What are the Revealed and Stated Population Preferences for Environmental Sustainability in Healthcare? A Scoping Review.

IF 4.4 3区 医学 Q1 ECONOMICS
PharmacoEconomics Pub Date : 2025-06-01 Epub Date: 2025-03-19 DOI:10.1007/s40273-025-01479-y
Charlotte Desterbecq, Mark Harrison, Sandy Tubeuf
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引用次数: 0

Abstract

Objective: Collective changes in healthcare practices are required to ensure real environmental gains. As patient-centred care is increasingly considered to enhance the ability of health systems to meet the expectations of the population, it is crucial for policymakers and health professionals to account for the preferences of the wider public regarding environmentally friendly healthcare. This article synthesises and appraises evidence from empirical studies to understand how people value environmental concerns when making decisions within medical-related or pharmaceutical sectors.

Methods: We conducted electronic searches of the PubMed, Scopus, and Embase literature databases. Studies were eligible if they conducted a quantitative experiment to understand participants' preferences regarding sustainability and green initiatives in the medical sector or for pharmaceuticals.

Results: Of the 1138 documents identified, 32 studies were deemed eligible. More than 60% were published since 2020. Different methods were used to elicit the revealed and/or stated preferences of participants. In most studies, respondents valued the environment positively and were willing to change their behaviour or practices to support sustainability. However, concerns such as disease severity or clinical effectiveness of medicines or medical interventions were often prioritised over environmental considerations. The wide heterogeneity in study participants emphasises the need to involve all stakeholders to achieve the transition to a greener and sustainable healthcare system.

Conclusion: The identified studies used various methods but were consistent in finding broad support for environmental considerations within the healthcare sector.

什么是揭示和陈述的人口偏好环境可持续性在医疗保健?范围审查。
目的:需要在医疗保健实践中进行集体变革,以确保真正的环境收益。由于越来越多的人认为以患者为中心的护理可以提高卫生系统满足人口期望的能力,决策者和卫生专业人员必须考虑到更广泛的公众对环境友好型卫生保健的偏好。本文综合并评价了来自实证研究的证据,以了解人们在医疗相关或制药部门做出决策时如何重视环境问题。方法:对PubMed、Scopus和Embase文献数据库进行电子检索。如果研究进行了定量实验,以了解参与者对医疗部门或药品的可持续性和绿色倡议的偏好,则该研究符合条件。结果:在鉴定的1138篇文献中,32篇研究被认为符合条件。其中60%以上是在2020年以后发表的。使用不同的方法来引出参与者透露的和/或陈述的偏好。在大多数研究中,受访者积极地重视环境,并愿意改变他们的行为或做法以支持可持续性。然而,诸如疾病严重程度或药物或医疗干预的临床有效性等问题往往优先于环境方面的考虑。研究参与者的广泛异质性强调了需要让所有利益相关者参与进来,以实现向更绿色和可持续的医疗保健系统的过渡。结论:已确定的研究使用了各种方法,但在发现医疗保健部门环境考虑的广泛支持方面是一致的。
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来源期刊
PharmacoEconomics
PharmacoEconomics 医学-药学
CiteScore
8.10
自引率
9.10%
发文量
85
审稿时长
6-12 weeks
期刊介绍: PharmacoEconomics is the benchmark journal for peer-reviewed, authoritative and practical articles on the application of pharmacoeconomics and quality-of-life assessment to optimum drug therapy and health outcomes. An invaluable source of applied pharmacoeconomic original research and educational material for the healthcare decision maker. PharmacoEconomics is dedicated to the clear communication of complex pharmacoeconomic issues related to patient care and drug utilization. PharmacoEconomics offers a range of additional features designed to increase the visibility, readership and educational value of the journal’s content. Each article is accompanied by a Key Points summary, giving a time-efficient overview of the content to a wide readership. Articles may be accompanied by plain language summaries to assist readers who have some knowledge of, but not in-depth expertise in, the area to understand the scientific content and overall implications of the article.
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