评估远程医疗的碳足迹:系统回顾。

IF 2.4 Q2 HEALTH CARE SCIENCES & SERVICES
Health Services Insights Pub Date : 2024-08-11 eCollection Date: 2024-01-01 DOI:10.1177/11786329241271562
Casper van der Zee, Jennifer Chang-Wolf, Marc A Koopmanschap, Redmer van Leeuwen, Robert Pl Wisse
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引用次数: 0

摘要

背景:医疗保健占全球碳排放量的 4%至 10%,其中 22%与交通有关。远程医疗是减少碳足迹的潜在解决方案,例如通过减少旅行。然而,需要了解哪些变量应纳入远程医疗碳足迹估算,这限制了我们对远程医疗可能对环境产生的有益影响的理解。本文旨在系统地评估所报告的碳足迹,并纳入文献所评估的变量,对远程医疗与常规护理进行比较:方法:在 PubMed、Medline、Embase 和 Scopus 上进行的系统性综述遵循了 PRISMA 指南。采用碳足迹计算器透明度检查表进行了质量评估。碳排放量根据四个类别进行评估,包括患者旅行和简化生命周期评估(LCA),以评估与远程医疗相关的变量:我们从 1117 条记录中选取了 33 篇文章进行分析。平均透明度得分为 38%(范围为 18%-68%)。每位患者的往返距离中位数为 131 千米(四分位数间距 [IQR]:60.8-351),或 25.6 千克 CO2(四分位数间距 [IQR]:10.6-105.6)排放量。各变量之间存在很大差异。由于不包括简化生命周期评估等外部因素,节省的排放量被结构性低估:结论:远程医疗有助于减少排放,而旅行距离是最重要的因素。此外,我们建议考虑生命周期评估,因为它能突出重要的细微差别。这篇综述进一步推动了关于评估远程医疗所带来的碳足迹减少的讨论。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Assessing the Carbon Footprint of Telemedicine: A Systematic Review.

Background: Healthcare is responsible for 4% to 10% of carbon emissions worldwide, of which 22% is related to transport. Telemedicine emerged as a potential solution to reduce the footprint, for example, by reducing travel. However, a need to understand which variables to include in carbon footprint estimations in telemedicine limits our understanding of the beneficial impact telemedicine might have on our environment. This paper aims to systematically assess the reported carbon footprint and include variables assessed by the literature, comparing telemedicine with usual care.

Methods: The systematic review followed the PRISMA guidelines in PubMed, Medline, Embase and Scopus. A quality assessment was performed using a transparency checklist for carbon footprint calculators. Carbon emissions were evaluated based on four categories, including patient travel, and streamlined life cycle assessment (LCA) for assessing included variables relevant to telemedicine.

Results: We included 33 articles from 1117 records for analysis. The average transparency score was 38% (range 18%-68%). The median roundtrip travel distance for each patient was 131 km (interquartile range [IQR]: 60.8-351), or 25.6 kgCO2 (IQR: 10.6-105.6) emissions. There is high variance among included variables. Saved emissions are structurally underestimated by not including external factors such as a streamlined LCA.

Conclusions: Telemedicine aids in reducing emissions, with travel distance being the most significant contributor. Additionally, we recommend accounting for the LCA since it highlights important nuances. This review furthers the debate on assessing carbon footprint savings due to telemedicine.

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来源期刊
Health Services Insights
Health Services Insights HEALTH CARE SCIENCES & SERVICES-
CiteScore
3.60
自引率
0.00%
发文量
47
审稿时长
8 weeks
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