Environmental impact assessment in health technology assessment: principles, approaches, and challenges

To reduce harm to the environment resulting from the production, use, and disposal of health technologies, there are different options for how health technology assessment (HTA) agencies can consider environmental information. We identified four approaches that HTA agencies can use to take environme...

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Bibliographic Details
Published in:International journal of technology assessment in health care Vol. 39; no. 1; p. e13
Main Authors: Toolan, Michael, Walpole, Sarah, Shah, Koonal, Kenny, Juliet, Jónsson, Páll, Crabb, Nick, Greaves, Felix
Format: Journal Article
Language:English
Published: New York, USA Cambridge University Press 23.02.2023
Subjects:
Biomedical Technology
Cost analysis
Decision making
Economic analysis
Emission standards
Environment
Environmental impact
Environmental impact assessment
Evaluation
Health services
Health technology assessment
Impact analysis
Manufacturers
Nitrous oxide
Perspective
Public domain
Sustainable development
Technology
Technology assessment
Technology Assessment, Biomedical - methods
Willingness to pay
United Kingdom > UK
England
health technology assessment
environmental sustainability
health policy
ISSN:0266-4623, 1471-6348, 1471-6348
Online Access:Get full text
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Summary:To reduce harm to the environment resulting from the production, use, and disposal of health technologies, there are different options for how health technology assessment (HTA) agencies can consider environmental information. We identified four approaches that HTA agencies can use to take environmental information into account in healthcare decision making and the challenges associated with each approach. Republishing data that is in the public domain or has been submitted to an HTA agency we term the “information conduit” approach. Analyzing and presenting environmental data separately from established health economic analyses is described as “parallel evaluation.” Integrating environmental impact into HTAs by identifying or creating new methods that allow clinical, financial, and environmental information to be combined in a single quantitative analysis is “integrated evaluation.” Finally, evidence synthesis and analysis of health technologies that are not expected to improve health-related outcomes but claim to have relative environmental benefits are termed “environment-focused evaluation.”
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M.T. and S.W. are joint first authors.
ISSN:0266-4623
1471-6348
1471-6348
DOI:10.1017/S0266462323000041