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Mapping the Environmental Co-Benefits of Reducing Low-Value Care: A Scoping Review and Bibliometric Analysis

Author

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  • Gillian Parker

    (Collaborative Centre for Climate, Health & Sustainable Care, Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON M5T 3M6, Canada)

  • Sarah Hunter

    (Collaborative Centre for Climate, Health & Sustainable Care, Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON M5T 3M6, Canada)

  • Karen Born

    (Collaborative Centre for Climate, Health & Sustainable Care, Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON M5T 3M6, Canada)

  • Fiona A. Miller

    (Collaborative Centre for Climate, Health & Sustainable Care, Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON M5T 3M6, Canada)

Abstract

Reducing low-value care (LVC) and improving healthcare’s climate readiness are critical factors for improving the sustainability of health systems. Care practices that have been deemed low or no-value generate carbon emissions, waste and pollution without improving patient or population health. There is nascent, but growing, research and evaluation to inform practice change focused on the environmental co-benefits of reducing LVC. The objective of this study was to develop foundational knowledge of this field through a scoping review and bibliometric analysis. We searched four databases, Medline, Embase, Scopus and CINAHL, and followed established scoping review and bibliometric analysis methodology to collect and analyze the data. A total of 145 publications met the inclusion criteria and were published between 2013 and July 2023, with over 80% published since 2020. Empirical studies comprised 21%, while commentary or opinions comprised 51% of publications. The majority focused on healthcare generally (27%), laboratory testing (14%), and medications (14%). Empirical publications covered a broad range of environmental issues with general and practice-specific ‘Greenhouse gas (GHG) emissions’, ‘waste management’ and ‘resource use’ as most common topics. Reducing practice-specific ‘GHG emissions’ was the most commonly reported environmental outcome. The bibliometric analysis revealed nine international collaboration networks producing work on eight key healthcare areas. The nineteen ‘top’ authors were primarily from the US, Australia and Canada.

Suggested Citation

  • Gillian Parker & Sarah Hunter & Karen Born & Fiona A. Miller, 2024. "Mapping the Environmental Co-Benefits of Reducing Low-Value Care: A Scoping Review and Bibliometric Analysis," IJERPH, MDPI, vol. 21(7), pages 1-16, June.
    • Handle: RePEc:gam:jijerp:v:21:y:2024:i:7:p:818-:d:1420341
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    References listed on IDEAS

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    1. Donthu, Naveen & Kumar, Satish & Mukherjee, Debmalya & Pandey, Nitesh & Lim, Weng Marc, 2021. "How to conduct a bibliometric analysis: An overview and guidelines," Journal of Business Research, Elsevier, vol. 133(C), pages 285-296.
    2. Hassane Alami & Pascale Lehoux & Fiona A. Miller & Sara E. Shaw & Jean‐Paul Fortin, 2023. "An urgent call for the environmental sustainability of health systems: A ‘sextuple aim’ to care for patients, costs, providers, population equity and the planet," International Journal of Health Planning and Management, Wiley Blackwell, vol. 38(2), pages 289-295, March.
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    Cited by:

    1. Vasileios Gkouliaveras & Stavros Kalogiannidis & Dimitrios Kalfas & Stamatis Kontsas, 2025. "Effects of Climate Change on Health and Health Systems: A Systematic Review of Preparedness, Resilience, and Challenges," IJERPH, MDPI, vol. 22(2), pages 1-27, February.

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