community
Journal of the Pediatric Infectious Diseases Society (mai 2024)

Improving environmental sustainability of operating theatres: A systematic review of staff attitudes, barriers, and enablers
Annals of Surgery (mai 2024)

Applications en contextes cliniques

Sous-thématiques

Milieux de soins et pathologies

Assessing the environmental and downstream human health impacts of decentralizing cancer care
JAMA Oncology (juin 2024)

Herpes zoster in older adults: Impact on carbon footprint in the United States
Human Vaccines & Immunotherapeutics (mai 2024)

Past, present, and future of sustainable intensive care: Narrative review and a large hospital system experience
Critical Care (mai 2024)

Image : Overview of the porposed pathway for sustainable (Green) ICUs

Source : Masud et al., 2024

How to choose between single-use and reusable medical materials for sustainable nursing: Methodological lessons learned from a national study
Journal of Advanced Nursing (mai 2024)

Managing greenhouse gas emissions in the terminal year of life in an overwhelmed health system: A paradigm shift for people and our planet
The Lancet Planetary Health (mai 2024)

Environmental impact of a blood test reduction intervention in adult intensive care units: A before and after quality improvement project
Australian Critical Care (mai 2024)

Clinician and health service interventions to reduce the greenhouse gas emissions generated by healthcare: A systematic review ⭐⭐⭐
BMJ Evidence-Based Medicine (mai 2024)

Pratique avancée française : vers un soin globalisé ?
Soins (mai 2024) 📁 Dossier thématique

Sustainable practices in hospital and operating theaters
Current Opinion in Urology (mai 2024)

The carbon footprint of a hospice
BMJ Supportive & Palliative Care (avril 2024)

Médicaments et technologies

Cardiovascular imaging, climate change, and environmental sustainability
Radiology: Cardiothoracic Imaging (juin 2024)

Climate change and artificial intelligence in healthcare: Review and recommendations towards a sustainable future
Diagnostic and Interventional Imaging (juin 2024)

Image : Environmental impact of artificial intelligence: Costs, mitigation strategies, and beyond

Source : Ueda et al., 2024

Impacts environnementaux du numérique et de l’intelligence artificielle, à l’heure de la pathologie digitale
Annales de Pathologie (juin 2024)

Quantification of the environmental impact of radiotherapy and associated secondary human health effects: A multi-institutional retrospective analysis and simulation
The Lancet Oncology (juin 2024)

Footprints in the scan: Reducing the carbon footprint of diagnostic tools in urology
Current Opinion in Urology (juin 2024)

Projected environmental and public health benefits of extended-interval dosing: An analysis of pembrolizumab use in a US national health system
The Lancet Oncology (juin 2024)

Why digital innovation may not reduce healthcare's environmental footprint
BMJ (juin 2024)

Greenhouse gas emissions by diagnostic imaging modality in a hospital-based radiology department
Canadian Association of Radiologists Journal (mai 2024)

The potential of virtual healthcare technologies to reduce healthcare services' carbon footprint
Frontiers in Public Health (mai 2024)

Balancing patient needs with environmental impacts for best practices in general anesthesia: Narrative review and clinical perspective
Anaesthesia, Critical Care & Pain Medicine (mai 2024)

Carbon footprint of a laser unit: A study of two centres in the UK
Lasers in Medical Science (mai 2024)

Methodological guide for assessing the carbon footprint of external beam radiotherapy: A single-center study with quantified mitigation strategies
Clinical and Translational Radiation Oncology (mai 2024)

Archives / Abonnement

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