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Incorporating climate impact in health care decisions: new criteria to be tested in the Netherlands

delete2026-06-08
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OA
AI
J
Johan P. Mackenbach *
J
Jacqueline Zwaap
S
Saskia Knies
DOI:10.1017/S0266462326103845delete
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Abstract

Abstract

En 中文
One of the ways in which healthcare’s climate impact can be reduced is by taking greenhouse gas emissions into account when deciding which treatments are reimbursed and/or included in clinical guidelines. In a report for the Minister of Health; Welfare; and Sports in the Netherlands; we explored how this idea could be put into practice. We developed a set of two criteria: greenhouse gas emissions per patient (which can be compared to; for example; QALYs gained); and total amount of greenhouse gas emissions for all patients undergoing the intervention (which can be compared to; e.g.; healthcare’s remaining carbon budget). In the coming three years; the National Health Care Institute will use these criteria in an experimental setting; to gain practical experience and to assess whether there is sufficient support among policy makers; practitioners; and patients for taking into account climate impact regularly.
Keywords:
climate change
environmental impact
health technology assessment
clinical guidelines

Journal

I
INTERNATIONAL JOURNAL OF TECHNOLOGY ASSESSMENT IN HEALTH CARE
IF:
3.1
Papers:
167
Citations:
0

Organization

Z
Zorginstituut Nederland
Scholars:
2
Papers: 2.1K
Citations: 146
E
erasmus mc
Scholars:
2.0K
Papers: 1.1K
Citations: 212
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