Planetary Health Prescribing for Internists
March 30, 2026
In this article we present ways for internists to transform their clinical practice toward sustainable healthcare delivery that considers patients and the planet, and benefits both. This article draws attention to three easily implementable interventions in non-pharmacologic prescribing that have a meaningful impact on the health of patients and the planet.
Person-Centered Integrated Kidney Care Narrative Review: A Model for Reduction of Health Care Carbon Emissions
March 6, 2026
Chronic kidney disease (CKD) is a resource-intensive and complex challenge to sustainable health care. The purpose of this narrative review is to describe how person-centered integrated care can support sustainable health care for this population, the strategies currently in place, and the gaps to consider.
Polypharmacy: Institutional approaches to Support Patients, Systems and the Climate
January 6, 2026
As polypharmacy continues to rise in Canada, its impact on patient care and health care systems becomes more significant. This article explores the consequences of polypharmacy, including increased patient risks, environmental footprint, financial strain and added workload for staff. It also highlights effective strategies for mitigating polypharmacy, such as deprescribing, non-pharmacological interventions, medication stewardship programs
The low carbon fruit tree for primary care
May 29, 2025
This narrative review discusses 19 initiatives that can be implemented into primary care practices to reduce GHG emissions and financial costs.
Climate-resilient acute care clinical operations: A framework that informs how operations within acute care build climate-resilient health systems
April 28, 2025
New framework guides climate-resilient acute care in Canada, with Alberta’s experience as a case study to support adaptation and continuous learning.
A kilo for a tonne: the unmet need to address underuse in health care in a climate crisis
April 1, 2025
Addressing underuse in health care is key to sustainability—early, high-value care can cut carbon emissions and improve outcomes for patients and the planet.
Journey of a pill
April 1, 2025
This study depicts the estimated journey of a clonazepam pill’s production and distribution, with the prescription being filled in Vancouver, BC.
The environmental elephant in the office: medications
April 1, 2025
Primary care plays an integral role in the creation of a low-carbon health system, and the environmental consequences involved in medications is a prime example.
Why can’t we die at home? Expanding home care could reduce the financial and environmental cost of dying in hospital
November 19, 2024
Where would you like to be when you die? Seven out of eight people in Canada would choose to pass away at home where they and their loved ones would be more comfortable. And yet 56 per cent of people in Canada actually die in hospitals. If dying at home could be made more feasible and well resourced,
Getting serious about sustainability in dentistry
October 23, 2024
This paper explores how dentists can mitigate environmental impact through advocacy and actions, both professionally and personally. Read Article Here