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How We Might Further Integrate Considerations of Environmental Impact When Assessing the Value of Health Technologies

Author

Listed:
  • Barbara Greenwood Dufour

    (Canadian Agency for Drugs and Technologies in Health, Ottawa, ON K1S 5S8, Canada)

  • Laura Weeks

    (Canadian Agency for Drugs and Technologies in Health, Ottawa, ON K1S 5S8, Canada)

  • Gino De Angelis

    (Canadian Agency for Drugs and Technologies in Health, Ottawa, ON K1S 5S8, Canada)

  • Dave K. Marchand

    (Canadian Agency for Drugs and Technologies in Health, Ottawa, ON K1S 5S8, Canada)

  • David Kaunelis

    (Canadian Agency for Drugs and Technologies in Health, Ottawa, ON K1S 5S8, Canada)

  • Melissa Severn

    (Canadian Agency for Drugs and Technologies in Health, Ottawa, ON K1S 5S8, Canada)

  • Melissa Walter

    (Canadian Agency for Drugs and Technologies in Health, Ottawa, ON K1S 5S8, Canada)

  • Nicole Mittmann

    (Canadian Agency for Drugs and Technologies in Health, Ottawa, ON K1S 5S8, Canada)

Abstract

There is growing awareness of the impact health technologies can have on the environment and the negative consequences of these environmental impacts on human health. However, health system decision-makers may lack the expertise, data, or resources to incorporate environmental considerations when making decisions about the adoption and use of health technologies. In this article, we describe how health technology assessment (HTA) is evolving to address climate change by providing health system decision-makers with the information they can use to reduce the impact of health care systems on the environment. Our objective is to consider approaches for including the environment domain when conducting an HTA—in particular, the use of the deliberative process—and for determining when the domain should be included. We explore the challenges of gathering the relevant data necessary to assess the environmental impact of a health technology, and we describe a “triage” approach for determining when an in-depth environmental impact assessment is warranted. We also summarize related initiatives from HTA agencies around the world.

Suggested Citation

  • Barbara Greenwood Dufour & Laura Weeks & Gino De Angelis & Dave K. Marchand & David Kaunelis & Melissa Severn & Melissa Walter & Nicole Mittmann, 2022. "How We Might Further Integrate Considerations of Environmental Impact When Assessing the Value of Health Technologies," IJERPH, MDPI, vol. 19(19), pages 1-8, September.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:19:p:12017-:d:922628
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    References listed on IDEAS

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    1. Lukoye Atwoli & Abdullah H Baqui & Thomas Benfield & Raffaella Bosurgi & Fiona Godlee & Stephen Hancocks & Richard Horton & Laurie Laybourn-Langton & Carlos Augusto Monteiro & Ian Norman & Kirsten Pat, 2021. "Call for emergency action to limit global temperature increases, restore biodiversity, and protect health," PLOS Medicine, Public Library of Science, vol. 18(9), pages 1-4, September.
    2. Matthew J Eckelman & Jodi D Sherman & Andrea J MacNeill, 2018. "Life cycle environmental emissions and health damages from the Canadian healthcare system: An economic-environmental-epidemiological analysis," PLOS Medicine, Public Library of Science, vol. 15(7), pages 1-16, July.
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    Cited by:

    1. Carmen Guirado-Fuentes & Analía Abt-Sacks & María del Mar Trujillo-Martín & Lidia García-Pérez & Leticia Rodríguez-Rodríguez & Carme Carrion i Ribas & Pedro Serrano-Aguilar, 2023. "Main Challenges of Incorporating Environmental Impacts in the Economic Evaluation of Health Technology Assessment: A Scoping Review," IJERPH, MDPI, vol. 20(6), pages 1-18, March.

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