Health-care systems' resource footprints and their access and quality in 49 regions between 1995 and 2015: an input–output analysis

Andrieu, Baptiste; Marrauld, Laurie; Vidal, Olivier; Egnell, Mathis; Boyer, Laurent; Fond, Guillaume

doi:10.1016/s2542-5196(23)00169-9

Cited by 6 publications

(2 citation statements)

References 47 publications

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“…Compared to France, whose Shift Project initiative is closest in methodology and scope to ours, we see that Geneva’s carbon footprint per capita is more than 16% higher, from 0.73 to 0.84 tCO 2 eq. These figures should be set in relation to the study by Andrieu et al published in 2023, which shows that the energy footprint of the Swiss healthcare system is more than three times larger than that of France [ 6 ]. In the UK, the per capita footprint is significantly lower than in Geneva.…”

Section: Discussionmentioning

confidence: 99%

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Estimating the Carbon Footprint of Healthcare in the Canton of Geneva and Reduction Scenarios for 2030 and 2040

Mermillod,

Tornare,

Jochum

et al. 2024

IJERPH

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Switzerland, a wealthy country, has a cutting-edge healthcare system, yet per capita, it emits over one ton of CO2, ranking among the world’s most polluting healthcare systems. To estimate the carbon footprint of the healthcare system of Geneva’s canton, we collected raw data on the activities of its stakeholders. Our analysis shows that when excluding medicines and medical devices, hospitals are the main greenhouse gas emitter by far, accounting for 48% of the healthcare system’s emission, followed by nursing homes (20%), private practice (18%), medical analysis laboratories (7%), dispensing pharmacies (4%), the homecare institution (3%), and the ambulance services (<1%). The most prominent emission items globally are medicines and medical devices by far, accounting for 59%, followed by building operation (19%), transport (11%), and catering (4%), among others. To actively reduce Geneva’s healthcare carbon emissions, we propose direct and indirect measures, either with an immediate impact or implementing systemic changes concerning medicine prescription, building heating and cooling, low-carbon means of transport, less meaty diets, and health prevention. This study, the first of its kind in Switzerland, deciphers where most of the greenhouse gas emissions arise and proposes action levers to pave the way for ambitious emission reduction policies. We also invite health authorities to engage pharmaceutical and medical suppliers in addressing their own responsibilities, notably through the adaptation of procurement processes and requirements.

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Section: Discussionmentioning

confidence: 99%

“…The efficiency of the Swiss healthcare system, measured by the quality/energy footprint indicator, is below optimal standards, especially when compared to countries such as Sweden [ 6 ]. Sweden achieves a comparable quality of healthcare with an energy footprint of one-third, indicating potential for improvement.…”

Section: Introductionmentioning

confidence: 99%