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Establishing a Net-Zero Emissions Kidney Care Center: A Model Proposal for Taiwan
Mei-Yi Wu1,2,3, Wei-Cheng Lo3,4,5, Min-Kuang Tsai1,3
1Division of Nephrology, Department of Internal Medicine, Shuang Ho Hospital, Taipei Medical University, New Taipei, Taiwan.
Journal of Medical Internet Research
|September 22, 2025
Summary
Green nephrology offers a sustainable path for kidney care, reducing the environmental impact of dialysis. This model proposes a net-zero carbon emissions kidney care center using a 4D framework to achieve climate goals.
Area of Science:
- Environmental Health
- Nephrology
- Climate Change Mitigation
Background:
- The healthcare sector significantly contributes to the climate crisis, with dialysis services being carbon-intensive.
- There is a growing need for sustainable healthcare practices aligned with global net-zero commitments.
- Green nephrology aims to reduce environmental impact while maintaining high standards of patient care.
Purpose of the Study:
- To propose a net-zero carbon emissions kidney care center model.
- To address global climate change challenges within the healthcare sector.
- To advance health care sustainability goals through innovative approaches.
Main Methods:
- Development of a 4D framework based on the United Nations Sustainable Development Goals: Digital Transformation, Low-Carbon Health Care, Circular Economy, and Preventive Medicine.
- Integration of precision kidney health systems and digital care models for acute and chronic kidney injury.
- Focus on increasing kidney transplantation rates, optimizing dialysis modalities, and implementing circular economy principles.
Main Results:
- The proposed model integrates digital transformation for precision kidney health.
- Low-carbon strategies include promoting kidney transplantation and sustainable dialysis.
- Circular economy principles involve wastewater recycling, material repurposing, and renewable energy integration.
Conclusions:
- The net-zero carbon emissions kidney care model offers an environmental, social, and governance (ESG) approach.
- It provides actionable steps for implementing sustainable kidney care.
- This model serves as a reference for net-zero emissions healthcare systems.
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