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Record W4413981110 · doi:10.1136/leader-2025-001244

Transforming healthcare: the PEACH Approach to reducing emissions and achieving net-zero

2025· article· en· W4413981110 on OpenAlex

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

affAt least one author lists a Canadian institution in the pinned OpenAlex snapshot.
aboutThe title or abstract carries a Canadian signal from the geographic lexicon.

Bibliographic record

VenueBMJ Leader · 2025
Typearticle
Languageen
FieldEnvironmental Science
TopicClimate Change and Health Impacts
Canadian institutionsHamilton Health SciencesImpactPopulation Health Research InstituteMcMaster University
Fundersnot available
KeywordsHealth careSustainabilityBusinessScope (computer science)StaffingKnowledge translationWork (physics)Public relationsPolitical scienceKnowledge managementEngineeringMedicineComputer scienceNursing

Abstract

fetched live from OpenAlex

The healthcare sector has recognised its significant emissions and climate impact, and is beginning to address emission hotspots. However, implementing necessary changes while working with current stressors in the sector such as high patient volumes, limited resources, and staffing shortages, remains a challenge. PEACH Health Ontario (Partnerships for Environmental Action by Communities within Health care systems) was launched in 2021 to address this and has grown to a national scope of work with some of our initiatives. This paper outlines the 'PEACH Approach' to guide healthcare towards a net-zero future. This article describes how PEACH Health Ontario and the PEACH Approach were developed. We identify the various areas of healthcare sustainability that PEACH focuses on as well as our approach to collaboration and engagement across the sector. The PEACH Approach has led to the creation of specialty-specific green guidebooks, the Green Office Toolkit, and other knowledge mobilisation materials targeting system-wide transformation. These solutions are developed through multidisciplinary collaboration and knowledge translation, ensuring practical and evidence-based recommendations. The PEACH Approach drives a cultural shift in healthcare sustainability, creating solutions that lead to tangible outcomes. By using knowledge translation, providing practical solutions, and engaging with stakeholders, PEACH charts a course forward for both people and the planet.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.597
Threshold uncertainty score0.396

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0010.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.095
GPT teacher head0.367
Teacher spread0.272 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it