Center for the Environment and Health, Massachusetts General Hospital, Boston, MA, USA; Center for the Environment and Health, Harvard Medical School, Harvard University, Boston, MA, USA.
Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA.
Lancet Planet Health. 2024 Sep;8(9):e675-e683. doi: 10.1016/S2542-5196(24)00162-1.
Work to reduce environmental pollution from the health system is hampered by an absence of consensus on the definition of environmentally sustainable health care and the relevant measurement needed. This scoping review aims to encourage standardisation across sustainability efforts by examining how environmentally sustainable health care is defined and measured in current literature. We conducted a scoping review to identify candidate publications that included either a definition or description of environmentally sustainable health care or a measurement of the impact of health care on the environment. 328 publications were included in the final analysis. 52 publications included definitions or descriptions of environmentally sustainable health care. Results of the study highlight the heterogeneity in the current definition, measurement, and measurement calculation methods of environmentally sustainable health care in published literature. Work is needed to create more harmonised definitions and measurement to support progress and reduce environmental pollution from health care.
工作以减少卫生系统的环境污染受到阻碍，因为缺乏对环境可持续卫生保健的定义和相关衡量标准的共识。本范围综述旨在通过检查当前文献中环境可持续卫生保健的定义和衡量方法，鼓励可持续发展工作的标准化。我们进行了范围综述，以确定包含环境可持续卫生保健的定义或描述或衡量卫生保健对环境影响的候选出版物。最终分析包括 328 篇出版物。52 篇出版物包括对环境可持续卫生保健的定义或描述。研究结果突出了当前文献中环境可持续卫生保健的定义、衡量和衡量计算方法的异质性。需要开展工作，以制定更加协调一致的定义和衡量标准，以支持进展并减少卫生保健造成的环境污染。
