Evidence map›Paper›PMID 42165091›Full record

ArticleInternational journal of technology assessment in health care2026

Incorporating climate impact in health care decisions: new criteria to be tested in the Netherlands.

Johan P Mackenbach, Jacqueline Zwaap, Saskia Knies

Abstract read
In one paragraph

Article in International journal of technology assessment in health care, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

3 authors.

Johan P MackenbachDepartment of Public Health, https://ror.org/018906e22Erasmus MC, Rotterdam, The Netherlands.ORCID https://orcid.org/0000-0002-8954-6557
Jacqueline Zwaaphttps://ror.org/038b4c997Zorginstituut Nederland, Diemen, The Netherlands.
Saskia Knieshttps://ror.org/038b4c997Zorginstituut Nederland, Diemen, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

One of the ways in which healthcare's climate impact can be reduced is by taking greenhouse gas emissions into account when deciding which treatments are reimbursed and/or included in clinical guidelines. In a report for the Minister of Health, Welfare, and Sports in the Netherlands, we explored how this idea could be put into practice. We developed a set of two criteria: greenhouse gas emissions per patient (which can be compared to, for example, QALYs gained), and total amount of greenhouse gas emissions for all patients undergoing the intervention (which can be compared to, e.g., healthcare's remaining carbon budget). In the coming three years, the National Health Care Institute will use these criteria in an experimental setting, to gain practical experience and to assess whether there is sufficient support among policy makers, practitioners, and patients for taking into account climate impact regularly.

Indexed as

Climate ChangeDecision MakingGreenhouse EffectGreenhouse GasesTechnology Assessment, BiomedicalHumansNetherlandsQuality-Adjusted Life YearsGreenhouse Gasesclimate changeclinical guidelinesenvironmental impacthealth technology assessment

Identifiers

PMID42165091
PMCPMC13247785

What OpenQuestion holds

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LicenceCC BY-NC-SA
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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.