Governance related factors influencing the implementation of sustainability in hospitals: A systematic literature review

IF 3.6 3区医学 Q1 HEALTH CARE SCIENCES & SERVICES

Health Policy Pub Date : 2024-06-20 DOI:10.1016/j.healthpol.2024.105115

Vera van Schie

{"title":"Governance related factors influencing the implementation of sustainability in hospitals: A systematic literature review","authors":"Vera van Schie","doi":"10.1016/j.healthpol.2024.105115","DOIUrl":null,"url":null,"abstract":"<div><p>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.</p></div>","PeriodicalId":55067,"journal":{"name":"Health Policy","volume":"146 ","pages":"Article 105115"},"PeriodicalIF":3.6000,"publicationDate":"2024-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0168851024001258/pdfft?md5=b99ec8197ec377c1d1ee4c39bc3f8f2d&pid=1-s2.0-S0168851024001258-main.pdf","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Health Policy","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0168851024001258","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}

引用次数: 0

Abstract

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.

查看原文本刊更多论文

影响医院实施可持续发展的治理相关因素：系统性文献综述。

气候变化是一个紧迫的问题，不仅对地球造成负面影响，也对公众健康造成负面影响。医疗保健部门在改善健康的同时，也造成了环境污染。因此，应改善其环境可持续性。本研究的重点是医院的可持续发展治理，因为医院是医疗系统中最大的运营单位，因此能够产生巨大的影响。要通过医院成功实施和嵌入可持续发展，就需要正确的治理方法。本系统性文献综述旨在概述影响欧洲医院实施可持续发展的治理相关因素。根据 PRISMA 指南，我们确定并筛选了 2426 篇论文，其中 30 篇被纳入分析。在这些论文中，有四项与管理相关的因素被认为是医院实施可持续发展的重要因素：知识、管理层的参与、医护人员的承诺以及技术的使用。目前，这些因素大多构成了实施过程中的障碍。建议今后研究如何切实利用这些因素作为实施的促进因素。由于管理层的参与和医护专业人员的承诺都是至关重要的因素，因此进一步的研究应将这些利益相关者的意见纳入政策制定中。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Health Policy 医学-卫生保健

CiteScore

6.40

自引率

6.10%

发文量

157

审稿时长

3-8 weeks

期刊介绍： Health Policy is intended to be a vehicle for the exploration and discussion of health policy and health system issues and is aimed in particular at enhancing communication between health policy and system researchers, legislators, decision-makers and professionals concerned with developing, implementing, and analysing health policy, health systems and health care reforms, primarily in high-income countries outside the U.S.A.