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Next Generation Methods in Health Technology Assessment (HTA): Need, Rigor, and Implementability.

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Toward including environmental sustainability in Health Technology Assessment.

Anke-Peggy Holtorf1,2,3, Melissa Pegg3,4, Debjani Mueller3,5

  • 1Health Outcomes Strategies, Basel, Switzerland.

International Journal of Technology Assessment in Health Care
|September 22, 2025
PubMed
Summary

Integrating environmental sustainability into Health Technology Assessment (HTA) is crucial for healthcare

Keywords:
HTAHealth Technology Assessmentenvironmental sustainabilityvalue framework

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Area of Science:

  • Environmental Health
  • Health Policy
  • Sustainable Development

Background:

  • Healthcare's life cycle contributes to pollution, resource depletion, and climate change.
  • Increasing global healthcare resource use exacerbates environmental degradation and health impacts.
  • Health Technology Assessment (HTA) must incorporate environmental sustainability for informed decision-making.

Purpose of the Study:

  • To guide an international working group on Environmental Sustainability in Health Technology Assessment (ESHTA).
  • To establish a multistakeholder approach for integrating environmental considerations into HTA.
  • To foster consensus on environmental sustainability within the global HTA community.

Main Methods:

  • A multistakeholder online workshop with 32 participants in May 2024.
  • Consultation on the resulting report among ESHTA members and 90 additional global stakeholders.
  • A collaborative approach to define critical issues for environmental sustainability in HTA.

Main Results:

  • Participants identified opportunities to embed environmental sustainability into HTA frameworks for sustainable healthcare.
  • Key requirements include consensus on definitions, policy reconciliation, and applicable HTA methods.
  • Recognized the need for practical tools and mechanisms for environmental sustainability integration.

Conclusions:

  • This collaboration aims to align the global HTA community on environmental sustainability.
  • The report outlines a path forward for incorporating environmental sustainability into HTA.
  • Broad global stakeholder perspectives inform the proposed approach for sustainable HTA.