{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,25]],"date-time":"2026-02-25T11:05:03Z","timestamp":1772017503728,"version":"3.50.1"},"reference-count":44,"publisher":"MDPI AG","issue":"9","license":[{"start":{"date-parts":[[2020,5,11]],"date-time":"2020-05-11T00:00:00Z","timestamp":1589155200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Motor vehicles are a major contributor to air pollution, and the exposure to this human-caused air pollution can lead to harmful health effects. This study evaluates the impact of the provision of point-of-care ultrasounds (POCUS) by primary care (PC) to avoid the patient\u2019s need to travel to a specialized service. The study estimates the costs and air pollution avoided during 2019. The results confirm that performing this ultrasound at the point of care reduces the emission of 61.4 gr of carbon monoxide, 14.8 gr of nitric oxide and 2.7 gr of sulfur dioxide on each trip. During the study, an average of 17.8 km, 21.4 min per trip and almost 2000 L of fuel consumed in a year were avoided. Performing POCUS from PC reduces fuel consumption and the emission of air pollutants and also saves time and money. Furthermore, only 0.3% of the scans had to be repeated by radiologists. However, more studies with more participants need to be done to calculate the exact impact that these pollution reductions will have on human health.<\/jats:p>","DOI":"10.3390\/ijerph17093333","type":"journal-article","created":{"date-parts":[[2020,5,11]],"date-time":"2020-05-11T12:26:30Z","timestamp":1589199990000},"page":"3333","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Environmental and Patient Impact of Applying a Point-of-Care Ultrasound Model in Primary Care: Rural vs. Urban Centres"],"prefix":"10.3390","volume":"17","author":[{"given":"Francesc X","family":"Mar\u00edn-Gomez","sequence":"first","affiliation":[{"name":"Health Promotion in Rural Areas Research Group, Institut Catal\u00e0 de la Salut, 08272 Sant Fruit\u00f3s de Bages, Spain"},{"name":"Unitat de Suport a la Recerca de la Catalunya Central, Fundaci\u00f3 Institut Universitari per a la Recerca a l\u2019Atenci\u00f3 Prim\u00e0ria de Salut Jordi Gol i Gurina, 08007 Barcelona, Spain"},{"name":"Servei d\u2019Atenci\u00f3 Prim\u00e0ria Osona, Ger\u00e8ncia Territorial de Barcelona, Institut Catal\u00e0 de la Salut, 08500 Vic, Barcelona, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jacobo","family":"Mendioroz Pe\u00f1a","sequence":"additional","affiliation":[{"name":"Health Promotion in Rural Areas Research Group, Institut Catal\u00e0 de la Salut, 08272 Sant Fruit\u00f3s de Bages, Spain"},{"name":"Unitat de Suport a la Recerca de la Catalunya Central, Fundaci\u00f3 Institut Universitari per a la Recerca a l\u2019Atenci\u00f3 Prim\u00e0ria de Salut Jordi Gol i Gurina, 08007 Barcelona, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vicen\u00e7","family":"Canal Casals","sequence":"additional","affiliation":[{"name":"Centre d\u2019Atenci\u00f3 Prim\u00e0ria Vic Nord, Ger\u00e8ncia Territorial de Barcelona, Institut Catal\u00e0 de la Salut, 08500 Vic, Barcelona, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marcos","family":"Romero Mendez","sequence":"additional","affiliation":[{"name":"Centre d\u2019Atenci\u00f3 Prim\u00e0ria St. Quirze de Besora, Ger\u00e8ncia Territorial de Barcelona, Institut Catal\u00e0 de la Salut, 08580 Sant Quirze de Besora, Barcelona, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana","family":"Darn\u00e9s Surroca","sequence":"additional","affiliation":[{"name":"Centre d\u2019Atenci\u00f3 Prim\u00e0ria Manlleu, Ger\u00e8ncia Territorial de Barcelona, Institut Catal\u00e0 de la Salut, 08560 Manlleu, Barcelona, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0646-6309","authenticated-orcid":false,"given":"Antoni","family":"Nieto Maclino","sequence":"additional","affiliation":[{"name":"Centre d\u2019Atenci\u00f3 Prim\u00e0ria Sta. 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