Business Administration, Technical School of Industrial Engineering, University of Castilla-La Mancha, Avda. Camilo José Cela, s/n, 13071, Ciudad Real, Spain.
Environ Sci Pollut Res Int. 2019 Feb;26(4):3196-3207. doi: 10.1007/s11356-017-1016-9. Epub 2017 Dec 22.
The aim of this research is to design a multi-criteria model for environmental assessment of health care organizations. This is a model which guarantees the objectivity of the results obtained, is easy to apply, and incorporates a series of criteria, and their corresponding descriptors, relevant to the internal environmental auditing processes of the hospital. Furthermore, judgments were given by three experts from the areas of health, the environment, and multi-criteria decision techniques. From the values assigned, geometric means were calculated, giving weightings for the criteria of the model. This innovative model is intended for application within a continuous improvement process. A practical case from a Spanish hospital is included at the end. Information contained in the sustainability report provided the data needed to apply the model. The example contains all the criteria previously defined in the model. The results obtained show that the best-satisfied criteria are those related to energy consumption, generation of hazardous waste, legal matters, environmental sensitivity of staff, patients and others, and the environmental management of suppliers. On the other hand, those areas returning poor results are control of atmospheric emissions, increase in consumption of renewable energies, and the logistics of waste produced. It is recommended that steps be taken to correct these deficiencies, thus leading to an acceptable increase in the sustainability of the hospital.
本研究旨在设计一个用于医疗保健组织环境评估的多标准模型。这是一个保证结果客观性的模型，易于应用，并纳入了一系列与医院内部环境审计过程相关的标准及其相应描述符。此外，还由来自健康、环境和多标准决策技术领域的三位专家进行了判断。从分配的值中计算出几何平均值，为模型的标准赋予权重。该创新模型旨在应用于持续改进过程中。最后包括了一个来自西班牙医院的实际案例。可持续性报告中包含的信息提供了应用模型所需的数据。该示例包含模型中先前定义的所有标准。所得结果表明，满足程度最高的标准是与能源消耗、危险废物产生、法律事项、员工、患者和其他人员的环境敏感性以及供应商的环境管理相关的标准。另一方面，那些返回较差结果的领域是大气排放控制、可再生能源消耗增加以及废物物流。建议采取措施纠正这些缺陷，从而提高医院的可持续性。
