Advancing sustainable medication use in healthcare: a Delphi study on (de)prescribing interventions
Elisabeth Marissa Smale, Jiske Lianne van der Giessen, Cathelijne Willemijne Yvonne Appels, Emiel Leegwater, Marlieke Dietz, Patricia Maria Lucia Adriana van den Bemt, Saskia Coenradie, Rudolf Bertijn Kool, Henk-Frans Kwint, Erwin Ista, Nicole Hunfeld · 2026
Read Advancing sustainable medication use in healthcare: a Delphi study on (de)prescribing interventions by Elisabeth Marissa Smale, Jiske Lianne van der Giessen, Cathelijne Willemijne Yvonne Appels, Emiel Leegwater, Marlieke Dietz, Patricia Maria Lucia Adriana van den Bemt, Saskia Coenradie, Rudolf Bertijn Kool, Henk-Frans Kwint, Erwin Ista, Nicole Hunfeld (2026) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/pmc-13157796.txt.
Description
Elisabeth Marissa Smale, Jiske Lianne van der Giessen, and a large team of co-authors asked hospital experts which prescribing changes best cut medicine's environmental footprint. Their 2026 study used a Delphi method, in which a panel rates options over rounds until agreement forms. The focus was deprescribing, stopping or reducing drugs that are no longer needed, in Dutch hospital care.
The panel held 63 members, 36 physicians and 27 pharmacists. They rated 51 interventions across 18 drug classes and agreed that 42 were appropriate. A top twenty list was ranked for inpatient and outpatient settings, split by deprescribing and by greener dosage forms. The ranked list gives hospitals a ready agenda for more sustainable medication use.
Catalog record
| CREATOR | Elisabeth Marissa Smale, Jiske Lianne van der Giessen, Cathelijne Willemijne Yvonne Appels, Emiel Leegwater, Marlieke Dietz, Patricia Maria Lucia Adriana van den Bemt, Saskia Coenradie, Rudolf Bertijn Kool, Henk-Frans Kwint, Erwin Ista, Nicole Hunfeld |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 43 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |