{
  "abstract": "Objectives To develop an organising framework for healthcare decarbonisation research which goes beyond classification schemes based on scope 1, 2 and 3 emissions or lists of loosely connected themes and which is intended to support the coordination, funding and application of research into policy and practice. The organising framework was developed with a focus on the National Health Service (NHS) in England but enables application to healthcare systems more broadly.Design An exploratory classification study of over 160 research questions derived from a review and data extraction of nine systematic reviews, 13 stakeholder documents, two research priority exercises and four research funder sources. A further eight systematic reviews and 14 stakeholder documents, which were not used for direct data extraction, were used to test the emerging framework and specify thematic gaps.Setting Primarily high-income healthcare systems, with a focus on the NHS in England.Participants Not applicable.Primary outcome A multilevel thematic framework representing current and missing areas of research in healthcare decarbonisation.Results The framework comprises six top-level themes: Natural resource use and sources of carbon; Healthcare settings and workflows; Solutions; Stakeholders; Organisational levers for change; and Scientific measurement and theory (the ‘NHS-SOS framework’). At levels two and three, there were 39 and 86 subthemes, respectively.Conclusions This framework offers a structured, empirically derived representation of the emerging field of healthcare decarbonisation research. It is intended as a living tool to support shared understanding, prioritisation and action and to foster coherence in a currently fragmented research landscape.",
  "authors": [
    {
      "affiliations": [
        "Primary Care Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK"
      ],
      "name": "Mila Petrova"
    },
    {
      "affiliations": [
        "NHS England, London, England, UK"
      ],
      "name": "Fanny Burrows"
    },
    {
      "affiliations": [
        "THIS Institute, University of Cambridge, Cambridge, UK"
      ],
      "name": "Jan W van der Scheer"
    },
    {
      "affiliations": [
        "Department of Engineering, University of Cambridge, Cambridge, UK"
      ],
      "name": "Timoleon Kipouros"
    },
    {
      "affiliations": [
        "Primary Care Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK"
      ],
      "name": "James N Smith"
    }
  ],
  "title": "Prototype of an organising framework for healthcare decarbonisation research: an exploratory classification study",
  "uid": "f67b6faa-1bf6-5bd7-a318-734dc9dd37dc"
}