Greening healthcare and slashing carbon emissions through telemedicine: a cross-sectional study from over 50 thousand remote consults at a leading tertiary hospital

IntroductionMinimizing healthcare systems’ resource footprints is crucial. To expand this focus, our objective was to assess the carbon emission reductions achievable through the introduction of telemedicine services at a prominent Brazilian tertiary hospital.MethodsThis cross-section study included...

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Main Authors: Roberto Nunes Umpierre, Rita Mattiello, Carlos André Aita Schmitz, Enrique Falceto de Barros, Rodolfo Souza da Silva, Marcelo Rodrigues Gonçalves, José Roberto Goldim
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-05-01
Series:Frontiers in Digital Health
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Online Access:https://www.frontiersin.org/articles/10.3389/fdgth.2025.1497770/full
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author Roberto Nunes Umpierre
Roberto Nunes Umpierre
Roberto Nunes Umpierre
Roberto Nunes Umpierre
Rita Mattiello
Rita Mattiello
Rita Mattiello
Carlos André Aita Schmitz
Carlos André Aita Schmitz
Carlos André Aita Schmitz
Enrique Falceto de Barros
Enrique Falceto de Barros
Rodolfo Souza da Silva
Marcelo Rodrigues Gonçalves
Marcelo Rodrigues Gonçalves
Marcelo Rodrigues Gonçalves
Marcelo Rodrigues Gonçalves
José Roberto Goldim
José Roberto Goldim
author_facet Roberto Nunes Umpierre
Roberto Nunes Umpierre
Roberto Nunes Umpierre
Roberto Nunes Umpierre
Rita Mattiello
Rita Mattiello
Rita Mattiello
Carlos André Aita Schmitz
Carlos André Aita Schmitz
Carlos André Aita Schmitz
Enrique Falceto de Barros
Enrique Falceto de Barros
Rodolfo Souza da Silva
Marcelo Rodrigues Gonçalves
Marcelo Rodrigues Gonçalves
Marcelo Rodrigues Gonçalves
Marcelo Rodrigues Gonçalves
José Roberto Goldim
José Roberto Goldim
author_sort Roberto Nunes Umpierre
collection DOAJ
description IntroductionMinimizing healthcare systems’ resource footprints is crucial. To expand this focus, our objective was to assess the carbon emission reductions achievable through the introduction of telemedicine services at a prominent Brazilian tertiary hospital.MethodsThis cross-section study included all patients who had remotely held appointments in a Brazilian tertiary hospital. The primary outcome was carbon emissions. The estimated carbon emissions were first calculated based on the distance between the hospital and the patient's home address. After, the calculated distance was multiplied by the amount of carbon estimated according to the type of transport used.ResultsThe study included 28,244 patients undergoing 52,878 remote appointments between March and December 2020, residing in 417 municipalities in Rio Grande do Sul and 80 towns in other Brazilian states. The total sum of distances and carbon gas reduction saved with the implementation of remote consultations amounted to 805,252.00 km and 939,641.94 kg of CO2 emissions, respectively.DiscussionTelemedicine initiatives implemented in tertiary hospitals for less than a year result in a large amount of greenhouse gas emissions saved. Telemedicine emerges as a promising strategy with significant potential to mitigate the impact on planetary health.
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spelling doaj-art-19f838c6cf924236b79d2bc3f56a20532025-08-20T03:12:38ZengFrontiers Media S.A.Frontiers in Digital Health2673-253X2025-05-01710.3389/fdgth.2025.14977701497770Greening healthcare and slashing carbon emissions through telemedicine: a cross-sectional study from over 50 thousand remote consults at a leading tertiary hospitalRoberto Nunes Umpierre0Roberto Nunes Umpierre1Roberto Nunes Umpierre2Roberto Nunes Umpierre3Rita Mattiello4Rita Mattiello5Rita Mattiello6Carlos André Aita Schmitz7Carlos André Aita Schmitz8Carlos André Aita Schmitz9Enrique Falceto de Barros10Enrique Falceto de Barros11Rodolfo Souza da Silva12Marcelo Rodrigues Gonçalves13Marcelo Rodrigues Gonçalves14Marcelo Rodrigues Gonçalves15Marcelo Rodrigues Gonçalves16José Roberto Goldim17José Roberto Goldim18TelessaúdeRS-UFRGS, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, BrazilFaculdade de Medicina, UFRGS, Porto Alegre, BrazilPrograma de Pós-graduação em Ciências Médicas da UFRGS, Porto Alegre, BrazilHospital de Clínicas de Porto Alegre, Porto Alegre, BrazilTelessaúdeRS-UFRGS, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, BrazilFaculdade de Medicina, UFRGS, Porto Alegre, BrazilPrograma de Pós-graduação em Epidemiologia da UFRGS, Porto Alegre, BrazilTelessaúdeRS-UFRGS, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, BrazilFaculdade de Medicina, UFRGS, Porto Alegre, BrazilHospital de Clínicas de Porto Alegre, Porto Alegre, BrazilUniversidade de Caxias do Sul (UCS), Caxias do Sul, BrazilWONCA Working Party on Planetary Health, Brussels, BelgiumTelessaúdeRS-UFRGS, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, BrazilTelessaúdeRS-UFRGS, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, BrazilFaculdade de Medicina, UFRGS, Porto Alegre, BrazilHospital de Clínicas de Porto Alegre, Porto Alegre, BrazilPrograma de Pós-graduação em Epidemiologia da UFRGS, Porto Alegre, BrazilFaculdade de Medicina, UFRGS, Porto Alegre, BrazilLaboratório de Pesquisa em Bioética e Ética na Ciência do Hospital de Clínicas de Porto Alegre, Porto Alegre, BrazilIntroductionMinimizing healthcare systems’ resource footprints is crucial. To expand this focus, our objective was to assess the carbon emission reductions achievable through the introduction of telemedicine services at a prominent Brazilian tertiary hospital.MethodsThis cross-section study included all patients who had remotely held appointments in a Brazilian tertiary hospital. The primary outcome was carbon emissions. The estimated carbon emissions were first calculated based on the distance between the hospital and the patient's home address. After, the calculated distance was multiplied by the amount of carbon estimated according to the type of transport used.ResultsThe study included 28,244 patients undergoing 52,878 remote appointments between March and December 2020, residing in 417 municipalities in Rio Grande do Sul and 80 towns in other Brazilian states. The total sum of distances and carbon gas reduction saved with the implementation of remote consultations amounted to 805,252.00 km and 939,641.94 kg of CO2 emissions, respectively.DiscussionTelemedicine initiatives implemented in tertiary hospitals for less than a year result in a large amount of greenhouse gas emissions saved. Telemedicine emerges as a promising strategy with significant potential to mitigate the impact on planetary health.https://www.frontiersin.org/articles/10.3389/fdgth.2025.1497770/fulltelemedicinetelehealthcarbon footprintplanetary healthtertiary hospital
spellingShingle Roberto Nunes Umpierre
Roberto Nunes Umpierre
Roberto Nunes Umpierre
Roberto Nunes Umpierre
Rita Mattiello
Rita Mattiello
Rita Mattiello
Carlos André Aita Schmitz
Carlos André Aita Schmitz
Carlos André Aita Schmitz
Enrique Falceto de Barros
Enrique Falceto de Barros
Rodolfo Souza da Silva
Marcelo Rodrigues Gonçalves
Marcelo Rodrigues Gonçalves
Marcelo Rodrigues Gonçalves
Marcelo Rodrigues Gonçalves
José Roberto Goldim
José Roberto Goldim
Greening healthcare and slashing carbon emissions through telemedicine: a cross-sectional study from over 50 thousand remote consults at a leading tertiary hospital
Frontiers in Digital Health
telemedicine
telehealth
carbon footprint
planetary health
tertiary hospital
title Greening healthcare and slashing carbon emissions through telemedicine: a cross-sectional study from over 50 thousand remote consults at a leading tertiary hospital
title_full Greening healthcare and slashing carbon emissions through telemedicine: a cross-sectional study from over 50 thousand remote consults at a leading tertiary hospital
title_fullStr Greening healthcare and slashing carbon emissions through telemedicine: a cross-sectional study from over 50 thousand remote consults at a leading tertiary hospital
title_full_unstemmed Greening healthcare and slashing carbon emissions through telemedicine: a cross-sectional study from over 50 thousand remote consults at a leading tertiary hospital
title_short Greening healthcare and slashing carbon emissions through telemedicine: a cross-sectional study from over 50 thousand remote consults at a leading tertiary hospital
title_sort greening healthcare and slashing carbon emissions through telemedicine a cross sectional study from over 50 thousand remote consults at a leading tertiary hospital
topic telemedicine
telehealth
carbon footprint
planetary health
tertiary hospital
url https://www.frontiersin.org/articles/10.3389/fdgth.2025.1497770/full
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