Guiding principles for the next generation of health-care sustainability metrics.

Autor:	Eckelman MJ; Department of Civil & Environmental Engineering, Northeastern University, Boston, MA, USA; Department of Environmental Health Sciences, Yale School of Public Health, New Haven, CT, USA. Electronic address: m.eckelman@northeastern.edu., Weisz U; Social Metabolism and Impacts, Potsdam Institute for Climate Impact Research, Member of the Leibniz Association, Potsdam, Germany., Pichler PP; Social Metabolism and Impacts, Potsdam Institute for Climate Impact Research, Member of the Leibniz Association, Potsdam, Germany., Sherman JD; Department of Anesthesiology, Yale School of Medicine, New Haven, CT, USA; Department of Environmental Health Sciences, Yale School of Public Health, New Haven, CT, USA., Weisz H; Social Metabolism and Impacts, Potsdam Institute for Climate Impact Research, Member of the Leibniz Association, Potsdam, Germany; Department of Cultural History and Theory and Department of Social Sciences, Humboldt Universität zu Berlin, Berlin, Germany. Electronic address: helga.weisz@pik-potsdam.de.
Jazyk:	angličtina
Zdroj:	The Lancet. Planetary health [Lancet Planet Health] 2024 Aug; Vol. 8 (8), pp. e603-e609.
DOI:	10.1016/S2542-5196(24)00159-1
Abstrakt:	Metrics for health-care sustainability are crucial for tracking progress and understanding the advantages of different operations or systems as the health-care sector addresses the climate crisis and other environmental challenges. Measurement of the key metrics of absolute energy use and greenhouse gas emissions now has substantial momentum, but our overall measurement framework generally has serious deficiencies. Because existing metrics are often borrowed from other sectors, many are unconnected to the specifics of health-care provision or existing health system performance indicators, the potential negative effects of health care on public health are largely absent, a consistent and standardised set of health-care sustainability measurement concepts does not yet exist, and current dynamics in health systems such as privatisation are largely ignored. The next generation of health-care sustainability metrics must address these deficiencies by expanding the scope of observation and the entry points for interventions. Specifically, metrics should be standardised, reliable, meaningful, integrated with data management systems, fair, and aligned with the core mission of health care. Incentives with the potential to contradict sustainability goals must be addressed in future planning and implementation if the next generation of metrics is to be effective and incentivise positive systemic change. Competing Interests: Declaration of interests We declare no competing interests. (Copyright © 2024 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license. Published by Elsevier Ltd.. All rights reserved.)
Databáze:	MEDLINE
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