Environmental sustainability in healthcare: Time to make outpatient care in orthopaedics and rheumatology greener

Author:

Tsagkaris Christos12,Nikolakea Melina3,Laskaratou Emmanouela Dionysia4ORCID,Samaras Christos5,Huang Helen6,Laubscher Lily7,Bobirca Anca8

Affiliation:

1. University of Crete Faculty of Medicine Heraklion Greece

2. European Student Think Tank Public Health and Policy Working Group Amsterdam The Netherlands

3. National and Kapodistrian University of Athens Faculty of Medicine Athens Greece

4. Department of Traumatology and Orthopaedics University Hospital of Heraklion Heraklion Greece

5. Chelsea and Westminster Hospital London UK

6. Royal College of Surgeons in Ireland Faculty of Medicine and Health Science Dublin Ireland

7. Department of Health Sciences Federal Institute of Technology Zurich (ETH Zurich) Zurich Switzerland

8. Department of Internal Medicine and Rheumatology Hopsital Dr. I Cantacuzino Carol Davila University of Medicine and Pharmacy Faculty of Medicine Bucharest Romania

Abstract

AbstractIntroductionChronic musculoskeletal conditions affect billions of individuals and constitute the greatest contributor to disability worldwide. Climate change has a negative impact on these conditions, causing a rising number of patients seeking medical attention in outpatient orthopaedic and rheumatology clinics. Due to the COVID‐19 pandemic, the delivery of care by these facilities tends to become more energy‐intensive due to the increased usage of protective equipment and testing for the purpose of maintaining hygienic conditions. Therefore, practitioners and health bodies in the field need to take action to make their practice more environmentally sustainable and protect both the environment and their patients.MethodsThe authors searched peer reviewed and grey literature for relevant sources.ResultsThe present review of the literature provides an overview of the environmental pollution associated with outpatient musculoskeletal care and discusses evidence‐based recommendations from previous studies.ConclusionTelemedicine, rationalised use of consumables and equipment, physician‐led climate advocacy and patient education have a major potential to turn the tide.

Publisher

Wiley

Subject

Health Policy

Reference35 articles.

1. Association between environmental air pollution and rheumatoid arthritis flares

2. World Health Organization.Musculoskeletal Conditions;2021. Accessed 17 February 2022.https://www.who.int/news‐room/fact‐sheets/detail/musculoskeletal‐conditions#:~:text=Key%20facts prevalence%20of%20568%20million%20people

3. Energy Consumption Analysis and Characterization of Healthcare Facilities in the United States

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