A focus group study of ethical issues during climate-informed health decision-making
Romanello, M. et al. The 2022 report of the Lancet Countdown on health and climate change: health at the mercy of fossil fuels. Lancet 400, 1619–1654 (2022).
Google Scholar
Eckelman, M. J. et al. Health care pollution and public health damage in the United States: an update. Health Aff. 39, 2071–2079 (2020).
Google Scholar
Tennison, I. et al. Health care’s response to climate change: a carbon footprint assessment of the NHS in England. Lancet Planet. Health 5, e84–e92 (2021).
Google Scholar
Salas, R. N., Miller, J. & Neira, M. Health at COP26: just the beginning. Brit. Med. J. 375, n2960 (2021).
Google Scholar
MacNeill, A. J., Lillywhite, R. & Brown, C. J. The impact of surgery on global climate: a carbon footprinting study of operating theatres in three health systems. Lancet Planet. Health 1, e381–e388 (2017).
Google Scholar
Dacones, I., Cave, C., Furie, G. L., Ogden, C. A. & Slutzman, J. E. Patient transport greenhouse gas emissions from outpatient care at an integrated health care system in the Northwestern United States, 2015–2020. J. Clim. Change Health 3, 100024 (2021).
Google Scholar
Wang, E. Y. et al. Environmental emissions reduction of a preoperative evaluation center utilizing telehealth screening and standardized preoperative testing guidelines. Resour. Conserv. Recycl. 171, 105652 (2021).
Google Scholar
Patel, S. D. & Smith-Steinert, R. Greening the operating room, one procedure at a time. J. Clim. Change Health 2, 100014 (2021).
Google Scholar
Janson, C. et al. Carbon footprint impact of the choice of inhalers for asthma and COPD. Thorax 75, 82–84 (2020).
Google Scholar
Quitmann, C., Griesel, S., Nayna Schwerdtle, P., Danquah, I. & Herrmann, A. Climate-sensitive health counselling: a scoping review and conceptual framework. Lancet Planet. Health 7, e600–e610 (2023).
Google Scholar
Bose-O’Reilly, S. et al. Health effects of climate change – are they sufficiently addressed in pediatric settings in Germany to meet parents’ needs? J. Clim. Change Health 6, 100129 (2022).
Google Scholar
Brand, G. et al. ‘I teach it because it is the biggest threat to health’: integrating sustainable healthcare into health professions education. Med. Teach. 43, 325–333 (2020).
Google Scholar
One Health (World Health Organization, 2024); https://www.who.int/health-topics/one-health#tab=tab_1
Richie, C. A brief history of environmental bioethics. Virtual Mentor 16, 749–752 (2014).
Google Scholar
Richie C. Principles of Green Bioethics: Sustainability in Health Care (Michigan State Univ. Press, 2019).
Richie, C., Kesselheim, A. S. & Jones, D. S. Climate change and the prescription pad. Lancet 401, 178–179 (2023).
Google Scholar
Greene, J., Skolnik, C. L. & Merritt, M. W. How medicine becomes trash: disposability in health care. Lancet 400, 1298–1299 (2022).
Google Scholar
Morgan, D. J., Leppin, A. L., Smith, C. D. & Korenstein, D. A practical framework for understanding and reducing medical overuse: conceptualizing overuse through the patient–clinician interaction. J. Hosp. Med. 12, 346–351 (2017).
Google Scholar
Van Houtan, K. S., Tanaka, K. R., Gagne, T. O. & Becker, S. L. The geographic disparity of historical greenhouse emissions and projected climate change. Sci. Adv. 7, eabe4342 (2021).
Google Scholar
Climate Change and Social Vulnerability in the United States: A Focus on Six Impacts EPA 430-R-21-003 (Environmental Protection Agency, 2021).
Auckland, C. et al. Medical ethics and the climate change emergency. J. Med. Ethics 48, 939–940 (2022).
Google Scholar
The Climate Resilience for Frontline Clinics Toolkit (Americares, accessed 24 January 2024); https://www.americares.org/what-we-do/community-health/climate-resilient-health-clinics/#toolkit
Jameton, A. & Pierce, J. Can clinical ethics survive climate change? Perspect. Biol. Med. 64, 511–540 (2021).
Google Scholar
Macpherson, C. C. Climate change is a bioethics problem. Bioethics 27, 305–308 (2013).
Google Scholar
Hantel A., Marron, J. M. & Abel, G. A. Establishing and defining an approach to climate conscious clinical medical ethics. Am. J. Bioethics (2024).
Hantel, A. et al. ASCO ethical guidance for the practical management of oncology drug shortages. J. Clin. Oncol. 42, 358–365 (2024).
Google Scholar
Richie, C., Kesselheim, A. S. & Jones, D. S. Concerns about climate activism in clinical practice – Authors’ reply. Lancet 401, 1772 (2023).
Google Scholar
Climate Resources For Health Education (Columbia Univ. Mailman School of Public Health, accessed 20 November 2023); https://climatehealthed.org/
Buckley M. R. F. Connecting climate change and health. News & Research (Harvard Medical School, 2023); https://hms.harvard.edu/news/connecting-climate-change-health
Reismann, L., Weber, A., Leitzmann, M. & Jochem, C. Climate-specific health literacy and medical advice: the potential for health co-benefits and climate change mitigation. An exploratory study. J. Clim. Change Health 4, 100072 (2021).
Google Scholar
Amelung, D. et al. Human health as a motivator for climate change mitigation: results from four European high-income countries. Glob. Environ. Change 57, 101918 (2019).
Google Scholar
Marseille, E. & Kahn, J. G. Utilitarianism and the ethical foundations of cost-effectiveness analysis in resource allocation for global health. Philos. Ethics Humanit. Med. 14, 5 (2019).
Google Scholar
Senay, E. & Hantel, A. Environmental health: translating policy into action. Ann. Intern. Med. 175, 1612–1613 (2022).
Google Scholar
Senay, E., Cort, T., Perkison, W., Laestadius, J. G. & Sherman, J. D. What can hospitals learn from the Coca-Cola Company? Health care sustainability reporting. NEJM Catal. Innov. Care Deliv. (2022).
Bhopal, A. & Norheim, O. F. Priority setting and net zero healthcare: how much health can a tonne of carbon buy? Brit. Med. J. 375, e067199 (2021).
Google Scholar
Lee, L. M. A bridge back to the future: public health ethics, bioethics, and environmental ethics. Am. J. Bioeth. 17, 5–12 (2017).
Google Scholar
Childers, J. W., Bulls, H. & Arnold, R. Beyond the NURSE acronym: the functions of empathy in serious illness conversations. J. Pain Symptom Manage. 65, e375–e379 (2023).
Google Scholar
Malterud, K., Siersma, V. D. & Guassora, A. D. Sample size in qualitative interview studies. Qual. Health Res. 26, 1753–1760 (2016).
Google Scholar
Hennink, M. M., Kaiser, B. N. & Marconi, V. C. Code saturation versus meaning saturation. Qual. Health Res. 27, 591–608 (2016).
Google Scholar
Braun, V. & Clarke, V. Successful Qualitative Research: A Practical Guide for Beginners (SAGE, 2013).
Green, J. & Thorogood, N. Qualitative Methods for Health Research 4th edn (SAGE, 2018).
Greenbaum, T. L. Moderating Focus Groups: A Practical Guide for Group Facilitation (SAGE, 2000).
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