Carbon Emissions From Patient Travel for Health Care DOI Creative Commons

Hanna Zurl,

Zhiyu Qian,

Daniel R. Stelzl

и другие.

JAMA Network Open, Год журнала: 2025, Номер 8(3), С. e252513 - e252513

Опубликована: Март 31, 2025

Importance The US health care sector accounts for about 8.5% of national greenhouse gas (GHG) emissions. Reliable estimates emissions associated with care–related travel are essential informing policy changes. Objective To generate a comprehensive estimate carbon due to patient in the US. Design, Setting, and Participants This cross-sectional study used data from 2022 National Household Travel Survey (NHTS), conducted January 2023. were selected using an address-based sample Postal Service Delivery Sequence File. Participating households reported all trips taken within 24 hours by household members aged 5 years or older. Approximate per mile obtained typical vehicle provided government institutions. Data analyzed between March 11 May 29, 2024. Main Outcomes Measures Estimated annual CO 2 equivalent (CO e) year, patient, trip, mile. A survey-weighted λ regression analysis was identify factors higher e trip. An alternative scenario estimated reductions if 30% 50% private users switched electric vehicles. Results included 16 997 participants weighted total 3 506 325 536 trips. Of these trips, 52.0% female travelers, 80.1% made urban areas, 19.9% rural areas. These accounted 84 057 963 340 miles, resulting 35.7 megatons (Mt) (95% CI, 27.5-43.9 Mt) e. Each traveled generated 424 g 418-428 g) Emissions trip (exponentiated coefficient [exp(β)], 2.19; 95% 1.51-2.86; P < .001) patients compared patients. However, 69.3% attributable 30.7% Patients median incomes $50 000 $99 999 (exp[β], 1.92; 1.09-2.76; = .003) those $25 less. shift vehicles reduce 27.6 Mt 20.7-34.6 e, lower 22.3 16.0-28.6 Conclusions Relevance that which small but important proportion findings decisions suggest strategies such as telehealth adoption may contribute significant reduction GHG

Язык: Английский

Carbon Emissions From Patient Travel for Health Care DOI Creative Commons

Hanna Zurl,

Zhiyu Qian,

Daniel R. Stelzl

и другие.

JAMA Network Open, Год журнала: 2025, Номер 8(3), С. e252513 - e252513

Опубликована: Март 31, 2025

Importance The US health care sector accounts for about 8.5% of national greenhouse gas (GHG) emissions. Reliable estimates emissions associated with care–related travel are essential informing policy changes. Objective To generate a comprehensive estimate carbon due to patient in the US. Design, Setting, and Participants This cross-sectional study used data from 2022 National Household Travel Survey (NHTS), conducted January 2023. were selected using an address-based sample Postal Service Delivery Sequence File. Participating households reported all trips taken within 24 hours by household members aged 5 years or older. Approximate per mile obtained typical vehicle provided government institutions. Data analyzed between March 11 May 29, 2024. Main Outcomes Measures Estimated annual CO 2 equivalent (CO e) year, patient, trip, mile. A survey-weighted λ regression analysis was identify factors higher e trip. An alternative scenario estimated reductions if 30% 50% private users switched electric vehicles. Results included 16 997 participants weighted total 3 506 325 536 trips. Of these trips, 52.0% female travelers, 80.1% made urban areas, 19.9% rural areas. These accounted 84 057 963 340 miles, resulting 35.7 megatons (Mt) (95% CI, 27.5-43.9 Mt) e. Each traveled generated 424 g 418-428 g) Emissions trip (exponentiated coefficient [exp(β)], 2.19; 95% 1.51-2.86; P < .001) patients compared patients. However, 69.3% attributable 30.7% Patients median incomes $50 000 $99 999 (exp[β], 1.92; 1.09-2.76; = .003) those $25 less. shift vehicles reduce 27.6 Mt 20.7-34.6 e, lower 22.3 16.0-28.6 Conclusions Relevance that which small but important proportion findings decisions suggest strategies such as telehealth adoption may contribute significant reduction GHG

Язык: Английский

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