气候变化领域集成服务门户(CCPortal): Contribution of hospital pharmacists to sustainable healthcare: a systematic review

CCPortal

DOI	10.1136/ejhpharm-2024-004098
	Contribution of hospital pharmacists to sustainable healthcare: a systematic review
	Pitard, Maria; Rouviere, Ninon; Leguelinel-Blache, Geraldine; Chasseigne, Virginie
发表日期	2024
ISSN	2047-9956
EISSN	2047-9964
英文摘要	Background With a global annual carbon footprint of the healthcare sector of 2 gigatons of CO2e, healthcare systems must contribute to the fight against climate change. Hospital pharmacists could be key players in ecological transition due to their role in managing healthcare products. The aim of this study was to summarise the evidence on interventions implemented in healthcare facilities involving pharmacists to improve the environmental footprint of healthcare.Methods This systematic review was conducted following PRISMA 2020 guidelines. The Medline, Web of Science and ScienceDirect databases were searched for studies published between 2013 and 2023. To be eligible for inclusion, studies had to include hospital pharmacists and present contributions aimed at reducing the environmental footprint of healthcare in healthcare facilities. Outcomes were the description of the contribution, the methods used and the stages of healthcare product lifecycle analysed. A Mixed Methods Appraisal Tool was used to assess the risk of bias for each study.Results Seventeen studies were included. Pharmacists played a leading role in 15 (88%) and had a supporting role in the others. The healthcare products targeted were medicines (59%), medical devices (12%) or both (29%). The stages of the healthcare product cycle addressed by the contributions were elimination (71%), dispensing (35%), procurement and supply (35%), production (29%), and prescription (24%). Only two studies used life cycle assessment and only one assessed all three pillars of sustainability. Two studies had good methodological quality while the rest had at least one element of uncertainty.Conclusion This review confirms the central role of the pharmacist and the importance of a multidisciplinary approach in implementing eco-responsible actions. It could be useful to hospitals and other teams wanting to improve sustainable actions and it emphasises the importance of collaborating with pharmacists when planning sustainable initiatives. Future eco-responsible initiatives must use robust reproducible methods.Trial registration PROSPERO #CRD42023406835
英文关键词	PHARMACY SERVICE, HOSPITAL; PHARMACEUTICAL PREPARATIONS; Drug Compounding; MEDICATION SYSTEMS, HOSPITAL; STERILIZATION; PUBLIC HEALTH
语种	英语
WOS研究方向	Pharmacology & Pharmacy
WOS类目	Pharmacology & Pharmacy
WOS记录号	WOS:001229582200001
来源期刊	EUROPEAN JOURNAL OF HOSPITAL PHARMACY
文献类型	期刊论文
条目标识符	http://gcip.llas.ac.cn/handle/2XKMVOVA/301738
作者单位	Universite de Montpellier; CHU de Nimes; Institut National de la Sante et de la Recherche Medicale (Inserm); Universite de Montpellier; Universite de Montpellier; CHU de Nimes
推荐引用方式 GB/T 7714	Pitard, Maria,Rouviere, Ninon,Leguelinel-Blache, Geraldine,et al. Contribution of hospital pharmacists to sustainable healthcare: a systematic review[J],2024.
APA	Pitard, Maria,Rouviere, Ninon,Leguelinel-Blache, Geraldine,&Chasseigne, Virginie.(2024).Contribution of hospital pharmacists to sustainable healthcare: a systematic review.EUROPEAN JOURNAL OF HOSPITAL PHARMACY.
MLA	Pitard, Maria,et al."Contribution of hospital pharmacists to sustainable healthcare: a systematic review".EUROPEAN JOURNAL OF HOSPITAL PHARMACY (2024).