评估远程医疗的碳足迹:一个系统审查
Casper van der Zee1, Jennifer Chang-Wolf1, Marc A Koopmanschap2
1Ophthalmology Department, University Medical Center Utrecht, Utrecht, The Netherlands.
Health services insights
|August 14, 2024
概括
远程医疗可以显著减少医疗保健.
科学领域:
- 环境科学 环境科学
- 公共卫生 公共卫生
- 医疗保健管理的管理
背景情况:
- 医疗保健对全球碳排放做出了重大贡献,运输是其中一个主要因素.
- 远程医疗提供了一种潜在的策略,通过减少患者旅行来减轻环境影响.
- 对远程医疗中的碳足迹变量有全面的了解,对于准确的环境效益评估至关重要.
研究的目的:
- 系统地审查和评估报告的远程医疗的碳足迹.
- 识别和比较用于远程医疗碳足迹估计的变量.
- 与常规护理相比,评估远程医疗对环境的好处.
主要方法:
- 在主要数据库 (PubMed,Medline,Embase,Scopus) 中遵循PRISMA指南的系统文献审查.
- 碳足迹计算器使用透明度检查清单进行质量评估.
- 基于患者旅行和简化生命周期评估 (LCA) 的碳排放评估.
主要成果:
- 包括33篇文章,碳足迹计算器的平均透明度得分为38%.
- 患者往返旅行的中位数为131公里,相当于25.6公斤CO2排放.
- 当排除外部因素和精简的LCA时,排放节约的大幅低估发生.
结论:
- 远程医疗显然可以减少碳排放,主要是通过减少患者旅行.
- 建议将简化生命周期评估 (LCA) 纳入其中,以更细致地了解环境影响.
- 本次审查有助于正在进行的关于精确量化远程医疗碳足迹节约的讨论.
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