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Turning green: the impact of changing to more eco-friendly respiratory healthcare – a carbon and cost analysis of Dutch prescription data by Pieter ten Have; Peter van Hal; Iris Wichers; Johan Kooistra; Paul Hagedoorn; Evelyn A Brakema; Niels Chavannes; Pauline de Heer; Hans C Ossebaard is a Medicine article available to read on EtoBox.

What is Turning green: the impact of changing to more eco-friendly respiratory healthcare – a carbon and cost analysis of Dutch prescription data about?

## Objectives Dry powder inhalers (DPIs) and soft mist inhalers have a substantially lower global warming potential than pressurised metered-dose inhalers (pMDIs). To help mitigate climate change, we assessed the potential emission reduction in CO~2~ equivalents when replacing pMDIs by non-propellant inhalers (NPIs) in Dutch respiratory healthcare and estimated the associated cost. ## Design We performed a descriptive analysis of prescription data from two national databases of two independent governmental bodies. First, we calculated the number of patients with chronic obstructive pulmonary disease (COPD) and asthma that were using inhalation medication (2020). Second, we calculated the number and total of daily defined doses of pMDIs and NPIs including DPIs and soft mist inhalers, as well as the number of dispensed spacers per patient (2020). Third, we estimated the potential emission reduction in CO~2~ equivalents if 70% of patients would switch from using pMDIs to using NPIs. Fourth, we performed a budget impact analysis. ## Setting Dutch respiratory healthcare. ## Primary and secondary outcome measures The carbon footprint of current inhalation medication and the environmental

Who reads Turning green: the impact of changing to more eco-friendly respiratory healthcare – a carbon and cost analysis of Dutch prescription data?

It is typically read by researchers, students, and practitioners in Medicine.

Author
Pieter ten Have; Peter van Hal; Iris Wichers; Johan Kooistra; Paul Hagedoorn; Evelyn A Brakema; Niels Chavannes; Pauline de Heer; Hans C Ossebaard
Published
2022
Language
EN
Field
Medicine (Health Sciences)

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