ArticleInternational journal of health policy and management2025
Ambition With Uncertainty: Exploring Policy-Makers' Perspectives on Pathways to Net Zero Healthcare.
Article in International journal of health policy and management, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- UK Public Focus Groups on Healthcare's Environmental Impacts: A Critical Analysis of Co-Benefits Approaches.Sociology of health & illness · 2025Article
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Authors and funding
3 authors.
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Abstract
backgroundOver 80 countries have now signed up to the COP26 Health Programme-a World Health Organization (WHO)-led initiative on climate change and health-of which 45 countries have committed to reaching
methodsWe undertook 11 online, semi-structured qualitative research interviews between September 2022 - May 2023 with civil servants leading national net zero healthcare strategies. The interview guide explored three main areas: responsibility for emissions, priority setting and international perspectives. Interviews were coded and analysed the data using Malterud's systematic text condensation (STC).
resultsFour main themes emerged: obligation to act, leadership, governance, and prioritization. Participants described that the healthcare system should take responsibility for its entire carbon footprint, including harms inflicted beyond national borders. We also found indications of synergistic, multi-scalar health leadership-clinical, civil service, and political-helping to accelerate the net zero healthcare agenda. Participants generally rejected the notion of direct "trade-offs" between efforts to reduce emissions and patient care, emphasising ways net zero healthcare can leverage societal health improvements more broadly. These empirical findings inform the emerging literature exploring how health systems should account for their environmental impacts.
conclusionOur findings highlight the sincerity of ambitions to deliver net zero healthcare and uncertainties on how to get there. Further work characterising the types of constraints and trade-offs policy-makers face on the path to net zero healthcare systems, including examples of how these have been overcome, could help integrate climate concerns into healthcare decision-making and resource allocation processes.
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