Environmental considerations in health technology assessments performed by Canadian agencies.

IF 3.1 4区 医学 Q2 HEALTH CARE SCIENCES & SERVICES
Elodie Bénard, Komi Edem Gatovo, Jason Robert Guertin
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Abstract

Objectives: Globally, several health technology assessment (HTA) agencies have started to incorporate environmental considerations into their assessments, given healthcare systems' substantial environmental footprint. In Canada, two HTA agencies, the Canadian Drug Agency and the Institut national d'excellence en santé et en services sociaux, have announced measures to help mitigate healthcare's contribution to climate change. Our aim was to review reports from both agencies to identify those incorporating environmental considerations.

Methods: We retrieved reports published between 1 May 2023 and 1 December 2024 by the two agencies.

Results: We identifed 202 reports, of which eleven were included. These reports covered diverse technologies, with greenhouse gas emissions and waste production being the most frequently considered environmental dimensions. Parallel evaluation was the predominant method for integrating environmental considerations. We believe that the limited number of reports included may reflect the challenges of incorporating such considerations into HTAs.

Conclusion: By addressing these challenges, HTA agencies could play a pivotal role in guiding decisions that align with environmental goals.

Abstract Image

Abstract Image

加拿大各机构进行的卫生技术评估中的环境考虑因素。
目标:在全球范围内,鉴于卫生保健系统的巨大环境足迹,一些卫生技术评估机构已开始将环境因素纳入其评估。在加拿大,两个HTA机构——加拿大药品管理局和国家卫生服务社会卓越研究所——宣布了一些措施,以帮助减轻医疗保健对气候变化的贡献。我们的目的是审查这两个机构的报告,以确定那些纳入环境考虑因素的报告。方法:检索两家机构在2023年5月1日至2024年12月1日发表的报告。结果:我们确定了202份报告,其中11份被纳入。这些报告涉及各种技术,温室气体排放和废物产生是最常被考虑的环境方面。并行评价是综合考虑环境因素的主要方法。我们认为,所包括的报告数量有限可能反映了将这些考虑纳入hta的挑战。结论:通过解决这些挑战,HTA机构可以在指导与环境目标一致的决策方面发挥关键作用。
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来源期刊
International Journal of Technology Assessment in Health Care
International Journal of Technology Assessment in Health Care 医学-公共卫生、环境卫生与职业卫生
CiteScore
4.40
自引率
15.60%
发文量
116
审稿时长
6-12 weeks
期刊介绍: International Journal of Technology Assessment in Health Care serves as a forum for the wide range of health policy makers and professionals interested in the economic, social, ethical, medical and public health implications of health technology. It covers the development, evaluation, diffusion and use of health technology, as well as its impact on the organization and management of health care systems and public health. In addition to general essays and research reports, regular columns on technology assessment reports and thematic sections are published.
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