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The Environmental Sustainability Assessment of an Orthopedics Emergency Hospital Supported by a New Innovative Framework

Author

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  • Flaviu Moldovan

    (Department of Orthopedics-Traumatology, Faculty of Medicine, “George Emil Palade” University of Medicine, Pharmacy, Science, and Technology of Targu Mures, 540142 Targu Mures, Romania)

  • Liviu Moldovan

    (Faculty of Engineering and Information Technology, “George Emil Palade” University of Medicine, Pharmacy, Science, and Technology of Targu Mures, 540142 Targu Mures, Romania)

  • Tiberiu Bataga

    (Department of Training, Technological Innovation and Research in Orthopedics-Traumatology, Faculty of Medicine, “George Emil Palade” University of Medicine, Pharmacy, Science, and Technology of Targu Mures, 540142 Targu Mures, Romania)

Abstract

Due to their high consumption of resources and enormous amount of generated waste, healthcare systems are not considered to be sustainable. Given the constant changes in internal needs, improvement of this state cannot be achieved only through policies, strategies, and interventions administered from the outside. Thus, it is necessary to design tools that, through their constant application, facilitate the sustainable development of health institutions. The objective of this research is to develop and validate in practice an innovative framework for assessing the sustainability of healthcare facilities that is compatible with hospital accreditation legislation and other community frameworks. The research is limited to the study of environmental sustainability and its results are validated in a healthcare facility with an orthopedic profile. The research method consists of defining the domains of the new innovative framework, collecting the latest medical practices related to environmental sustainability, designing indicators related to environmental responsibility and a matrix of indicators, followed by its validation in practice at an emergency hospital. The new innovative framework is organized in three areas, including environmental, economic, and social sustainability, to which is added organizational capacity along with management and provision of sustainable healthcare services. It contains 57 indicators, of which 8 are dedicated to the environmental area. The indicators are described in detail together with evaluation grids structured by the coupled degrees of importance and achievement. The practical implementation of the innovative framework at the County Emergency Clinical Hospital of Targu Mures highlights its added value by promoting sustainability strategies together with continuous quantification of the organization’s sustainability level.

Suggested Citation

  • Flaviu Moldovan & Liviu Moldovan & Tiberiu Bataga, 2023. "The Environmental Sustainability Assessment of an Orthopedics Emergency Hospital Supported by a New Innovative Framework," Sustainability, MDPI, vol. 15(18), pages 1-31, September.
    • Handle: RePEc:gam:jsusta:v:15:y:2023:i:18:p:13402-:d:1234848
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    References listed on IDEAS

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    1. Md. Khalid Hasan & Sarker Mohammad Nasrullah & Annalisa Quattrocchi & Pedro Arcos González & Rafael Castro Delgado, 2022. "Hospital Surge Capacity Preparedness in Disasters and Emergencies: Protocol for a Systematic Review," IJERPH, MDPI, vol. 19(20), pages 1-8, October.
    2. Flaviu Moldovan & Petruta Blaga & Liviu Moldovan & Tiberiu Bataga, 2022. "An Innovative Framework for Sustainable Development in Healthcare: The Human Rights Assessment," IJERPH, MDPI, vol. 19(4), pages 1-27, February.
    3. Scheirer, M.A. & Dearing, J.W., 2011. "An agenda for research on the sustainability of Public Health Programs," American Journal of Public Health, American Public Health Association, vol. 101(11), pages 2059-2067.
    4. Liviu Moldovan, 2015. "Sustainability Assessment Framework for VET Organizations," Sustainability, MDPI, vol. 7(6), pages 1-19, June.
    5. Johnson, Knowlton & Hays, Carol & Center, Hayden & Daley, Charlotte, 2004. "Building capacity and sustainable prevention innovations: a sustainability planning model," Evaluation and Program Planning, Elsevier, vol. 27(2), pages 135-149, May.
    6. Flaviu Moldovan & Adrian Gligor & Liviu Moldovan & Tiberiu Bataga, 2022. "The Impact of the COVID-19 Pandemic on the Orthopedic Residents: A Pan-Romanian Survey," IJERPH, MDPI, vol. 19(15), pages 1-20, July.
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    Cited by:

    1. Anna Savoldelli & Daniele Landi & Caterina Rizzi, 2024. "Exploring Quantitative Methodologies for Assessing the Environmental, Social, and Economic Impacts of Telemedicine: A Literature Review," Sustainability, MDPI, vol. 16(6), pages 1-25, March.
    2. Maria Tomai & Shyama V. Ramani & George Papachristos, 2024. "How Can We Design Policy Better? Frameworks and Approaches for Sustainability Transitions," Sustainability, MDPI, vol. 16(2), pages 1-22, January.
    3. Yijia Miao & Doris Sau Fung Yu & Weiguang Tan & Sunnie Sing Yeung Lau & Stephen Siu Yu Lau & Yiqi Tao, 2024. "Crafting Sustainable Healthcare Environments Using Green Building Ratings for Aging Societies," Sustainability, MDPI, vol. 16(5), pages 1-22, February.
    4. van Schie, Vera, 2024. "Governance related factors influencing the implementation of sustainability in hospitals: A systematic literature review," Health Policy, Elsevier, vol. 146(C).

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