ArticleBritish journal of clinical pharmacology2025
Patient preferences and attitudes regarding the environmental impact of medicines: A discrete choice experiment.
Article in British journal of clinical pharmacology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
What it found
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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.
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Who cites it
5 citing papers in PubMed.
- Patients' perspectives in German general practice on discussing the environmental impact of medications: A qualitative study.The European journal of general practice · 2026Article
- Advancing sustainable medication use in healthcare: a Delphi study on (de)prescribing interventions.BMJ open · 2026Article
- Reducing carbon emissions in the healthcare sector: a real-time delphi on challenges and enablers.Global bioethics = Problemi di bioetica · 2026Article
- Patient preferences and attitudes regarding the environmental impact of medicines: A discrete choice experiment.British journal of clinical pharmacology · 2025Article
- A narrative review on the environmental impact of medicines: from water analysis andFrontiers in drug safety and regulation · 2025Review
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
aimsPharmaceutical utilization within global healthcare has significant environmental impact throughout its lifecycle. Understanding how the environmental impact of medicines influences patients' preferences relative to ease of use and cost supports interventions promoting appropriate medicine consumption, reduced waste and environmental sustainability. The aim of this study was to investigate patient preferences and attitudes regarding the environmental impact of medicines in relation to ease of use and cost.
methodsA cross-sectional survey (December 2022 to January 2023) was conducted using the Dutch AMP pharmacy panel (>25 000 chronic medicine users). It included a discrete choice experiment (DCE) on medicines' environmental impact, ease of use and cost, and questions on environmental sustainability in medicine use and daily life. Latent class analysis identified groups with shared preferences. An environmental sustainability attitude score was calculated from daily life behaviour.
resultsOf 25 787 invited panel members 6390 responded and 4122 were included in the analysis (16.0%, mean age 68 years, 42.6% female). Four preference groups were identified and labelled based on DCE-derived attribute preferences: eco-focused (55.7%), cost-focused (20.1%), indifferent (16.4%) and eco-sceptical (7.8%). Environmental sustainability attitude scores were highest in the eco-focused and eco-sceptical (median 75.0%) groups, followed by the indifferent and cost-focused (median 66.7%) groups. Important factors influencing this were environmental concerns (eco-focused), environmental and personal health concerns (eco-sceptical), costs (cost-focused) and environmental, cost and personal health concerns (indifferent). Only 8.8-15.5% reported good or very good self-assessed knowledge of medicines' environmental impact.
conclusionsEnvironmental sustainability significantly affects medicine preferences, although heterogeneity exists. Tailored initiatives are required to promote environmentally sustainable pharmaceutical care.
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Registered trials
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.