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Main Challenges of Incorporating Environmental Impacts in the Economic Evaluation of Health Technology Assessment: A Scoping Review

Author

Listed:
  • Carmen Guirado-Fuentes

    (Canary Islands Health Research Institute Foundation (FIISC), 38320 Santa Cruz de Tenerife, Spain
    Research Network on Health Services for Chronic Conditions (REDISSEC), Carlos III Health Institute, 28029 Madrid, Spain
    Network for Research on Chronicity, Primary Care, and Health Promotion (RICAPPS), 38109 Santa Cruz de Tenerife, Spain)

  • Analía Abt-Sacks

    (Canary Islands Health Research Institute Foundation (FIISC), 38320 Santa Cruz de Tenerife, Spain
    Network for Research on Chronicity, Primary Care, and Health Promotion (RICAPPS), 38109 Santa Cruz de Tenerife, Spain)

  • María del Mar Trujillo-Martín

    (Canary Islands Health Research Institute Foundation (FIISC), 38320 Santa Cruz de Tenerife, Spain
    Research Network on Health Services for Chronic Conditions (REDISSEC), Carlos III Health Institute, 28029 Madrid, Spain
    Network for Research on Chronicity, Primary Care, and Health Promotion (RICAPPS), 38109 Santa Cruz de Tenerife, Spain
    Institute of Biomedical Technologies (ITB), University of La Laguna, 38200 San Cristobal de La Laguna, Spain)

  • Lidia García-Pérez

    (Canary Islands Health Research Institute Foundation (FIISC), 38320 Santa Cruz de Tenerife, Spain
    Research Network on Health Services for Chronic Conditions (REDISSEC), Carlos III Health Institute, 28029 Madrid, Spain
    Network for Research on Chronicity, Primary Care, and Health Promotion (RICAPPS), 38109 Santa Cruz de Tenerife, Spain
    Institute of Biomedical Technologies (ITB), University of La Laguna, 38200 San Cristobal de La Laguna, Spain)

  • Leticia Rodríguez-Rodríguez

    (Canary Islands Health Research Institute Foundation (FIISC), 38320 Santa Cruz de Tenerife, Spain)

  • Carme Carrion i Ribas

    (Research Network on Health Services for Chronic Conditions (REDISSEC), Carlos III Health Institute, 28029 Madrid, Spain
    Network for Research on Chronicity, Primary Care, and Health Promotion (RICAPPS), 38109 Santa Cruz de Tenerife, Spain
    eHealth Lab Research Group, School of Health Sciences, Universitat Oberta de Catalunya (UOC), 08035 Barcelona, Spain)

  • Pedro Serrano-Aguilar

    (Research Network on Health Services for Chronic Conditions (REDISSEC), Carlos III Health Institute, 28029 Madrid, Spain
    Network for Research on Chronicity, Primary Care, and Health Promotion (RICAPPS), 38109 Santa Cruz de Tenerife, Spain
    Institute of Biomedical Technologies (ITB), University of La Laguna, 38200 San Cristobal de La Laguna, Spain
    Evaluation Unit (SESCS), Canary Islands Health Service (SCS), 38109 Santa Cruz de Tenerife, Spain)

Abstract

Health technology assessment (HTA) provides evidence-based information on healthcare technology to support decision making in many countries. Environmental impact is a relevant dimension of a health technology’s value, but it has been poorly addressed in HTA processes in spite of the commitment that the health sector must have to contribute to mitigating the effects of climate change. This study aims to identify the state of the art and challenges for quantifying environmental impacts that could be incorporated into the economic evaluation (EE) of HTA. We performed a scoping review that included 22 articles grouped into four types of contribution: (1) concepts to draw up a theoretical framework, (2) HTA reports, (3) parameter designs or suitable indicators, and (4) economic or budgetary impact assessments. This review shows that evaluation of the environmental impact of HTAs is still very incipient. Small steps are being taken in EE, such as carbon footprint estimations from a life-cycle approach of technologies and the entire care pathway.

Suggested Citation

  • 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.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:6:p:4949-:d:1094324
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    References listed on IDEAS

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    1. 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.
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