Reducing carbon emissions in the healthcare sector: a real-time delphi on challenges and enablers
医療セクターにおける炭素排出削減：課題と実現要因に関するリアルタイムデルファイ調査 (AI 翻訳)
Valentina de Maack, Sandy Tubeuf, Nathalie Clavel, Isabelle Éthier, Stephan Williams, Pierre‐Marie David, Charles Dupras
🤖 gxceed AI 要約
日本語
医療システムの脱炭素化は、コスト、患者安全、ケアの質、公平なアクセスに関する懸念から課題が生じる。本稿はリアルタイムデルファイ法を用いて専門家の評価を収集し、エネルギーシステムやインフラへの介入は高い効果が期待されるが規制や倫理問題が障害となる一方、教育や価値観の変化に基づく戦略は実行可能性が高いと結論づけた。データアクセス向上と共有意思決定が鍵。
English
Healthcare decarbonization faces tensions between environmental goals and core clinical priorities. Using a Real-time Delphi with 14 experts, this study finds that energy and infrastructure interventions are high-impact but constrained by regulation and ethics, while education and value shifts are more feasible. Key enablers include improved environmental data access and shared decision-making.
Unofficial AI-generated summary based on the public title and abstract. Not an official translation.
📝 gxceed 編集解説 — Why this matters
日本のGX文脈において
日本では医療分野の脱炭素化が注目されるが、本稿は社会的受容性や倫理的課題を浮き彫りにしており、SSBJや有報への対応を進める医療機関にとって示唆に富む。
In the global GX context
This paper offers a nuanced view of healthcare decarbonization challenges, relevant for global frameworks like TCFD and ISSB that increasingly consider sector-specific social factors. It highlights the need for context-sensitive strategies beyond technical fixes.
👥 読者別の含意
🔬研究者:Provides a structured expert assessment of social tipping elements in healthcare decarbonization, useful for designing inclusive transition pathways.
🏢実務担当者:Healthcare sustainability teams can use the identified enablers (data access, shared decision-making) to shape feasible decarbonization initiatives.
🏛政策担当者:Policymakers should note the regulatory and ethical barriers to infrastructure interventions, suggesting the need for supportive policies that balance environmental and care goals.
📄 Abstract（原文）
Healthcare systems are increasingly committing to climate action, yet efforts to reduce their environmental footprint raise operational challenges. Decarbonization initiatives can generate concerns about cost, patient safety, care quality, and equitable access, revealing tensions that complicate implementation. This study examines how experts assess the impact and feasibility of climate-related interventions in healthcare, identifying key challenges and enablers. Using a Real-time Delphi approach, we consulted 14 specialists with ethics, sustainability, biomedical sciences, and public health backgrounds, who evaluated the relevance and applicability of five <i>social tipping elements</i> within the healthcare context. Interventions targeting energy systems and infrastructure were viewed as potentially high-impact but limited by regulatory complexity, infrastructural constraints, and ethical concerns. In contrast, strategies centered on education and shifts in values were perceived as more feasible, though questions about operationalization remain. Experts also noted potential issues, such as patient mistrust or clinician disengagement, if environmental goals are seen as misaligned with core commitments of healthcare practice. Overall, these findings underscore the need for inclusive, ethically robust, evidence-informed, and context-sensitive strategies that integrate sustainability goals with patient, professional, and institutional priorities. Improving access to environmental impact data and supporting shared decision-making emerged as key enablers for fostering acceptable ecological transitions in healthcare.
🔗 Provenance — このレコードを発見したソース
- openalex https://doi.org/10.6084/m9.figshare.32187992.v1first seen 2026-05-25 04:40:53 · last seen 2026-05-27 04:32:04
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