Rajagopalan, S. & Landrigan, P. J. Pollution and the heart. N. Engl. J. Med. 385, 1881–1892 (2021).

Article  CAS  PubMed  Google Scholar 

Romanello, M. et al. The 2023 report of the Lancet Countdown on health and climate change: the imperative for a health-centred response in a world facing irreversible harms. Lancet 402, 2346–2394 (2023).

Article  PubMed  Google Scholar 

Lenzen, M. et al. The environmental footprint of health care: a global assessment. Lancet Planet. Health 4, e271–e279 (2020).

Article  PubMed  Google Scholar 

Rajagopalan, S., Pronovost, P. & Al-Kindi, S. Implementing a sustainability framework in healthcare: a three-lens framework. Healthcare 11, 1867 (2023).

Article  PubMed  PubMed Central  Google Scholar 

Dzau, V. J., Levine, R., Barrett, G. & Witty, A. Decarbonizing the U.S. health sector — a call to action. N. Engl. J. Med. 385, 2117–2119 (2021).

Article  PubMed  Google Scholar 

Whitmee, S. et al. Safeguarding human health in the Anthropocene epoch: report of The Rockefeller Foundation–Lancet Commission on planetary health. Lancet 386, 1973–2028 (2015).

Article  PubMed  Google Scholar 

Myers, S. S. Planetary health: protecting human health on a rapidly changing planet. Lancet 390, 2860–2868 (2017).

Article  PubMed  Google Scholar 

Swinburn, B. A. et al. The global syndemic of obesity, undernutrition, and climate change: the Lancet Commission report. Lancet 393, 791–846 (2019).

Article  PubMed  Google Scholar 

Marina, R. et al. The 2022 report of the Lancet Countdown on health and climate change: health at the mercy of fossil fuels. Lancet 400, 1619–1654 (2022).

Article  Google Scholar 

United Nations. Sustainability. UN https://www.un.org/en/academic-impact/sustainability.

Purvis, B., Mao, Y. & Robinson, D. Three pillars of sustainability: in search of conceptual origins. Sustain. Sci. 14, 681–695 (2018).

Article  Google Scholar 

Adams, G., Entwistle, D., Hochman, R. & Lassiter, W. III. Opinion: embracing sustainability makes good business sense. Modern Healthcare https://www.modernhealthcare.com/opinion/opinion-embracing-sustainability-makes-good-business-sense-greg-adams-rod-hochman-wright-lassiter? (2023).

Yadav, M., Aneja, R. & Ahmed, W. Do clean energy transition, environment degradation, and energy efficiency influence health expenditure: empirical evidence from emerging countries. J. Clean. Prod. 428, 139355 (2023).

Article  CAS  Google Scholar 

Ani, V. A. Powering primary healthcare centres with clean energy sources. Renew. Energy Environ. Sustain. 6, 7 (2021).

Article  Google Scholar 

George, D. R. & Ethridge, A. E. Hospital-based community gardens as a strategic partner in addressing community health needs. Am. J. Public Health 113, 939–942 (2023).

Article  PubMed  Google Scholar 

Khan, M. R. Polluter-pays-principle: the cardinal instrument for addressing climate change. Laws 4, 638–653 (2015).

Article  Google Scholar 

Rabin, A. S. & Pinsky, E. G. Reducing health care’s climate impact — mission critical or extra credit? N. Engl. J. Med. 389, 583–585 (2023).

Article  PubMed  Google Scholar 

Pichler, P.-P., Jaccard, I. S., Weisz, U. & Weisz, H. International comparison of health care carbon footprints. Environ. Res. Lett. https://doi.org/10.1088/1748-9326/ab19e1 (2019).

Eckelman, M. J. et al. Health care pollution and public health damage in the United States: an update. Health Aff. 39, 2071–2079 (2020).

Article  Google Scholar 

Tennison, I. et al. Health care’s response to climate change: a carbon footprint assessment of the NHS in England. Lancet Planet. Health 5, e84–e92 (2021).

Article  PubMed  PubMed Central  Google Scholar 

The World Bank. Current health expenditure (% of GDP). World Bank https://data.worldbank.org/indicator/SH.XPD.CHEX.GD.ZS?most_recent_value_desc=true (2024).

Eckelman, M. J. & Sherman, J. D. Estimated global disease burden from us health care sector greenhouse gas emissions. Am. J. Public Health 108, S120–S122 (2018).

Article  PubMed  PubMed Central  Google Scholar 

Eckelman, M. J. & Sherman, J. Environmental impacts of the U.S. health care system and effects on public health. PLoS ONE 11, e0157014 (2016).

Article  PubMed  PubMed Central  Google Scholar 

SduHealth. Reducing the use of natural resources in health and social care, 2018 report. SduHealth https://www.sduhealth.org.uk/documents/Policy (2018).

United Nations Framework Convention for Climate Change. Background. UNFCCC https://unfccc.int/ (accessed 10 July 2024).

Matthews, H. S., Hendrickson, C. T. & Matthews, D. Life Cycle Assessment: Quantitative Approaches for Decisions that Matter, 2014 (LCA Textbook, 2019).

McAlister, S., Morton, R. L. & Barratt, A. Incorporating carbon into health care: adding carbon emissions to health technology assessments. Lancet Planet. Health 6, e993–e999 (2022).

Article  PubMed  Google Scholar 

US Environmental Protection Agency. US environmentally-extended input–output (USEEIO) models. EPA https://www.epa.gov/land-research/us-environmentally-extended-input-output-useeio-models (2023).

Senay, E., Cort, T., Perkison, W., Laestadius, J. G. & Sherman, J. D. What can hospitals learn from the Coca-Cola company? Health care sustainability reporting. NEJM Catal. Innov. Care Deliv. https://doi.org/10.1056/cat.21.0362 (2022).

Senay, E. & Landrigan, P. J. Assessment of environmental sustainability and corporate social responsibility reporting by large health care organizations. JAMA Netw. Open 1, e180975 (2018).

Article  PubMed  PubMed Central  Google Scholar 

Health Care Without Harm. Climate and health resources. Health Care Without Harm https://healthcareclimateaction.org/resources (2023).

National Academy of Medicine. Action collaborative on decarbonizing the U.S. health sector. NAM https://nam.edu/programs/climate-change-and-human-health/action-collaborative-on-decarbonizing-the-u-s-health-sector/ (2024).

American Hospitals Association. Sustainability roadmap for healthcare. AHA https://www.aha.org/sustainability (2023).

Science Based Targets. Foundations of science-based target setting. Version 1.0 April 2019. Science Based Targets https://sciencebasedtargets.org/resources/files/foundations-of-SBT-setting.pdf (2019).

TNFD. The Taskforce on nature-related financial disclosures (TNFD). TNFD https://tnfd.global/ (accessed 14 December 2023).

Health and Human Services. Health sector commitments to emissions reduction and resilience. HHS https://www.hhs.gov/climate-change-health-equity-environmental-justice/climate-change-health-equity/actions/health-sector-pledge/index.html (accessed 25 February 2024).

The Joint Commission. Sustainable healthcare certification. The Joint Commission https://www.jointcommission.org/what-we-offer/certification/certifications-by-setting/hospital-certifications/sustainable-healthcare-certification/ (accessed 24 February 2024).

World Health Organization. Global spending on health: rising to the pandemic’s challenges. WHO https://www.who.int/publications/i/item/9789240064911 (2023).

CMS. United States national health expenditure data. CMS https://www.cms.gov/data-research/statistics-trends-and-reports/national-health-expenditure-data/historical (accessed 22 December 2023).

Birger, M. et al. Spending on cardiovascular disease and cardiovascular risk factors in the United States: 1996 to 2016. Circulation 144, 271–282 (2021).

Article  CAS  PubMed  PubMed Central  Google Scholar 

Szirt, R. et al. Environmental sustainability in the cardiac catheter laboratory. Heart Lung Circ. 32, 11–15 (2023).

Article  PubMed  Google Scholar 

Ahmed, B. Reducing cath lab’s carbon footprint: is it time, and can it be done? J. Soc. Cardiovasc. Angiogr. Interv. 1, 100371 (2022).

PubMed  PubMed Central  Google Scholar 

Doshi, H. et al. Potentially recyclable material during cardiac catheterizations and coronary interventions: curbing the carbon footprint in the cath lab. J. Am. Coll. Cardiol. 81, 2333 (2023).

Article  Google Scholar 

Reed, G. W., Tushman, M. L. & Kapadia, S. R. Operational efficiency and effective management in the catheterization laboratory: JACC review topic of the week. J. Am. Coll. Cardiol. 72, 2507–2517 (2018).

Article  PubMed  Google Scholar 

Farrelly, J. S. et al. Surgical tray optimization as a simple means to decrease perioperative costs. J. Surg. Res. 220, 320–326 (2017).

Article  PubMed  Google Scholar 

Kapoor, A. et al. Guidance on reuse of cardio-vascular catheters and devices in India: a consensus document. Indian Heart J. 69, 357–363 (2017).

Article  PubMed  PubMed Central  Google Scholar 

Mansour, M. et al. The impact of first procedure success rate on the economics of atrial fibrillation ablation. JACC Clin. Electrophysiol. 3, 129–138 (2017).

Article  PubMed  Google Scholar 

Mond, H. G. & Proclemer, A. The 11th world survey of cardiac pacing and implantable cardioverter-defibrillators: calendar year 2009 — a World Society of Arrhythmia’s project. Pacing Clin. Electrophysiol. 34, 1013–1027 (2011).

Article  PubMed  Google Scholar