Evidence map›Paper›PMID 42907483›Full record

Articlenpj health systems2026

Health systems and climate change mitigation through an applied health informatics and sustainability perspective.

Mostafa Balboul, Manijeh Berenji, Asma Jahan Pathan, Muhammad Muinul Islam, Arriel Benis, Beenish Chaudry, Zerina Lokmic-Tomkins, Chethan Sarabu, Prerna Dua, Md Shafiur Raihan Shafi and 2 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in npj health systems, 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

12 authors.

Mostafa BalboulHunterdon Medical Center, Flemington, NJ, USA. mostafabalbouleras@gmail.com.
Manijeh BerenjiDepartment of Medicine, Division of Occupational and Environmental Medicine, UC Irvine School of Medicine, Irvine, CA, USA.
Asma Jahan PathanHealth Informatics, University of North Carolina at Charlotte, Charlotte, NC, USA.
Muhammad Muinul IslamDepartment of Biomedical Informatics, Biostatistics, and Medical Epidemiology, University of Missouri School of Medicine, Columbia, MI, USA.
Arriel BenisDepartment of Biomedical Engineering, Duke University, Durham, NC, USA.
Beenish ChaudrySchool of Computing and Informatics, University of Louisiana at Lafayette, Lafayette, LA, USA.
Zerina Lokmic-TomkinsSchool of Nursing and Midwifery and Health and Climate Initiative, Monash University, Clayton, VIC, Australia.
Chethan SarabuHealth Tech Hub, Cornell Tech, Cornell University, New York, NY, USA.
Prerna DuaDepartment of Biomedical and Health Informatics, University of Missouri-Kansas City, Kansas City, MI, USA.
Md Shafiur Raihan ShafiSchool of Computing and Informatics, University of Louisiana at Lafayette, Lafayette, LA, USA.
Sarah BalboulDepartment of Internal Medicine, St. Luke's University Health Network, Easton, PA, USA.
Titus SchleyerCenter for Biomedical Informatics, Regenstrief Institute, Inc., Indianapolis, IN, USA.

Funding

NCATS NIH HHS ULI TR002529
6 · The paper itself

Abstract

Climate change poses a growing threat to U.S. healthcare systems, which are uniquely positioned to mitigate its impacts while addressing their own greenhouse gas emissions from energy use, supply chains, clinical operations, and waste. Clinical informaticists can advance mitigation by integrating environmental data into health system operations and decision-making. Tracking emissions across scopes enables data-informed strategies, while frameworks such as I-CLIMATE and One Digital Health can help coordinate disparate data streams and reduce healthcare's environmental impact. Integrated dashboards can support renewable energy adoption, energy efficiency, and operational decision-making, while telehealth can reduce transportation-related emissions. Artificial intelligence may also reduce resource use when applied judiciously through narrowly scoped, task-specific models, with frameworks such as SAHAI guiding sustainable implementation. Financial approaches such as New York University's Return on Sustainability Investment framework can quantify the financial value of decarbonization initiatives. Effective governance, including vertical alignment and horizontal integration, is essential to operationalizing these strategies. Emerging opportunities include climate-conscious hardware design and carbon accounting applications. Ultimately, informatics can provide the data, tools, and governance infrastructure needed to translate climate mitigation goals into measurable health system action and establish carbon neutrality as an organizational performance priority.

Identifiers

PMID42907483
PMCPMC13687103

What OpenQuestion holds

Textmetadata
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.