Sustainable Healthcare: A path to sustainability (original) (raw)
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Sustainable healthcare: how to assess and improve healthcare structures' sustainability
Annali di igiene : medicina preventiva e di comunità
Sustainability is a broad and debated subject, often difficult to be defined and applied into real projects, especially when dealing with a complex scenario as the one of healthcare. Many research studies and evaluation systems have handled this topic from different perspectives, but many limits and criticalities still have to be overcome to properly cope with actual needs. The Sustainable Healthcare project has been developed through three main phases: a deep study of the state of the art, unraveling pros and cons of available sustainability scoring systems; an accurate analysis of the stakeholders network and their needs; the realization of an objective evaluation framework, through scientific methods, as the ANP. The newly developed evaluation system takes into consideration all the three pillars of sustainability, analyzing social, environmental and economic sustainability through a set of criteria, specified by measurable indicators. So the system identifies both global sustain...
A multi-stakeholder perspective on sustainable healthcare: From 2030 onwards
Over the past years, the interest in sustainable healthcare has been growing globally and the transition toward environmentally, economically and socially viable health systems is perceived as inevitable and necessary. All the approaches to this emerging field are mainly focusing on short-term specific issues and involving a limited number of stakeholders. This study aimed to address the topic of the possible futures of sustainable healthcare from a multi-stakeholder perspective, in order to define a long-term scenario and the key strategies to enhance this transition. A series of workshops have involved a representative selection of stakeholders based in Nordic countries and concerned with sustainable healthcare (health industries, health providers, managing authorities, universities and research centres, clusters, NGOs and healthcare networks, professional consortia) through a collaborative foresight process. A design-based approach has been adopted to investigate the current scenario and deepen foresight outcomes. The results highlighted three different horizons and the drivers to reshape the roles of individual stakeholders, enhancing the socio-technical transition towards a desirable scenario based on collaboration between distributed dynamic networks. The identified transition strategies move from the local to the international level, focusing on innovation, information and collaboration between stakeholders. This study provides the framework for future studies to deepen the transition process towards sustainable healthcare and its implications at Nordics, European and international levels.
Implementation Science, 2018
Background: Improvement initiatives offer a valuable mechanism for delivering and testing innovations in healthcare settings. Many of these initiatives deliver meaningful and necessary changes to patient care and outcomes. However, many improvement initiatives fail to sustain to a point where their full benefits can be realised. This has led many researchers and healthcare practitioners to develop frameworks, models and tools to support and monitor sustainability. This work aimed to identify what approaches are available to assess and influence sustainability in healthcare and to describe the different perspectives, applications and constructs within these approaches to guide their future use. Methods: A systematic review was carried out following PRISMA guidelines to identify publications that reported approaches to support or influence sustainability in healthcare. Eligibility criteria were defined through an iterative process in which two reviewers independently assessed 20% of articles to test the objectivity of the selection criteria. Data were extracted from the identified articles, and a template analysis was undertaken to identify and assess the sustainability constructs within each reported approach. Results: The search strategy identified 1748 publications with 227 articles retrieved in full text for full documentary analysis. In total, 62 publications identifying a sustainability approach were included in this review (32 frameworks, 16 models, 8 tools, 4 strategies, 1 checklist and 1 process). Constructs across approaches were compared and 40 individual constructs for sustainability were found. Comparison across approaches demonstrated consistent constructs were seen regardless of proposed interventions, setting or level of application with 6 constructs included in 75% of the approaches. Although similarities were found, no approaches contained the same combination of the constructs nor did any single approach capture all identified constructs. From these results, a consolidated framework for sustainability constructs in healthcare was developed. Conclusions: Choosing a sustainability method can pose a challenge because of the diverse approaches reported in the literature. This review provides a valuable resource to researchers, healthcare professionals and improvement practitioners by providing a summary of available sustainability approaches and their characteristics. Trial registration: This review was registered on the PROSPERO database: CRD42016040081 in June 2016.
Sustainability
This study aims to develop and test a life-cycle-based sustainability index that incorporates patient-centredness for assessing and reporting the sustainability of healthcare buildings in Saudi Arabia. The research strategy follows a triangulation method approach to meet the objective of this research. Semi-structured interviews were initially employed in developing sustainable healthcare building indicators based on a previously conducted literature review that explored sustainable building in Saudi Arabia. Then, a scoping review protocol including the Delphi technique was used to develop patient-centredness care, PCC, indicators. Questionnaire surveys were also employed in data collection for industry investigation and patient involvement. Lastly, case study practice tests were conducted involving a specialised hospital and a pre-occupant hospital for indicator verification. A set of sustainability indicators were developed to assess and report the sustainability performance of he...
Back and Forth on Sustainable Development: A Focus on Healthcare Organisations
Sustainability
The sustainability of healthcare systems represents a relevant target of the 2030 Sustainable Development Goals Agenda. Nevertheless, academic research has neglected to study healthcare systems when focusing on the transition toward sustainable healthcare. This study addresses this gap by investigating the implementation of the sustainable development (SD) principle in the Italian healthcare system, in light of international and national institutional discourses on SD. A questionnaire-based survey has been directed to the General Directors (GDs) of government-funded healthcare orgsanisations to investigate their perceptions about the SD principle applied to healthcare, their strategic planning for SD, their implemented projects for sustainability and the intellectual capital factors that influence the latter’s implementation. The study was conducted in two waves: a first survey was administered in 2016, with a second one in 2021. We used content analysis to identify the potential di...
Sustainable Development in Healthcare
International Journal of Reliable and Quality E-Healthcare, 2015
The implementation of the concept of sustainable development in the establishment of “Green Hospital” is attracting growing interest. The health sector and, in particular, a hospital may affect the environment and the economy in the a) maximization of energy consumption b) waste of natural resources c) difficulty in waste management due to their rapidly increasing volume d) construction of non-friendly for people and environment buildings e) growing demand for funds to cover operating expenses. Moreover, it seems that the strategic planning of a Green Hospital can cause significant changes to: a) Energy saving – Green development – Environment protection; b) Building reconstruction; c) Improvement of provided services to citizens; d) Saving of financial resources. Therefore, efforts should be made to save energy and money in the hospitals through sustainable development projects. Finally, the Green Hospital has the potential to provide improved therapeutic results for patients and m...
Building a Sustainable Healthcare Model: A Cross-Country Analysis
Sustainability
This paper aims to advocate for a sustainable healthcare system and the need for pursuing a new set of goals in designing it, given the current challenges in European Union (EU28). The EU28 member states are in different phases of economic integration, and yet far from an authentic integrated market. Despite the real gains in other domains, such as commercial and competition, public health is very different across the EU28 space and lacks a common integrated and sustainable approach. Herein a sustainable healthcare model is introduced and is based on four components, two for the inputs and two for the outputs of the healthcare system, each component being further categorized into two factors. The method consists of the assessment of a new and suggestive common index of sustainable healthcare (ISH). The methodology consists of five steps: data gathering, data validation, normalization of data by applying the utilities theory, aggregation of data, and construction of the ISH index. The methodology allows the assessment of a composite ISH which captures the complexity of the national healthcare systems. The ISH is then applied to specific circumstances from different countries and is used in a crosscountry analysis to determine the progress towards a sustainable healthcare.
Making hospitals healthier: how to improve sustainability in healthcare facilities
Annali di igiene : medicina preventiva e di comunità
Debate about sustainable development has reached a peak, as it is now recognized worldwide by public opinion and, in general, by governments' political agendas. New hospitals need to be made more sustainable and existing ones must improve their standards: e.g. in Italy, more than 50% of all healthcare facilities were built before the Nineties, without any attention to environmental, social or economic sustainability. Thanks to a sustainability evaluating system (environmental, social and economic) designed by the Milanese University 'Politecnico di Milano', two healthcare facilities were analyzed and compared. Both structures have approximately 600 beds and are located in the Lombardy region but they were built in different decades: one was built in the Sixties while the other one was built very recently. The analysis focused on underlining criticalities, implementing redevelopment measures for sustainability and eventually understanding whether attention was truly being...
Sustainability trends in public hospitals: Efforts and priorities
Evaluation and Program Planning, 2019
The purpose of this study is to examine the previous and the current efforts and the priorities of sustainability initiatives in the public sector. Design/Methodology/approach: This study has been conducted in one industry, overcoming contextual bias as a judgmental sampling was used to select the public hospitals that were studied. Only knowledgeable key informants were approached and used. Findings: The examination of the previous and the current efforts and the priorities of the sustainability initiatives revealed in this study indicate the existence of different trends in the public hospitals studied. Research limitations/implications: The results report the key trends that were disclosed in the public hospitals studied in their efforts towards sustainability. In particular, the results show that there appears to be a lack of guidelines and homogeneity in sustainability planning in public hospitals in Spain, accompanied by the near universal absence of the evaluation phase in respect to the outcomes of the sustainability initiatives that have been put in place in these organizations. Managerial Implications: The multi-dimensional factors of sustainability initiatives provide managerial guidance to assess the previous and the current efforts and priorities. These factors also provide organizational guidance to assess the trends of an organization through time. Originality/Value: This study contributes to a selection of factors regarding the previous and the current efforts and the priorities of sustainability initiatives applicable in public hospitals. It provides a multi-dimensional framework of factors that can be used in order to describe sustainability trends.
Annali dell'Istituto superiore di sanita, 2016
INTRODUCTION Nowadays several rating systems exist for the evaluation of the sustainability of buildings, but often their focus is limited to environmental and efficiency aspects. Hospitals are complex constructions in which many variables affect hospital processes. Therefore, a research group has developed a tool for the evaluation of sustainability in healthcare facilities. METHODOLOGY The paper analyses social sustainability issues through a tool which evaluates users' perception from a the quality and well-being perspective. It presents a hierarchical structure composed of a criteria and indicators system which is organised through a weighing system calculated by using the Analytic Network Process. RESULTS AND DISCUSSION The output is the definition of a tool which evaluates how Humanisation, Comfort and Distribution criteria can affect the social sustainability of a building. CONCLUSION Starting from its application, it is evident that the instrument enables the improvement...