BULLETIN No 12 - JANVIER 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 : 2025-11-05).

Intégration des considérations environnementales en ETS

Integrating environmental aspects into health technology assessment: A qualitative study among Dutch stakeholders
International Journal of Technology Assessment in Health Care (octobre 2025)

Which factors are holding up the integration of the environmental impact of health technologies in health technology assessment? Insights from a multi-stakeholder interview study
Applied Health Economics and Health Policy (octobre 2025)

Toward including environmental sustainability in health technology assessment
International Journal of Technology Assessment in Health Care (septembre 2025)

Image : Framework for integrating environmental sustainability into HTA (within current processes and principles)

Source : Holtorf et al. (2025)

Environmentally sustainable health care: The opportunities and challenges of life cycle assessments
The Lancet – Planetary Health (août 2025)

Systèmes de santé et de services sociaux

Sous-thématiques

Impact environnemental

Environmental sustainability assessment of pharmaceuticals: Time to acknowledge pollution
Environmental Science & Technology Letters (octobre 2025)

Carbon reporting practices in the NHS: Emissions and omissions relating to artificial intelligence
Journal of Medical Internet Research (octobre 2025)

Image : A visual of the greenhouse gas protocol scopes in the context of the NHS (reproduced from NHS England, which is published under open government license)

Source : Reynolds (2025)

Inhaler use and their carbon footprint in Germany: A 10-year analysis (2013–2022)
BMJ Open Respiratory Research (octobre 2025)

Decarbonising health systems across OECD countries
Organisation for Economic Co-operation and Development (septembre 2025)

Measuring greenhouse gas emissions in the health sector
Organisation for Economic Co-operation and Development (septembre 2025)

Greenhouse gas emissions associated with anaesthetic gases in Australia, 2002–2022: A retrospective descriptive analysis
The Medical Journal of Australia (septembre 2025)

Trends in greenhouse gas emissions from volatile anaesthetics in 41 countries: 2013–2023
Anaesthesia (août 2025)

The EU is letting life-saving cancer drugs go to waste – here’s a simple fix
Health Care Without Harm – Europe (août 2025) – Étude ROAD

The climate impacts of healthcare digitalization: A scoping review
Digital Health (août 2025)

Publish or Perish – do French hospitals disclose their greenhouse gas emissions for vertical differentiation?
International Journal of Health Economics and Management (août 2025)

Initiatives en cours à l'international

Accelerating towards net zero: A guide for the Australian health system
Monash Sustainable Development Institute (octobre 2025)

Quality prescribing strategy for respiratory conditions in Scotland: Improving patient care and promoting environmental sustainability
International Journal of Pharmacy Practice (octobre 2025)

Five years of a greener NHS: Progress and forward look
NHS England (septembre 2025) – Sustainability in Quality Improvement (SusQI)

Québec – Canada

Une première dans le réseau de la santé et des services sociaux du Québec : le CUSM se dote d’une feuille de route de décarbonation de ses bâtiments
Centre universitaire de santé McGill (novembre 2025) – Réalisations et projets en cours 

Transforming healthcare: The PEACH Approach to reducing emissions and achieving net-zero 
BMJ Leader (septembre 2025)

Image : The PEACH tree diagram

Source : Qian et al. (2025)

Accompagner des établissements de santé et de services sociaux dans la décarbonation de leurs activités
Synergie Santé Environnement (2025)

Réflexions sur les changements de pratiques

A national framework for moving towards more environmentally sustainable radiotherapy: The green radiotherapy framework
Radiotherapy & Oncology (novembre 2025)

Patients as partners in planetary health and sustainable care
National Health Engagement Network et CASCADES (octobre 2025) 💻 Webinaire

Sustainability in radiology: Position paper and call to action from ACR, AOSR, ASR, CAR, CIR, ESR, ESRNM, ISR, IS3R, RANZCR, and RSNA
Journal of the American College of Radiology (septembre 2025)

Decarbonization of asthma care–could digital interventions provide the key to reducing the carbon footprint of asthma medication?
International Journal of Pharmacy Practice (septembre 2025)

Beyond green: Sustainability in nuclear medicine practice
British Journal of Radiology (septembre 2025)

Image : Schematic summary of the 5 key domains for sustainable nuclear medicine practice

Source : Currie (2025)

Patient preferences and attitudes regarding the environmental impact of medicines: A discrete choice experiment
British Journal of Clinical Pharmacology (août 2025)

Clearing the air: A systematic review on leadership challenges with sustainable inhaler prescribing
BMJ Leader (août 2025)

The ethics of climate change and health-care delivery: A national survey of US-based physicians
The Lancet – Planetary Health (août 2025)

A gap analysis to assess the implementation of environmentally sustainable kidney care strategies in Canada
Canadian Journal of Kidney Health and Disease (août 2025)

A prescription for change: Rethinking plastics use in healthcare to reduce waste, greenhouse gas emissions and costs
Systemiq et Eunomia (2025)

Pourquoi le Canada a besoin d’un système de santé carboneutre
Association médicale canadienne (2025)

Applications en contextes cliniques

Sous-thématiques

Milieux de soins et pathologies

Opportunities to improve the environmental sustainability of breast cancer care: A scoping review
The Breast (décembre 2025)

Environmental footprint of gastrointestinal endoscopy services: A systematic review
Endoscopy (novembre 2025)

Environmental impacts of kidney replacement therapies: A comparative lifecycle assessment
American Journal of Kidney Diseases (octobre 2025)

But how green is it actually? Calculating the environmental footprint of kidney care environmental optimizations within haemodialysis
Clinical Kidney Journal (septembre 2025)

Modeling the greenhouse gas emissions of an immunization program against respiratory syncytial virus in infants in the United Kingdom
International Journal of Technology Assessment in Health Care (septembre 2025)

Assessing the carbon footprint of the initial 24 h post-severe trauma admission in a French ICU: A pilot study
Annals of Intensive Care (août 2025)

Environmental impact of minimally invasive procedures: Life cycle assessment of two hospital care pathways
Resources, Conservation and Recycling (août 2025)

Image : Environmental impact of minimally invasive procedures: Life cycle assessment of two hospital care pathways

Source : Cohen et al. (2025)

Determining the carbon footprint of travel for organ procurement in Atlantic Canada
American Journal of Transplantation (août 2025)

Médicaments et technologies

Environmental impact of computer-aided diagnosis in colonoscopy: A carbon footprint assessment of a prospective study cohort
Endoscopy (novembre 2025)

Reducing the carbon footprint of a laparoscopic appendectomy: A life cycle assessment
Surgery (novembre 2025)

Estimated greenhouse gas emissions associated with unnecessary intravenous antimicrobials administered in the hospital setting
Antimicrobial Stewardship & Healthcare Epidemiology (octobre 2025)

Inhaler-related greenhouse gas emissions in the US: A serial cross-sectional analysis
JAMA (octobre 2025)

Modelling the climate impact of inhalers and mitigation strategies: A population-based study in British Columbia, Canada (2015–2032)
BMJ Open Respiratory Research (octobre 2025)

Integrating pediatric anesthesia sustainability metrics into native electronic health records: A clinical informatics approach
Journal of Medical Systems (septembre 2025)

Carbon footprint and staff demands of surgery and chemoradiation for muscle-invasive bladder cancer
BJU International (septembre 2025)

Estimating the carbon emissions of a single prostate-specific antigen test: Results from a cradle-to-grave life cycle assessment
European Urology Focus (août 2025)

Tamper-proofing multidose medications in hospitals: High-value, low-effort interventions to reduce medication waste
The Canadian Journal of Hospital Pharmacy (août 2025)

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