ArticleInternational journal of technology assessment in health care2024
Integrating environmental sustainability into health technology assessment: an international survey of HTA stakeholders.
Article in International journal of technology assessment in health care, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed.
- Points to consider for incorporating climate impacts into health economic evaluation.The European journal of health economics : HEPAC : health economics in prevention and care · 2026Article
- Integrating environmental considerations in HTA: The strategy of the Institut National d'Excellence en Santé et Services Sociaux (INESSS).International journal of technology assessment in health care · 2026Article
- Next-generation methods in health technology assessment (HTA): need, rigor, and implementability.International journal of technology assessment in health care · 2026Review
- Ethical Considerations in Health Technology Assessment for Precision Medicine: A Delphi Study in a Greek Setting.Journal of personalized medicine · 2026Article
- From Paper to Platform: Updating the Dutch Costing Manual and Launching a Web Application.PharmacoEconomics · 2026Article
- The Increasing Value of Environmental Sustainability Assessments in Healthcare Policy and Technology Evaluation.Applied health economics and health policy · 2026Article
- Mapping the regulatory landscape for environmental sustainability of medical device practices within the European Union.European journal of public health · 2026Article
- Which Factors are Holding up the Integration of the Environmental Impact of Health Technologies in Health Technology Assessment? Insights from a Multi-Stakeholder Interview Study.Applied health economics and health policy · 2026Article
- Towards an environmentally sustainable and resilient healthcare system: a roadmap for Italy.Frontiers in public health · 2026Article
- Integrating ESG indicators into public health governance as a policy innovation for institutional accountability: a scoping review.Public health reviews · 2026Review
- Environmental sustainability in diabetes: improving the quality of diabetes management through HTA and system-level change?International journal of technology assessment in health care · 2025Review
- Health Technology Assessment and Environmental Impact: A Scoping Review of State of Art and Future Perspective.Applied health economics and health policy · 2025Article
- Integrating Environmental Aspects into Health Technology Assessment: A Qualitative Study among Dutch Stakeholders.International journal of technology assessment in health care · 2025Article
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- Environmental sustainability in health technology assessment: an analysis of the activities of Canada's Drug Agency and the England's NICE.International journal of technology assessment in health care · 2025Article
- Health technology assessment (HTA) and performance management (PM): a scoping review on the intersecting realms.BMC health services research · 2025Article
- Towards the Operationalization of Health Technology Sustainability Assessment and the Early Eco Design of the Internet of Medical Things.Sensors (Basel, Switzerland) · 2025Article
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionHealth technologies play a relevant role in environmental sustainability (ES). However, limited evidence exists on approaches and methods to integrate ES into the Health Technology Assessment (HTA).
objectivesThe purpose of this study is: (i) to provide an overview of global HTA organizations' progression toward the integration of ES into HTA; (ii) to investigate various paths for this integration, highlighting obstacles, priorities, potential approaches, and methods.
methodsData were collected via questionnaires from organizations belonging to HTA networks, International Network of Agencies for Health Technology Assessment, and European Network for HTA. To complement the results of the survey, the authors carried out a desk analysis with strategic documents available on institutional websites.
resultsThe survey included twenty-six respondents from twenty different countries (thirty-three percent response rate). Among the study's participants, there is a notable acknowledgment of the importance of integrating ES into HTA. However, only nine organizations are actively engaged in these integration efforts, each employing unique methodologies and perspectives. There is a substantial consensus on the application of life cycle assessment, with a particular emphasis on the use of environmentally extended input-output analysis, and a stronger preference for cost-utility analysis. Nevertheless, evidence on integrating ES into HTA remains scarce. Major challenges identified include data collection difficulties and the necessity for interdisciplinary teams.
conclusionsOur study represents a preliminary effort to systematize initiatives aimed at integrating ES into HTA. Further research is required to customize methods and tools for appropriately evaluating the environmental impacts of technologies. The findings suggest that achieving ES-HTA integration demands a multi-tiered, interdisciplinary approach.
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