School of Business and Economics, Vrije Universiteit Amsterdam, De Boelelaan 1105, 1081 HV, Amsterdam, the Netherlands.
Health Policy. 2024 Aug;146:105115. doi: 10.1016/j.healthpol.2024.105115. Epub 2024 Jun 20.
Climate change is a pressing issue that has a negative impact on the planet but also on public health. The healthcare sector contributes to environmental pollution, while it aims to improve health. Therefore, its environmental sustainability should be improved. This study focuses on the governance of sustainability in hospitals, since hospitals are the largest operational units in the healthcare system and can therefore make a large impact. To successfully implement and embed sustainable development through the hospital, the right governance approach is needed. This systematic literature review aims to give an overview of governance related factors that influence the implementation of sustainable development in hospitals in Europe. Following PRISMA guidelines, 2426 papers were identified and screened of which 30 were included in the analysis. In these papers, four governance related factors were identified to be important for the implementation of sustainable development in the hospital: knowledge, involvement from management, commitment from healthcare professionals, and technology use. These factors currently mostly form barriers in the implementation process. Future research is recommended on how to practically deploy these factors as facilitators for implementation. Since both involvement from management and commitment from healthcare professionals are crucial factors, further research should look into combining the input of these stakeholders in policy development.
气候变化是一个紧迫的问题，它不仅对地球，而且对公共卫生都有负面影响。医疗保健部门对环境污染有贡献，而其目的是改善健康。因此，应该提高其环境可持续性。本研究侧重于医院可持续性治理，因为医院是医疗系统中最大的运营单位，因此可以产生重大影响。为了通过医院成功实施和嵌入可持续发展，需要正确的治理方法。本系统文献综述旨在概述影响欧洲医院可持续发展实施的与治理相关的因素。根据 PRISMA 指南，确定了 2426 篇论文并进行了筛选，其中 30 篇被纳入分析。在这些论文中，确定了四个与治理相关的因素对医院可持续发展的实施很重要：知识、管理层的参与、医疗保健专业人员的承诺和技术的使用。这些因素目前在实施过程中大多构成障碍。建议对如何将这些因素实际用作实施的促进因素进行未来研究。由于管理层的参与和医疗保健专业人员的承诺都是关键因素，因此应进一步研究如何将这些利益相关者的投入结合到政策制定中。
