Department of Medical Informatics, Center for Sustainable Healthcare, Amsterdam Public Health Research Institute, Amsterdam UMC Location University of Amsterdam, Meibergdreef 9, Amsterdam, The Netherlands.
National Health Care Institute, Diemen, The Netherlands.
BMC Health Serv Res. 2024 Nov 5;24(1):1350. doi: 10.1186/s12913-024-11749-8.
Climate change and increased awareness of planetary health have made reducing ecological footprints a priority for healthcare organizations. However, improving healthcare's environmental impact remains difficult. Numerous researchers argue these difficulties are caused by healthcare's environmental impact being multidimensional, influenced throughout the healthcare chain, and often has downstream consequences that are hard to identify or to measure. Even though existing research describes many successful approaches to reduce healthcare's environmental impact, a robust multidimensional framework to assess this impact is lacking. This research aims at developing a maturity model for sustainable healthcare that could be used for self-assessment by healthcare professionals to identify improvement actions and for sharing best practices in environmental sustainability.
A design-oriented approach for maturity model development was combined with an expert panel and six case studies to develop, refine and expand the maturity model for environmentally sustainable healthcare.
A maturity model was developed containing four domains: 'Governance', 'Organization Structures', 'Processes', and 'Outcomes and Control'. Applying the model in real-world environments demonstrated the model's understandability, ease of use, usefulness, practicality and ability to identify improvement actions for environmental sustainability in healthcare organizations.
This study found that healthcare practitioners could apply the maturity model developed and tested in this study in several hours without training to help them gain valuable insights into the environment footprint of the healthcare setting they worked in. Systematically implementing the model developed in this study could help address the urgent need to mitigate the substantial environmental impact of healthcare. These implementations can help evaluate and improve the maturity model.
气候变化和人们对行星健康的意识提高，使得医疗保健组织优先考虑减少生态足迹。然而，改善医疗保健的环境影响仍然具有挑战性。许多研究人员认为，这些困难是由医疗保健的环境影响具有多维性、在整个医疗保健链中受到影响以及经常产生难以识别或衡量的下游后果所导致的。尽管现有研究描述了许多成功的方法来减少医疗保健的环境影响，但缺乏一个强大的多维框架来评估这种影响。本研究旨在开发一个可持续医疗保健的成熟度模型，供医疗保健专业人员用于自我评估，以确定改进措施，并分享环境可持续性方面的最佳实践。
采用面向设计的方法来开发成熟度模型，并结合专家小组和六个案例研究，开发、完善和扩展可持续医疗保健的成熟度模型。
开发了一个成熟度模型，包含四个领域：“治理”、“组织结构”、“流程”和“结果和控制”。在实际环境中应用该模型表明，该模型具有可理解性、易用性、有用性、实用性和识别医疗保健组织环境可持续性改进措施的能力。
本研究发现，医疗保健从业者可以在没有培训的情况下，在数小时内应用本研究中开发和测试的成熟度模型，帮助他们深入了解自己所在医疗环境的环境足迹。系统地实施本研究中开发的模型可以帮助解决减轻医疗保健巨大环境影响的迫切需求。这些实施可以帮助评估和改进成熟度模型。
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