IDEAS home Printed from https://ideas.repec.org/a/gam/jsusta/v15y2023i18p13402-d1234848.html
   My bibliography  Save this article

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

Author

Listed:
  • 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
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/2071-1050/15/18/13402/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/2071-1050/15/18/13402/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. 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.
    2. 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.
    3. Liviu Moldovan, 2015. "Sustainability Assessment Framework for VET Organizations," Sustainability, MDPI, vol. 7(6), pages 1-19, June.
    4. 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.
    5. 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.
    6. 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.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    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).

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Nelson Moreno-Monsalve & Marcela Delgado-Ortiz & Milton Rueda-Varón & William Stive Fajardo-Moreno, 2022. "Sustainable Development and Value Creation, an Approach from the Perspective of Project Management," Sustainability, MDPI, vol. 15(1), pages 1-15, December.
    2. Baoan Song & Qiyu Sun & Ying Li & Chuanqi Que, 2016. "Evaluating the Sustainability of Community-Based Long-Term Care Programmes: A Hybrid Multi-Criteria Decision Making Approach," Sustainability, MDPI, vol. 8(7), pages 1-19, July.
    3. Mooss, Angela & Hartman, Megan & Ibañez, Gladys, 2015. "Manual development: A strategy for identifying core components of integrated health programs," Evaluation and Program Planning, Elsevier, vol. 53(C), pages 57-64.
    4. Johnson, Knowlton & Collins, David & Wandersman, Abraham, 2023. "Developing a sustainability readiness strategy for health systems: Toolkit, interactive tools, and virtual support system," Evaluation and Program Planning, Elsevier, vol. 97(C).
    5. Douglas S. Gardner & Jacob M. Marszalek, 2014. "Does the Sustainability of Comprehensive Intervention Programs Depend on Parent Involvement?," SAGE Open, , vol. 4(3), pages 21582440145, August.
    6. Krishnadas Nanath & R Radhakrishna Pillai, 2021. "Towards a framework for sustaining Green IT initiatives: an empirical investigation," Information Technology and Management, Springer, vol. 22(3), pages 193-206, September.
    7. Davies-Colley, Christian & Smith, Willie, 2012. "Implementing environmental technologies in development situations: The example of ecological toilets," Technology in Society, Elsevier, vol. 34(1), pages 1-8.
    8. Smith, Matthew Lee & Durrett, Nicholas K. & Schneider, Ellen C. & Byers, Imani N. & Shubert, Tiffany E. & Wilson, Ashley D. & Towne, Samuel D. & Ory, Marcia G., 2018. "Examination of sustainability indicators for fall prevention strategies in three states," Evaluation and Program Planning, Elsevier, vol. 68(C), pages 194-201.
    9. Alfonso, Moya L. & Nickelson, Jen & Hogeboom, David L. & French, Jennifer & Bryant, Carol A. & McDermott, Robert J. & Baldwin, Julie A., 2008. "Assessing local capacity for health intervention," Evaluation and Program Planning, Elsevier, vol. 31(2), pages 145-159, May.
    10. Alla Mostepaniuk & Turgay Akalin & Mohammad Reza Parish, 2023. "Practices Pursuing the Sustainability of A Healthcare Organization: A Systematic Review," Sustainability, MDPI, vol. 15(3), pages 1-21, January.
    11. Velasco, Veronica & Griffin, Kenneth W. & Antichi, Mariella & Celata, Corrado, 2015. "A large-scale initiative to disseminate an evidence-based drug abuse prevention program in Italy: Lessons learned for practitioners and researchers," Evaluation and Program Planning, Elsevier, vol. 52(C), pages 27-38.
    12. Riki Savaya & Gerald Elsworth & Patricia Rogers, 2009. "Projected Sustainability of Innovative Social Programs," Evaluation Review, , vol. 33(2), pages 189-205, April.
    13. Tahereh Maghsoudi & Rosalía Cascón-Pereira & Ana Beatriz Hernández Lara, 2020. "The Role of Collaborative Healthcare in Improving Social Sustainability: A Conceptual Framework," Sustainability, MDPI, vol. 12(8), pages 1-15, April.
    14. Ahmet Koç & Mert Bastas, 2019. "The Evaluation of the Project School Model in Terms of Organizational Sustainability and Its Effect on Teachers’ Organizational Commitment," Sustainability, MDPI, vol. 11(13), pages 1-23, June.
    15. Cameron Estrich & Carla L. DeSisto & Ellen Pliska & Christine N. Mackie & Alisa Velonis & Keriann Uesugi & Lisa F. Waddell & Kristin M. Rankin, 2022. "Roles of Social Networking in Complex Multi-agency Implementation Efforts," SAGE Open, , vol. 12(3), pages 21582440221, September.
    16. Roberts-Gray, Cynthia & Gingiss, Phyllis M. & Boerm, Melynda, 2007. "Evaluating school capacity to implement new programs," Evaluation and Program Planning, Elsevier, vol. 30(3), pages 247-257, August.
    17. Marcia G. Ory & Shinduk Lee & Gang Han & Samuel D. Towne & Cindy Quinn & Taylor Neher & Alan Stevens & Matthew Lee Smith, 2018. "Effectiveness of a Lifestyle Intervention on Social Support, Self-Efficacy, and Physical Activity among Older Adults: Evaluation of Texercise Select," IJERPH, MDPI, vol. 15(2), pages 1-19, January.
    18. Vanderhoven, Ellen & Steiner, Artur & Teasdale, Simon & Calò, Francesca, 2020. "Can public venture capital support sustainability in the social economy? Evidence from a social innovation fund," Journal of Business Venturing Insights, Elsevier, vol. 13(C).
    19. Nancy A Scott & Taryn Vian & Jeanette L Kaiser & Thandiwe Ngoma & Kaluba Mataka & Elizabeth G Henry & Godfrey Biemba & Mary Nambao & Davidson H Hamer, 2018. "Listening to the community: Using formative research to strengthen maternity waiting homes in Zambia," PLOS ONE, Public Library of Science, vol. 13(3), pages 1-16, March.
    20. Sridharan, Sanjeev & Go, Sodam & Zinzow, Heidi & Gray, Aracelis & Gutierrez Barrett, Melissa, 2007. "Analysis of strategic plans to assess planning for sustainability of comprehensive community initiatives," Evaluation and Program Planning, Elsevier, vol. 30(1), pages 105-113, February.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jsusta:v:15:y:2023:i:18:p:13402-:d:1234848. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.