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Incorporating environmental and sustainability considerations into health technology assessment and clinical and public health guidelines: a scoping review

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Incorporating environmental and sustainability considerations into health technology assessment and clinical and public health guidelines: a scoping review. / Pinho-Gomes, Ana-Catarina; Yoo, Seo-Hyun; Allen, Alexander et al.
In: International journal of technology assessment in health care, Vol. 38, No. 1, e84, 13.12.2022, p. 1-10.

Research output: Contribution to Journal/MagazineReview articlepeer-review

Harvard

Pinho-Gomes, A-C, Yoo, S-H, Allen, A, Maiden, H, Shah, K & Toolan, M 2022, 'Incorporating environmental and sustainability considerations into health technology assessment and clinical and public health guidelines: a scoping review', International journal of technology assessment in health care, vol. 38, no. 1, e84, pp. 1-10. https://doi.org/10.1017/S0266462322003282

APA

Pinho-Gomes, A-C., Yoo, S-H., Allen, A., Maiden, H., Shah, K., & Toolan, M. (2022). Incorporating environmental and sustainability considerations into health technology assessment and clinical and public health guidelines: a scoping review. International journal of technology assessment in health care, 38(1), 1-10. Article e84. https://doi.org/10.1017/S0266462322003282

Vancouver

Pinho-Gomes A-C, Yoo S-H, Allen A, Maiden H, Shah K, Toolan M. Incorporating environmental and sustainability considerations into health technology assessment and clinical and public health guidelines: a scoping review. International journal of technology assessment in health care. 2022 Dec 13;38(1):1-10. e84. Epub 2022 Dec 13. doi: 10.1017/S0266462322003282

Author

Pinho-Gomes, Ana-Catarina ; Yoo, Seo-Hyun ; Allen, Alexander et al. / Incorporating environmental and sustainability considerations into health technology assessment and clinical and public health guidelines : a scoping review. In: International journal of technology assessment in health care. 2022 ; Vol. 38, No. 1. pp. 1-10.

Bibtex

@article{111fcbf846284313be82a4f7dbb936b7,
title = "Incorporating environmental and sustainability considerations into health technology assessment and clinical and public health guidelines: a scoping review",
abstract = "Healthcare systems account for a substantial proportion of global carbon emissions and contribute to wider environmental degradation. This scoping review aimed to summarize the evidence currently available on incorporation of environmental and sustainability considerations into health technology assessments (HTAs) and guidelines to support the National In stitute for Health and Care Excellence and analogous bodies in other jurisdictions developing theirown methods and processes. Overall, 7,653 articles were identified, of which 24 were included in this review and split into three key areas - HTA (10 studies), healthcare guidelines (4 studies), and food and dietary guidelines (10 studies). Methodological reviews discussed the pros and cons of different approaches to integrate environmental considerations into HTAs, including adjustments to conventional cost-utility analysis (CUA), cost-benefit analysis, and multicriteria decision analysis. The case studies illustrated the challenges of putting this into practice, such as lack of disaggregated data to evaluate the impact of single technologies and difficulty in conducting thorough life cycle assessments that consider the full environmental effects. Evidence was scant on the incorporation of environmental impacts in clinical practice and public health guidelines. Food and dietary guidelines used adapted CUA based on life cycle assessments, simulation modeling, and qualitative judgments made by expert panels. There is uncertainty on how HTA and guideline committees will handle trade-offs between health and environment, especially when balancing environmental harms that fall largely on society with health benefits for individuals. Further research is warranted to enable integration of environmental considerations into HTA and clinical and public health guidelines.",
keywords = "Cost-Benefit Analysis, review, environment, Technology Assessment, Biomedical - methods, clinical guidelines, Environment, Humans, healthcare evaluation mechanisms, Public Health, sustainability, technology assessment, biomedical",
author = "Ana-Catarina Pinho-Gomes and Seo-Hyun Yoo and Alexander Allen and Hannah Maiden and Koonal Shah and Michael Toolan",
year = "2022",
month = dec,
day = "13",
doi = "10.1017/S0266462322003282",
language = "English",
volume = "38",
pages = "1--10",
journal = "International journal of technology assessment in health care",
issn = "1471-6348",
publisher = "Cambridge University Press",
number = "1",

}

RIS

TY - JOUR

T1 - Incorporating environmental and sustainability considerations into health technology assessment and clinical and public health guidelines

T2 - a scoping review

AU - Pinho-Gomes, Ana-Catarina

AU - Yoo, Seo-Hyun

AU - Allen, Alexander

AU - Maiden, Hannah

AU - Shah, Koonal

AU - Toolan, Michael

PY - 2022/12/13

Y1 - 2022/12/13

N2 - Healthcare systems account for a substantial proportion of global carbon emissions and contribute to wider environmental degradation. This scoping review aimed to summarize the evidence currently available on incorporation of environmental and sustainability considerations into health technology assessments (HTAs) and guidelines to support the National In stitute for Health and Care Excellence and analogous bodies in other jurisdictions developing theirown methods and processes. Overall, 7,653 articles were identified, of which 24 were included in this review and split into three key areas - HTA (10 studies), healthcare guidelines (4 studies), and food and dietary guidelines (10 studies). Methodological reviews discussed the pros and cons of different approaches to integrate environmental considerations into HTAs, including adjustments to conventional cost-utility analysis (CUA), cost-benefit analysis, and multicriteria decision analysis. The case studies illustrated the challenges of putting this into practice, such as lack of disaggregated data to evaluate the impact of single technologies and difficulty in conducting thorough life cycle assessments that consider the full environmental effects. Evidence was scant on the incorporation of environmental impacts in clinical practice and public health guidelines. Food and dietary guidelines used adapted CUA based on life cycle assessments, simulation modeling, and qualitative judgments made by expert panels. There is uncertainty on how HTA and guideline committees will handle trade-offs between health and environment, especially when balancing environmental harms that fall largely on society with health benefits for individuals. Further research is warranted to enable integration of environmental considerations into HTA and clinical and public health guidelines.

AB - Healthcare systems account for a substantial proportion of global carbon emissions and contribute to wider environmental degradation. This scoping review aimed to summarize the evidence currently available on incorporation of environmental and sustainability considerations into health technology assessments (HTAs) and guidelines to support the National In stitute for Health and Care Excellence and analogous bodies in other jurisdictions developing theirown methods and processes. Overall, 7,653 articles were identified, of which 24 were included in this review and split into three key areas - HTA (10 studies), healthcare guidelines (4 studies), and food and dietary guidelines (10 studies). Methodological reviews discussed the pros and cons of different approaches to integrate environmental considerations into HTAs, including adjustments to conventional cost-utility analysis (CUA), cost-benefit analysis, and multicriteria decision analysis. The case studies illustrated the challenges of putting this into practice, such as lack of disaggregated data to evaluate the impact of single technologies and difficulty in conducting thorough life cycle assessments that consider the full environmental effects. Evidence was scant on the incorporation of environmental impacts in clinical practice and public health guidelines. Food and dietary guidelines used adapted CUA based on life cycle assessments, simulation modeling, and qualitative judgments made by expert panels. There is uncertainty on how HTA and guideline committees will handle trade-offs between health and environment, especially when balancing environmental harms that fall largely on society with health benefits for individuals. Further research is warranted to enable integration of environmental considerations into HTA and clinical and public health guidelines.

KW - Cost-Benefit Analysis

KW - review

KW - environment

KW - Technology Assessment, Biomedical - methods

KW - clinical guidelines

KW - Environment

KW - Humans

KW - healthcare evaluation mechanisms

KW - Public Health

KW - sustainability

KW - technology assessment

KW - biomedical

U2 - 10.1017/S0266462322003282

DO - 10.1017/S0266462322003282

M3 - Review article

C2 - 36510398

VL - 38

SP - 1

EP - 10

JO - International journal of technology assessment in health care

JF - International journal of technology assessment in health care

SN - 1471-6348

IS - 1

M1 - e84

ER -