Evidence map›Paper›PMID 36231468›Full record

ArticleInternational journal of environmental research and public health2022

On the Road to Net Zero Health Care Systems: Governance for Sustainable Health Care in the United Kingdom and Germany.

Léa Weimann, Edda Weimann

Open access · goldAbstract read
In one paragraph

Article in International journal of environmental research and public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
3.1field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 32 citations in OpenAlex.

  1. Green radiotherapy: aitro survey on sustainability awareness among Italian radiation therapists.Technical innovations & patient support in radiation oncology · 2026
    Article
  2. Article
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  4. Mobilising Knowledge for General Practice Decarbonisation: Maximising Impact Through a Multi-Stakeholder Workshop.Health expectations : an international journal of public participation in health care and health policy · 2025
    Article
  5. Observational
  6. Carbon footprint of Pars plana vitrectomies in rhegmatogenous retinal detachment in Germany between 2013 and 2023 - A cohort study of fluorinated gas emissions.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2025
    Article
  7. Review
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  10. Dermatological societies and their climate change and sustainability commitment through 2024.Journal of the European Academy of Dermatology and Venereology : JEADV · 2025
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  14. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors at 2 institutions in 3 countries.

Léa WeimannEdinburgh Law School, University of Edinburgh, Edinburgh EH8 9YL, UK.
Edda WeimannSchool of IT, University of Cape Town, Cape Town 7700, South Africa.ORCID 0000-0003-4797-5422
University of Cape Town · ZAUniversity of St Andrews · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Health care lies at the forefront of the impacts of climate change. Since the health sector is a major polluting and emission intensive sector, it remains a crucial challenge to address sustainability. The English National Health System (NHS) aims to be the first in the world to achieve net zero in all emission classes (Scope 1-3). In Germany, sustainability in health care is being driven bottom-up, while the Federal Ministry of Health at the time of the research in early 2021 takes no active stance on a net zero health care system. This article analyses the approaches to sustainability in the two different health care systems, explores common challenges, and draws recommendations to support the transition of the sector to a net zero future. An exploratory mixed method approach was taken applying qualitative and quantitative methods. This includes high-level expert interviews and an online survey from the United Kingdom (UK) and Germany. Results reveal the complex nature of health care systems and the need for engraining a systems-thinking approach. The findings call for the legal embedding of sustainability into the key principles of health care in Germany, endorses the ambition of the national health care systems in the UK, recommends collaborative cross-sector approaches for sustainability, and highlights the need for increased public awareness on the interrelation between human and planetary health to enable governance for sustainable health care.

Indexed as

Delivery of Health CareHealth FacilitiesClimate ChangeGermanyHumansUnited KingdomGerman healthcaregovernancehealthcarehealthcare lawnet zeroNHS UKplanetary healthpublic healthsustainable developmentsystems-thinking

Identifiers

PMID36231468
PMCPMC9565078
OpenAlexW4297237824

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.