Desterbecq Charlotte, Harrison Mark, Tubeuf Sandy
Institute of Health and Society (IRSS), Université catholique de Louvain (UClouvain), Brussels, Belgium.
Faculty of Pharmaceutical Sciences, University of British Columbia (UBC), Vancouver, Canada.
Pharmacoeconomics. 2025 Jun;43(6):617-627. doi: 10.1007/s40273-025-01479-y. Epub 2025 Mar 19.
Collective changes in healthcare practices are required to ensure real environmental gains. As patient-centred care is increasingly considered to enhance the ability of health systems to meet the expectations of the population, it is crucial for policymakers and health professionals to account for the preferences of the wider public regarding environmentally friendly healthcare. This article synthesises and appraises evidence from empirical studies to understand how people value environmental concerns when making decisions within medical-related or pharmaceutical sectors.
We conducted electronic searches of the PubMed, Scopus, and Embase literature databases. Studies were eligible if they conducted a quantitative experiment to understand participants' preferences regarding sustainability and green initiatives in the medical sector or for pharmaceuticals.
Of the 1138 documents identified, 32 studies were deemed eligible. More than 60% were published since 2020. Different methods were used to elicit the revealed and/or stated preferences of participants. In most studies, respondents valued the environment positively and were willing to change their behaviour or practices to support sustainability. However, concerns such as disease severity or clinical effectiveness of medicines or medical interventions were often prioritised over environmental considerations. The wide heterogeneity in study participants emphasises the need to involve all stakeholders to achieve the transition to a greener and sustainable healthcare system.
The identified studies used various methods but were consistent in finding broad support for environmental considerations within the healthcare sector.
需要在医疗实践中进行集体变革，以确保切实实现环境效益。由于以患者为中心的护理越来越被认为能够增强卫生系统满足民众期望的能力，因此政策制定者和卫生专业人员考虑更广泛公众对环保医疗保健的偏好至关重要。本文综合并评估实证研究的证据，以了解人们在医疗相关或制药领域做出决策时如何重视环境问题。
我们对PubMed、Scopus和Embase文献数据库进行了电子检索。如果研究进行了定量实验，以了解参与者对医疗部门或药品的可持续性和绿色倡议的偏好，则这些研究符合条件。
在识别出的1138份文献中，32项研究被认为符合条件。超过60%的研究是2020年以后发表的。采用了不同的方法来引出参与者的显示偏好和/或陈述偏好。在大多数研究中，受访者对环境持积极态度，并愿意改变自己的行为或做法以支持可持续性。然而，疾病严重程度或药物或医疗干预措施的临床有效性等问题往往比环境因素更受重视。研究参与者的广泛异质性强调了需要让所有利益相关者参与进来，以实现向更绿色、更可持续的医疗保健系统的转变。
已识别的研究使用了各种方法，但在发现医疗保健部门对环境因素的广泛支持方面是一致的。
