[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-445775-105":59,"doc-detail-445775-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","op67-advancing-toward-environmental-impact-assessment-in-health-technology-assessment-key-findings","OP67 Advancing Toward Environmental Impact Assessment In Health Technology Assessment - Key Findings","","OP67 addresses how environmental sustainability can be advanced through environmental impact assessment (EIA) within NextGen health technology assessment. The paper describes an INAHTA-led white paper developed from literature review and expert input, reviewed by an international advisory group. Results argue EIA helps identify comparatively harmful technologies, yet HTA agencies face constraints from local regulations, data, and methods. It concludes that mature operating principles and value frameworks are still needed, alongside improved collaboration and knowledge sharing across the HTA ecosystem.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":40,"@type":76,"position":81},"https://docshare.wps.com/document/research-report/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/op67-advancing-toward-environmental-impact-assessment-in-health-technology-assessment-key-findings/445775/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/op67-advancing-toward-environmental-impact-assessment-in-health-technology-assessment-key-findings/445775.png","ImageObject",300,407,{"name":92,"@type":93},"Genevieve","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-09-30","2026-09-29",true,{"@type":102,"interactionType":103,"userInteractionCount":14},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What role can EIA play in health technology assessment to support environmental sustainability?","Question",{"text":112,"@type":113},"EIA can guide “green” health system goals by identifying technologies that are comparatively harmful to the environment. It supports more informed priority setting, assessment, and appraisal activities within HTA.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How was the OP67 white paper developed and reviewed?",{"text":117,"@type":113},"An international author group from INAHTA member agencies wrote the paper based on a literature review and expert opinion. An international advisory group reviewed the draft twice, and the INAHTA Board approved it before release.",{"name":119,"@type":110,"acceptedAnswer":120},"What challenges remain for integrating environmental impacts into HTA?",{"text":121,"@type":113},"Key challenges include immature operating principles, methods, and data in this area. HTA agencies may also be constrained by local institutional structures and regulations, particularly due to limited data and methodological options.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},445775,1790792627,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":39,"category_name":40,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":14,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":8,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":81},1374391974585,"https://ap-avatar.wpscdn.com/davatar_276721f389ce27ea32af1340a28f341c","OP67 Advancing Toward Environmental Impact Assessment In Health Technology Assessment  \nMireille M. Goetghebeur, Rossella Di Bidino, Juliana Yi, Matthias Perleth, Rebecca Boyce, Li-Ying Huang, Fiona Campbell, Hans C. Ossebaard and  \nTara Schuller ([inahta@ihe.ca](inahta@ihe.ca))  \nIntroduction: The world is facing an urgent environmental emergency that calls for ambitious, coordinated action by governments to improve humankind’s relationship with nature. Mitigation (reducing pollution) and adaptation (adjusting to pollution) are both necessary, and “NextGen” health technology assessment can play a key role in helping to guide health system decision-makers to achieve environmental sustainability.  \nMethods: In 2022, the International Network of Agencies for Health Technology Assessment(INAHTA)identified environmental impact assessment (EIA) as an important and urgent topic for a white paper. An international author group(n=10), formed ofstafffrom INAHTA member agencies, wrote the paper. The author group met seven times over 2022 to 2024 to develop the paper, which is based on a literature review and expert opinion ofINAHTA members. A second group of members formed an international advisory group (n=11), which reviewed the draft twice. The paper was approved by the INAHTABoard before release on the INAHTA website.  \nResults: EIA can be useful to help achieve the “green” policy goals of health systems by identifying technologies that are comparatively harmful to the environment. However, health technology assessment (HTA) agencies are subject to the institutional structures and regulations of their local health system that can constrain their ability to independently adapt to incorporate EIA. Nevertheless, HTA agencies are starting to do this with some success, but difficult challenges remain, particularly around lack of data and methods. Looking ahead, raising awareness and working together across the HTA ecosystem will be key to achieving the shared goal of environmental sustainability.  \nConclusions: The successful inclusion of EIA in priority setting, assessment, and appraisal, as well as knowledge sharing and dissemination activities ofHTA, is a challenge since the operating principles, methods, and data in this area are not yet mature. The successful inclusion of environmental impacts in HTA will require some reconsideration of existing value frameworks and methods.  \nOP68 Treatment Of Benign Prostatic Hyperplasia Among Remote Indigenous Populations:  \nExperience With A Minimally Invasive Therapy In The Brazilian Amazon Rainforest  \nMaiara Antonio ([maiara.antonio@bsci.com](maiara.antonio@bsci.com)), Isabela Horti, Henrique Tortele, Anna Pereira and Murilo Contó  \nIntroduction: Initial symptoms of benign prostatic hyperplasia (BPH) include difficulty urinating and low urinary flow. Worsening ofBPH can lead to acute urinary retention and renal failure. Although it is fully treatable in urban centers, indigenous and remote area people are severely impacted. The experience presented herein showshow minimally invasive treatments can promote access to health care even in remote areas.  \nMethods: In October 2024, after 48 hours of travel—two flights and more than six hours by boat—a team of six people in association with a specialized non-governmental organization arrived at the community of Assunção do Içana, in the middle of the Brazilian Amazon rainforest. Screening of the community population with BPH was initiated a year earlier and eligibility was double-checked with the lower urinary tract symptoms visual score and ultrasound. Patient interest in undergoing the procedure was a criterion. A mobile surgical center was set up in the community. Waterproof and thermally insulating materials were used to create a controlled environment, with adequate temperature and sterile conditions.  \nResults: A general practitioner specialized in indigenous health initially screened 180 patients, and 14 procedures were performed by a urologi","cbCaifHeWRUJEzq4","https://ap.wps.com/l/cbCaifHeWRUJEzq4","pdf",32223,"English","# Introduction\n# Methods\n# Results\n# Conclusions","[{\"question\":\"What role can EIA play in health technology assessment to support environmental sustainability?\",\"answer\":\"EIA can guide “green” health system goals by identifying technologies that are comparatively harmful to the environment. It supports more informed priority setting, assessment, and appraisal activities within HTA.\"},{\"question\":\"How was the OP67 white paper developed and reviewed?\",\"answer\":\"An international author group from INAHTA member agencies wrote the paper based on a literature review and expert opinion. An international advisory group reviewed the draft twice, and the INAHTA Board approved it before release.\"},{\"question\":\"What challenges remain for integrating environmental impacts into HTA?\",\"answer\":\"Key challenges include immature operating principles, methods, and data in this area. HTA agencies may also be constrained by local institutional structures and regulations, particularly due to limited data and methodological options.\"}]","OP67 Advancing Toward Environmental Impact Assessment In Health Technology Assessment - Key Findings | PDF",1790712674]