Evidence map›Paper›PMID 40615145›Full record

ArticleBMJ open2025

Are we ready for climate-friendly inhaler prescription and usage? A qualitative study among primary and secondary care patients, healthcare professionals and healthcare insurers in the Netherlands.

Berdien Oosterveld, Johanna M C Broese, Hans Ossebaard, Rianne M J J van der Kleij

Abstract read
In one paragraph

Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Trial
  2. Article
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Berdien OosterveldPublic Health and Primary Care, Leiden University Medical Center, Leiden, The Netherlands.ORCID http://orcid.org/0009-0006-0380-5498
Johanna M C BroesePublic Health and Primary Care, Leiden University Medical Center, Leiden, The Netherlands.
Hans OssebaardZorginstituut Nederland, Diemen, The Netherlands.ORCID http://orcid.org/0000-0001-9537-9655
Rianne M J J van der KleijPublic Health and Primary Care, Leiden University Medical Center, Leiden, The Netherlands m.j.j.van_der_kleij@lumc.nl.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis study explored the knowledge and awareness of Dutch patients, healthcare professionals (HCPs) and healthcare insurers on the climate impact of inhalers as well as (factors influencing) their attitude towards climate-friendly inhaler prescription. DESIGN/

settingWe recruited participants for this qualitative study with purposive sampling. We conducted four online focus groups with patients, six with HCPs and two interviews with healthcare insurer representatives. Determinants were analysed with the Framework Approach.

participants21 patients, 27 HCPs and two healthcare insurer representatives.

results

conclusionsBoth patients and HCPs feel climate-friendly inhaler prescription is important. Implementation can be promoted by enhancing awareness and providing HCPs with information on inhaler climate impact, how to safely practice climate-friendly prescription and how to inform patients about its benefits. Both patients and HCPs emphasise the significance of preserving freedom of choice in prescription and highlight the need for a consensus approach on climate-friendly prescribing endorsed by all pulmonary care stakeholders.

Indexed as

Health Knowledge, Attitudes, PracticeHealth PersonnelNebulizers and VaporizersAdultAgedAttitude of Health PersonnelFemaleFocus GroupsHumansMaleMiddle AgedNetherlandsPrimary Health CareQualitative ResearchSecondary Health CareAsthmaClimate ChangeImplementation ScienceInhalationProtocols & guidelinesPulmonary Disease, Chronic Obstructive

Identifiers

PMID40615145
PMCPMC12226941

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.