Sostenibilità ambientale ed economica in Sanità: verso un Servizio Sanitario Nazionale “verde”

Translated title of the contribution: [Autom. eng. transl.] Environmental and economic sustainability in health: towards a "green" national health service

Umberto Moscato, Gualtiero Ricciardi, Maria Assunta Veneziano, A Lazzari, Ea Pessina

Research output: Chapter in Book/Report/Conference proceedingConference contribution

Abstract

[Autom. eng. transl.] OBJECTIVES: The issue of economic and financial sustainability of the health sector is, by now, a priority recognized in the current state of crisis in our country. However, alongside this need, there is the further need to make the health sector sustainable also from an environmental point of view, as, as confirmed in the literature, health facilities represent one of the main sources of environmental pollution and energy consumption. , entering a field that is still completely unexplored in the national context, aims to illustrate and propose innovative tools borrowed from the international and national reality. METHODS: A review of the scientific and gray literature was conducted by questioning the main search engines (ie Pubmed, Google Scholar). Key words were used such as: "healthcare / environmental / economic / financial sustainability"; "Energetic consumption / waste". The main institutional sources of data were selected for the preparation of the final report and presentation of the data during the public-informative event, aimed at sensitizing the various stakeholders. The main realities of national and international best practices were also analyzed and innovative and efficient technological and behavioral solutions were investigated at different levels. The collaboration with the promoters of Greener Healthcare Campaign has allowed the transferability and access to data and initiatives of the British National Health Service, with related impact assessments. Results: From what emerged, it is confirmed that health facilities represent the main sources of resource consumption within the public sector, attributable to the need to guarantee a continuous and uninterrupted service (365 days / year, 8,760 total hours). About 50% of the cost of our NHS is attributable to the hospital service, with the use of energy equal to 5-6% of the total identifiable as electricity (20%) and thermal (80%). The estimated average annual energy cost per bed is e1,700, of which e1,300 for heating. CONCLUSIONS: On the basis of what emerged from the literature and database reviews, it is confirmed that, by increasing energy efficiency, a considerable amount of energy could be saved. To this end, 10 operational proposals have been put forward to answer the sustainability together economic and environmental, including awareness-raising and information campaigns for professionals in the sector and organizational approaches that, at every level, address in an integrated and interdisciplinary way.
Translated title of the contribution[Autom. eng. transl.] Environmental and economic sustainability in health: towards a "green" national health service
Original languageItalian
Title of host publicationXII Conferenza Nazionale di Sanità Pubblica La Sanità pubblica tra globalizzazione, nuove esigenze di salute e sostenibilità economica: la sfida dell'integrazione
Pages645-646
Number of pages2
Publication statusPublished - 2011
EventXII Conferenza Nazionale di Sanità Pubblica La Sanità pubblica tra globalizzazione, nuove esigenze di salute e sostenibilità economica: la sfida dell'integrazione - Roma
Duration: 12 Oct 201115 Oct 2011

Conference

ConferenceXII Conferenza Nazionale di Sanità Pubblica La Sanità pubblica tra globalizzazione, nuove esigenze di salute e sostenibilità economica: la sfida dell'integrazione
CityRoma
Period12/10/1115/10/11

Keywords

  • sostenibilità

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