公布或灭亡——法国医院是否披露了垂直差异化的温室气体排放?

IF 1.7 4区 经济学 Q3 BUSINESS, FINANCE
Nathalie Clavel, Laurie Marrauld, Myriam Lescher-Cluzel, Estelle Baurès, Nicolas Sirven
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引用次数: 0

摘要

法国立法要求大中型医院公开报告其温室气体排放情况。然而,许多医院没有遵守这一规定,而其他医院则自愿报告。这种行为背后的组织驱动因素仍未得到充分研究。这项研究考察了医院是否将披露其温室气体排放作为区分自身的更广泛战略的一部分——类似于他们如何报告患者满意度分数来表明质量。我们探讨碳报告是否被用作法国医疗保健系统的垂直差异化战略。我们采用了混合方法。首先,我们分析了国家行政数据,以检验报告温室气体排放是否与报告患者满意度得分有关。其次,我们对医院管理人员进行了半结构化访谈,以了解排放报告背后的动机。在数量上,我们发现两种类型的报告之间没有显著的关联。医院似乎没有将温室气体排放披露和患者满意度评分作为同一信号策略的一部分。定性研究结果证实,温室气体报告主要由内部因素驱动,如行政领导、流程改进和组织价值观,而不是外部分化或患者需求。法国医院目前并未将碳排放报告作为差异化战略。需要加强监管执法以确保合规。此外,医院需要支持——通过方法学指导、培训和发展专门的可持续发展角色——将环境绩效纳入其管理体系,并为医疗保健脱碳做出有意义的贡献。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Publish or Perish - do French hospitals disclose their greenhouse gas emissions for vertical differentiation?

French legislation requires large and medium-sized hospitals to publicly report their greenhouse gas (GHG) emissions. Yet, many hospitals fail to comply with this regulation, while others report voluntarily. The organizational drivers behind this behavior remain underexplored. This study examines whether hospitals disclose their GHG emissions as part of a broader strategy to differentiate themselves-similar to how they report patient satisfaction scores to signal quality. We explore whether carbon reporting is used as a vertical differentiation strategy in the French healthcare system. We used a mixed-methods approach. First, we analyzed national administrative data to test whether reporting GHG emissions is associated with reporting patient satisfaction scores. Second, we conducted semi-structured interviews with hospital managers to understand the motivations behind emissions reporting. Quantitatively, we found no significant association between the two types of reporting. Hospitals do not appear to use GHG emissions disclosure and patient satisfaction scores as part of the same signaling strategy. Qualitative findings confirmed that GHG reporting is primarily driven by internal factors such as executive leadership, process improvement, and organizational values, rather than external differentiation or patient demand. Carbon reporting in French hospitals is not currently used as a differentiation strategy. Stronger regulatory enforcement is needed to ensure compliance. In addition, hospitals require support-through methodological guidance, training, and the development of dedicated sustainability roles-to integrate environmental performance into their management systems and contribute meaningfully to healthcare decarbonization.

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来源期刊
CiteScore
3.60
自引率
0.00%
发文量
18
期刊介绍: The focus of the International Journal of Health Economics and Management is on health care systems and on the behavior of consumers, patients, and providers of such services. The links among management, public policy, payment, and performance are core topics of the relaunched journal. The demand for health care and its cost remain central concerns. Even as medical innovation allows providers to improve the lives of their patients, questions remain about how to efficiently deliver health care services, how to pay for it, and who should pay for it. These are central questions facing innovators, providers, and payers in the public and private sectors. One key to answering these questions is to understand how people choose among alternative arrangements, either in markets or through the political process. The choices made by healthcare managers concerning the organization and production of that care are also crucial. There is an important connection between the management of a health care system and its economic performance. The primary audience for this journal will be health economists and researchers in health management, along with the larger group of health services researchers. In addition, research and policy analysis reported in the journal should be of interest to health care providers, managers and policymakers, who need to know about the pressures facing insurers and governments, with consequences for regulation and mandates. The editors of the journal encourage submissions that analyze the behavior and interaction of the actors in health care, viz. consumers, providers, insurers, and governments. Preference will be given to contributions that combine theoretical with empirical work, evaluate conflicting findings, present new information, or compare experiences between countries and jurisdictions. In addition to conventional research articles, the journal will include specific subsections for shorter concise research findings and cont ributions to management and policy that provide important descriptive data or arguments about what policies follow from research findings. The composition of the editorial board is designed to cover the range of interest among economics and management researchers.Officially cited as: Int J Health Econ ManagFrom 2001 to 2014 the journal was published as International Journal of Health Care Finance and Economics. (Articles published in Vol. 1-14 officially cited as: Int J Health Care Finance Econ)
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