The Green Print: Advancement of Environmental Sustainability in Healthcare

被引：194

作者：

Sherman, Jodi D. ^{[1
,2
,3
]}

Thiel, Cassandra ^{[4
]}

MacNeill, Andrea ^{[5
,6
]}

Eckelman, Matthew J. ^{[7
]}

Dubrow, Robert ^{[2
,8
]}

Hopf, Harriet ^{[9
,10
]}

Lagasse, Robert ^{[11
]}

Bialowitz, Joseph ^{[12
]}

Costello, Anthony ^{[13
]}

Forbes, McGain ^{[14
,15
,16
]}

Stancliffe, Rachel ^{[17
]}

Anastas, Paul ^{[18
,19
,20
,21
]}

Anderko, Laura ^{[22
]}

Baratz, Mark ^{[23
]}

Barna, Stefi ^{[24
]}

Bhatnagar, Urvashi ^{[25
]}

Burnham, Jason ^{[26
]}

Cai, Yizhen ^{[27
]}

Cassels-Brown, Andy ^{[28
]}

Cimprich, Alexander F. P. ^{[29
]}

Cole, Heidi ^{[30
,31
]}

Coronado-Garcia, Lorea ^{[32
]}

Duane, Brett ^{[33
]}

Grisotti, Gabriella ^{[34
]}

Hartwell, Arthy ^{[35
]}

Kumar, Varshini ^{[27
]}

Kurth, Ann ^{[36
]}

Leapman, Michael ^{[37
]}

Morris, Daniel S. ^{[38
,39
]}

Overcash, Michael ^{[40
]}

Parvatker, Abhijeet G. ^{[41
]}

Pencheon, David ^{[42
]}

Pollard, Adam ^{[43
,44
]}

Robaire, Bernard ^{[45
]}

Rockne, Karl ^{[46
,47
]}

Sadler, Blair L. ^{[48
,49
]}

Schenk, Beth ^{[50
,51
]}

Sethi, Tushar ^{[52
]}

Sussman, L. Scott ^{[53
]}

Thompson, Jeff ^{[54
]}

Twomey, Janet M. ^{[55
]}

Vermund, Sten H. ^{[56
,57
]}

Vukelich, Daniel ^{[58
]}

Wasim, Natasha ^{[59
,60
]}

Wilson, Debbie ^{[61
]}

Young, Steven B. ^{[29
]}

Zimmerman, Julie ^{[62
,63
,64
,65
]}

Bilec, Melissa M. ^{[66
]}

机构：

[1] Yale Sch Med, Anesthesiol, New Haven, CT 06510 USA

[2] Yale Sch Publ Hlth, Epidemiol Environm Hlth Sci, New Haven, CT 06510 USA

[3] Yale Sch Publ Hlth, Program Healthcare Environm Sustainabil, New Haven, CT 06510 USA

[4] NYU, Tandon Sch Engn, Wagner Sch Publ Serv, New York Univ Langone Hlth,Populat Hlth & Ophthal, New York, NY 10003 USA

[5] British Columbia Canc Agcy, Vancouver, BC, Canada

[6] Univ British Columbia, Vancouver, BC, Canada

[7] Northeastern Univ, Civil & Environm Engn, Boston, MA 02115 USA

[8] Yale Sch Publ Hlth, Yale Ctr Climate Change & Hlth, New Haven, CT USA

[9] Univ Utah, Anesthesiol, Salt Lake City, UT 84112 USA

[10] Univ Utah, Biomed Engn, Salt Lake City, UT 84112 USA

[11] Yale Univ, Qual & Safety Improvement, Anesthesiol, New Haven, CT 06520 USA

[12] Kaiser Permanente, ENGIE Impact, Sustainable Healthcare, Oakland, CA USA

[13] Lancet Countdown Tracking Progress Hlth & Climate, London, England

[14] Western Hlth, St Albans, Vic, Australia

[15] Univ Sydney, Sch Med, Sydney, NSW, Australia

[16] Univ Melbourne, Ctr Integrated Crit Care, Melbourne, Vic, Australia

[17] Ctr Sustainable Healthcare, Oxford, England

[18] Yale Univ, Yale Ctr Green Chem & Green Engn, New Haven, CT 06520 USA

[19] Yale Univ, Sch Engn, New Haven, CT 06520 USA

[20] Yale Univ, Sch Publ Hlth, New Haven, CT 06520 USA

[21] Yale Univ, Sch Forestry & Environm Studies, New Haven, CT 06520 USA

[22] Georgetown Univ, Values Based Healthcare, Washington, DC 20057 USA

[23] Univ Pittsburgh, Med Ctr, Orthopaed Surg, Pittsburgh, PA 15260 USA

[24] Azim Premji Univ, Publ Hlth & Sustainabil, Bengaluru, Karnataka, India

[25] Yale Sch Management, New Haven, CT USA

[26] Washington Univ, Sch Med, Med & Infect Dis, St Louis, MO USA

[27] NYU, Stern Sch Business, New York, NY 10003 USA

[28] Natl Hlth Serv, Ophthalmol, London, England

[29] Univ Waterloo, Sch Environm Enterprise & Dev, Waterloo, ON, Canada

[30] Stryker Sustainabil Solut, GammaTile Therapy, Technol Dev, San Diego, CA USA

[31] Stryker Sustainabil Solut, Res & Dev, Tempe, AZ USA

[32] UN, Dev Programme, New York, NY 10017 USA

[33] Dublin Dent Univ Hosp, Publ Dent Hlth, Dublin, Ireland

[34] Yale Univ, Dept Gen Surg, Sch Med, New Haven, CT 06520 USA

[35] British Med Assoc, Int & Immigrat, London, England

[36] Yale Sch Nursing, Nursing, New Haven, CT USA

[37] Yale Univ, Urol, New Haven, CT 06520 USA

[38] Univ Cardiff, Cardiff, S Glam, Wales

[39] Univ Hosp Wales, Cardiff, S Glam, Wales

[40] Wichita State Univ, Sustainable Mat & Energy Syst, Wichita, KS 67260 USA

[41] Northwestern Univ, Dept Chem Engn, Evanston, IL 60208 USA

[42] Natl Hlth Serv, Sustainable Dev Unit, London, England

[43] Numerat Syst Ltd, London, England

[44] Univ Exeter, Med Sch, Exeter, Devon, England

[45] McGill Univ, Pharmacol & Therapeut & Obstet & Gynecol, Montreal, PQ, Canada

[46] Univ Illinois, Chicago, IL 60680 USA

[47] Natl Sci Fdn, Chem Bioengn Environm & Transport Syst, Alexandria, VA USA

[48] Inst Healthcare Improvement, Tokyo, Japan

[49] Univ Calif San Diego, Rady Sch Management, La Jolla, CA 92093 USA

[50] Providence St Joseph Hlth, Environm Stewardship, Renton, WA USA

来源：

RESOURCES CONSERVATION AND RECYCLING | 2020年 / 161卷

基金：

美国国家科学基金会;

关键词：

LIFE-CYCLE ASSESSMENT; CARBON FOOTPRINT; SINGLE-USE; GAS EMISSIONS; CATARACT-SURGERY; IMPACT; COST; CHALLENGES; CLIMATE; HEMODIALYSIS;

D O I：

10.1016/j.resconrec.2020.104882

中图分类号：

X [环境科学、安全科学];

学科分类号：

08 ; 0830 ;

摘要：

Healthcare is a major emitter of environmental pollutants that adversely affect health. Within the healthcare community, awareness of these effects is low, and recognition of the duty to address them is only beginning to gain traction. Healthcare sustainability science explores dimensions of resource consumption and environmental emissions associated with healthcare activities. This emerging field provides tools and metrics to quantify the unintended consequences of healthcare delivery and evaluate effective approaches that improve patient safety while protecting public health. This narrative review describes the scope of healthcare sustainability research, identifies knowledge gaps, introduces a framework for applications of existing research methods and tools to the healthcare context, and establishes research priorities to improve the environmental performance of healthcare services. The framework was developed through review of the current state of healthcare sustainability science and expert consensus by the Working Group for Environmental Sustainability in Clinical Care. Key recommendations include: development of a comprehensive life cycle inventory database for medical devices and drugs; application of standardized sustainability performance metrics at the clinician, hospital/health system, and national levels; revision of infection control standards driving non-evidence-based uptake of single-use disposable devices; call for increased federal research funding; and formation of a Global Commission on the Advancement of Environmental Sustainability in Healthcare. There is an urgent need for research that informs policy and practice to address the public health crisis arising from healthcare pollution. A transformational vision is required to align research priorities to achieve a sustainable healthcare system that advances quality, safety and value.

引用

页数：11

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