{
  "abstract": "In a recent article,1 Armitage comments on our experimental vignette study in The Lancet Planetary Health, wherein we explored the effect of environmentally sustainable counselling.2 Primarily for less severe health conditions, we concluded that advising more sustainable treatment options appears unlikely to affect patients’ trust in care—even when mentioned explicitly. For relatively severe health conditions, advising more sustainable treatment options might negatively affect patients’ trust; however, the observed effect varied across health conditions and was not always due to mentioning environmental sustainability.",
  "authors": [
    {
      "affiliations": [
        "Department of Surgery, Leiden University Medical Center, Leiden, The Netherlands",
        "Centre for Sustainable Healthcare, Amsterdam UMC, Amsterdam, The Netherlands"
      ],
      "name": "Egid M van Bree"
    },
    {
      "affiliations": [
        "Department of Public Health and Primary Care, Leiden University Medical Center, Leiden, The Netherlands"
      ],
      "name": "Eva H Visser"
    },
    {
      "affiliations": [
        "Department of Public Health and Primary Care, Leiden University Medical Center, Leiden, The Netherlands"
      ],
      "name": "Jiska J Aardoom"
    },
    {
      "affiliations": [
        "Department of Public Health and Primary Care, Leiden University Medical Center, Leiden, The Netherlands",
        "Health, Medical and Neuropsychology Unit, Leiden University, Leiden, The Netherlands"
      ],
      "name": "Laurens C van Gestel"
    },
    {
      "affiliations": [
        "Department of Public Health and Primary Care, Leiden University Medical Center, Leiden, The Netherlands"
      ],
      "name": "Evelyn A Brakema"
    },
    {
      "affiliations": [
        "Department of Public Health and Primary Care, Leiden University Medical Center, Leiden, The Netherlands",
        "Health, Medical and Neuropsychology Unit, Leiden University, Leiden, The Netherlands"
      ],
      "name": "Marieke A Adriaanse"
    }
  ],
  "title": "The unresolved ethics of trading patient trust for environmental sustainability: a reply to Armitage",
  "uid": "24cf81c3-2fcf-5534-942c-2b23bb17e130"
}