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Accepted for/Published in: Journal of Medical Internet Research

Date Submitted: Apr 26, 2025
Date Accepted: Aug 30, 2025

The final, peer-reviewed published version of this preprint can be found here:

Establishing a Net-Zero Emissions Kidney Care Center: A Model Proposal for Taiwan

Wu MY, Lo WC, Tsai MK, Lin YL, Cherng YG, Lee MC, Wu MS

Establishing a Net-Zero Emissions Kidney Care Center: A Model Proposal for Taiwan

J Med Internet Res 2025;27:e73942

DOI: 10.2196/73942

PMID: 40983321

PMCID: 12501530

Establishing a Net-Zero Emissions Kidney Care Center: A Model Proposal for Taiwan

  • Mei-Yi Wu; 
  • Wei-Cheng Lo; 
  • Min-Kuang Tsai; 
  • Yuan-Leng Lin; 
  • Yih-Giun Cherng; 
  • Ming-Che Lee; 
  • Mai-Szu Wu

ABSTRACT

We proposed a net-zero carbon emissions kidney-care center model that addresses global climate change challenges and healthcare sustainability goals. On the basis of the United Nations Sustainable Development Goals, we constructed a framework with 4 dimensions: digital transformation, low-carbon healthcare, circular economy, and preventive medicine. The digital transformation dimension involves a precision kidney health system including an acute and chronic kidney injury digital care model. The low-carbon healthcare dimension focuses on increasing the rates of kidney transplantation and choosing optimal dialysis modality. The circular economy dimension involves dialysis wastewater recycling and medical material repurposing programs. The preventive medicine dimension incorporates telehealth education, behavioral interventions, and health inequality improvements. This net-zero carbon emissions kidney-care model represents an environmental, social, and governance approach to ensuring implementation and continual improvement. It also provides actionable steps for implementing sustainable kidney care and a reference for net-zero emissions healthcare systems.


 Citation

Please cite as:

Wu MY, Lo WC, Tsai MK, Lin YL, Cherng YG, Lee MC, Wu MS

Establishing a Net-Zero Emissions Kidney Care Center: A Model Proposal for Taiwan

J Med Internet Res 2025;27:e73942

DOI: 10.2196/73942

PMID: 40983321

PMCID: 12501530

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