ArticleBJGP open2025
Patients' perspectives on ecologically sustainable health care in general practice: an experimental vignette and questionnaire study.
Article in BJGP open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- Patients' perspectives in German general practice on discussing the environmental impact of medications: A qualitative study.The European journal of general practice · 2026Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHealth care contributes substantially to climate change. GPs want to implement sustainable health care but are hesitant, worried that this may jeopardise their doctor-patient relationship. However, whether this concern is valid should be urgently assessed.
aimTo explore patients' perspectives on sustainable health care in general practice. DESIGN &
settingIn 2022 and 2023, we performed an online study with Dutch adults using experimental vignettes and a questionnaire.
methodThe vignettes described GP appointments for three health complaints with randomly allocated treatment advice, varying in sustainability and explanation, but with comparable health outcomes. The questionnaire assessed participants' perspectives on sustainable health care in general practice. We analysed the vignettes using mixed-design analysis of variance (ANOVA) and the questionnaire using descriptive statistics and correlations.
resultsIn total, 801 participants completed the vignettes, and 397 the questionnaire. We found no difference on satisfaction with a doctor's visit (
conclusionWe found no indication that sustainable treatment advice leads to lower satisfaction with GP care. The effect of explicitly mentioning sustainability was minimal and differed per health complaint. When directly asked, participants were mainly positive about sustainable health care. These results could encourage GPs to introduce sustainable treatment advice, without worrying about negatively influencing patient satisfaction.
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