BULLETIN No 14 - JUIN 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 : 2026-06-09).

Intégration des considérations environnementales en ETS

Incorporating climate impact in health care decisions: New criteria to be tested in the Netherlands
International Journal of Technology Assessment in Health Care (mai 2026)

Environmental aspects in price and reimbursement decisions of medicines—A scoping review
Basic & Clinical Pharmacology & Toxicology (mai 2026)

Environmental and planetary impact in health technology assessment and health guidelines
International Network of Agencies for Health Technology Assessment (INAHTA) et Guidelines International Network (avril 2026) 💻 Webinaire

The increasing value of environmental sustainability assessments in healthcare policy and technology evaluation
Applied Health Economics and Health Policy (mars 2026)

Image : Stakeholders benefiting from integrating ESAs into healthcare decision-making and market access strategy.

Source : Nicholson et al. (2026)

INESSS strategy for the integration of environmental considerations
Health Technology Assessment international (février 2026) 💻 Webinaire

Systèmes de santé et de services sociaux

Sous-thématiques

Impact environnemental

Prototype of an organising framework for healthcare decarbonisation research: An exploratory classification study
BMJ Open (mai 2026)

Image : Organising framework for healthcare decarbonisation research (NHS-SOS) with top-level (‘level one’) themes.

Source : Petrova et al. (2026)

Choosing reusable operating theatre devices at an Australian health service avoids hundreds of tonnes of waste and could save millions of dollars per annum
Anaesthesia and Intensive Care (avril 2026)

Interventions to reduce greenhouse gas emissions from health-system solid waste: A systematic review
The Lancet – Planetary Health (février 2026)

Adaptation aux changements

The health co-benefits and costs of climate adaptation interventions: A rapid scoping review and implications for policy and practice
The Journal of Climate Change and Health (mai-juin 2026)

Beyond mitigation: Adaptation, policy and resilience for health services facing climate change
Journal of Health Services Research & Policy (avril 2026)

Initiatives en cours à l'international

Lancet MedZero tool launch and the Centre for Sustainable Healthcare
Center for Sustainable Healthcare (juin 2026) – Lancet MedZero

WFSA statement on deactivating central piped nitrous oxide systems to decrease global greenhouse gas emissions
World Federation of Societies of Anaesthesiologists (avril 2026)

The Canadian OTC green quick guide 2026
Canadian Association of Pharmacy for the Environment et The Canadian Coalition for Green Health Care (avril 2026)

EU bans an anesthetic with a large impact on the climate
The World (mars 2026) – European Commission : Health sector equipment containing F-gases

Au Canada

Decarbonization in action pilot builds momentum for hospital-led climate action in Ontario
The Canadian Coalition for Green Health Care (avril 2026)

Guide de l'amélioration de la qualité intégrant la durabilité (SE-QI)
CASCADES (avril 2026) – Trousse SE-QI

Réflexions sur les changements de pratiques

Understanding inhaler users’ perceptions of climate change and inhaler carbon footprints: Insights from a Canadian survey
BMJ Open Respiratory Research (mai 2026)

Advancing sustainable medication use in healthcare: A Delphi study on (de)prescribing interventions
BMJ Open (mai 2026)

Aligning health policy with climate action: Evidence-based interventions to decarbonize care, improve climate resilience
Health Affairs (mai 2026)

Environmental criteria in hospital pharmaceuticals procurement: Views from the pharmaceutical industry
European Journal of Pharmaceutical Sciences (avril 2026)

Image : Environmental criteria in hospital pharmaceuticals procurement: Views from the pharmaceutical industry.

Source : Lapatto-Reiniluoto et al. (2026)

Réduire l’impact environnemental des médicaments et améliorer les issues chez les patients : ECO-Rx
Le Médecin de famille canadien (avril 2026)

Safe disposal of unused medicines — A One Health approach for national systems
United Nations Environment Programme et al. (avril 2026) 💻 Webinaire

Quality as a catalyst to achieve environmentally sustainable healthcare
BMJ Quality & Safety (mars 2026)

Tracking greenhouse gas emission initiatives across a large academic health system utilizing innovative dashboards
Journal of Medical Systems (mars 2026)

Pour un système de santé décarboné : mieux compter, mieux prévenir, mieux soigner
The Shift Project (mars 2026) – Rapport intermédiaire

Environmental sustainability in the operating room: Perspectives and practice patterns of general surgeons in Canada
Canadian Journal of Surgery (février 2026)

Person-centered integrated kidney care narrative review: A model for reduction of health care carbon emissions
Canadian Journal of Kidney Health and Disease (février 2026)

Applications en contextes cliniques

Sous-thématiques

Milieux de soins et pathologies

Professional practice guidelines: Eco-responsible optimization of choice and use of drugs and medical devices in operating theaters or interventional sector
Anaesthesia Critical Care & Pain Medicine (juillet 2026)

The carbon footprint of surgical operations: 2023-2025 systematic review update
PLoS One (mai 2026)

Environmental impact of total hip replacements: A life cycle assessment study
BMJ Open (mai 2026)

Image : System boundaries of the life cycle assessment of a total hip replacement (The Product System).

Source : Roe Rasmussen et al. (2026)

Green nephrology: Environmentally sustainable kidney care in pediatrics
Pediatric Nephrology (avril 2026)

Vers une psychiatrie durable : l’éco-prescription en action
L'Encéphale (avril 2026)

Médicaments et technologies

The environmental footprint and ecotoxicity of sevoflurane and propofol anaesthesia: A retrospective observational modelling study
British Journal of Anaesthesia (juillet 2026)

Sustainable continuous renal replacement therapy: The influence of blood flow rates, effluent dose, autoeffluent, and citrate anticoagulation on carbon dioxide emissions
Critical Care and Resuscitation (juin 2026)

Image : Change management in sustainable CRRT. CRRT: continuous renal replacement therapy.

Source : Weeraratna et al. (2026)

The impact of a central acid delivery system on the carbon footprint of in-center hemodialysis
Kidney International Reports (juin 2026)

Hepatocellular carcinoma surveillance: Operational and environmental impact of abbreviated MRI protocols
Canadian Association of Radiologists Journal (mai 2026)

Cost-effectiveness of a transition from volatile anaesthesia to total intravenous anaesthesia to reduce carbon footprint: An economic modelling study
Anaesthesia (mai 2026)

Carbon footprint of antibody-based drugs and biologics using hybrid life cycle assessment
Clinical Pharmacology & Therapeutics (mai 2026)

Environmental stewardship and robotic surgery: Innovation without compromise
Journal of Robotic Surgery (avril 2026)

The hidden impact of radiography and fluoroscopy—An environmental life cycle assessment
Journal of the American College of Radiology (avril 2026)

Analyses de cycle de vie des médicaments à l’hôpital : faisabilité et perspectives d’intégration, application à l’adalimumab
Annales Pharmaceutiques Françaises (mars 2026)

Methods to include environmental impacts in a cost-effectiveness analysis: A case study of surveillance imaging after treatment for stage III melanoma
Value in Health (mars 2026)

Prescribing trends and environmental impact of prescribed inhaled medicines in Australia
Chronic Respiratory Disease (mars 2026)

Sustainability in injectable drug delivery devices: A systematic literature review of environmental, economic, and public health impacts
Environmental Health Insights (février 2026)

An efficient screening life cycle assessment approach: Assessing the environmental impact of dialysis treatments
Advances in Therapy (janvier 2026)

Archives du bulletin de veille scientifique
 

Avis de non-responsabilité

Les veilles scientifiques de l'INESSS contiennent des liens vers des sites Web dont la propriété et la responsabilité incombent à de tierces parties. L'accès aux liens fournis dépend de l'environnement technologique de l'utilisateur. L'INESSS n'assume aucune responsabilité à l'égard des contenus des sites Web externes.

Cette veille peut être utilisée, reproduite, imprimée, partagée et communiquée en tout ou en partie à des fins non commerciales, éducatives ou de recherche uniquement, à condition que l’INESSS soit dûment mentionné comme source.

Accès aux publications

Contactez votre institution pour connaitre les modalités d’accès aux publications qui renvoient à des abonnements payants.

Nous joindre

Faites-nous part de vos questions ou de vos commentaires.