The unresolved ethics of trading patient trust for environmental sustainability: a reply to Armitage

Egid M van Bree; Eva H Visser; Jiska J Aardoom; Laurens van Gestel; Evelyn A Brakema; Marieke A. Adriaanse

doi:10.1136/jmepb-2026-000170

January 1, 2026JME Practical BioethicsOpen Access

The unresolved ethics of trading patient trust for environmental sustainability: a reply to Armitage

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Key Points

The central aim is to investigate the ethical implications of prioritizing environmental sustainability over patient trust in counseling.
Conducted an experimental vignette study
Explored attitudes towards environmentally sustainable counseling
Analyzed responses concerning the ethics of patient-trust trade-offs
Findings indicate a conflict between patient trust and sustainable counseling practices
Responses suggest ethical concerns regarding prioritizing sustainability in healthcare
Participants expressed varying degrees of support for sustainable interventions depending on ethical considerations

Implication

Experimental vignette reveals the ethical challenges of balancing patient trust with sustainable practices in healthcare.

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.

Discussion

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Cite This Study

Bree et al. (2026) studied this question.

synapsesocial.com/papers/69cf5ede5a333a821460d901 https://doi.org/10.1136/jmepb-2026-000170

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The unresolved ethics of trading patient trust for environmental sustainability: a reply to Armitage

Key Points

Implication

Abstract

Discussion

Cite This Study

The unresolved ethics of trading patient trust for environmental sustainability: a reply to Armitage

Key Points

Implication

Abstract

Discussion

Cite This Study

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