JSSM  Vol.8 No.2 , April 2015
Evaluation of Green Hospital Dimensions in Teaching and Private Hospitals Covered by Tehran University of Medical Sciences
ABSTRACT
“Green Hospital” has been emerged as an approach to address environmental challenges and meet the needs of society. The aim of this study was to evaluate the components of the Green Hospital in Teaching and Private Hospitals covered by Tehran University of Medical Sciences. The present study is a descriptive-analytical which examines the elements of the green hospital at 19 teaching and private hospitals covered by Tehran University of Medical Sciences in 2013. The checklist was developed by the Centre for Environmental Sciences Augsburg Germany which translated by Iranian Green’s Management Association. The checklist consisted of eight Green Hospital dimensions which were used for data collection. Descriptive statistics measures including frequency tables mean and range and analytical statistics such as independent t-tests and analysis of variance (ANOVA) were used for data analysis. The studied hospitals have earned 59.5 percent of total points. In this regard, the dimensions of “environmental leadership and management” have rated the highest and water management is in the lowest rating. Although private hospitals had earned higher scores in all aspects of green hospitals apart from management and leadership and chemicals compared with teaching hospitals, but there wasn’t any significant difference between these dimensions and types of hospitals statistically. Given that the hospitals studied do not meet green hospital standards properly, it seems necessary to prepare a comprehensive action plan to improve their weaknesses and meet these standards. Trying to perform a green hospital accreditation and receive certification of international authoritative institutions or developing a national standards is also recommended.

Cite this paper
Azar, F. , Farzianpour, F. , Foroushani, A. , Badpa, M. and Azmal, M. (2015) Evaluation of Green Hospital Dimensions in Teaching and Private Hospitals Covered by Tehran University of Medical Sciences. Journal of Service Science and Management, 8, 259-266. doi: 10.4236/jssm.2015.82029.
References
[1]   Karliner, J. and Guenther, R. (2011) Global Green and Healthy Hospitals. Health Care without Harm (HCWH).
https://noharm-europe.org/documents/global-green-and-healthy-hospitals-agenda-english

[2]   Hancock, T. (2001) Doing Less Harm: Assessing and Reducing the Environmental and Health Impact of Canada’s Health Care System. Canadian Coalition for Green Health Care.
http://www.greenhealthcare.ca/resources/publications

[3]   Kaiser, B., Eagan, P. and Shaner, H. (2001) Solutions to Health Care Waste: Life-Cycle Thinking and Green Purchasing. Environmental Health Perspectives, 109, 205-207.
http://dx.doi.org/10.1289/ehp.01109205

[4]   Salem Szklo, A., Borghetti Soares, J. and Tiomno Tolmasquim, M.C. (2004) Energy Consumption Indicators and CHP Technical Potential in the Brazilian Hospital Sector. Energy Conversion and Management, 45, 2075-2091.
http://dx.doi.org/10.1016/j.enconman.2003.10.019

[5]   Pencheon, D. (2009) Saving Carbon, Improving Health: NHS Carbon Reduction Strategy. National Health Service, Sustainable Development Unit.
http://www.greenhealthcare.ca/resources/publications

[6]   World Health Organization, Health Care without Harm (2009) Healthy Hospital, Healthy Planet and Healthy People: Addressing Climate Change in Health Care Settings.
http://www.who.int/globalchange/publications/healthcare_settings/en

[7]   Kinney, L. (2010) Socially Responsible Hospitals Focus on Sustainability. Trustee, 63, 36.

[8]   Dale, A. and Hill, S.B. (2001) At the Edge: Sustainable Development in the 21st Century. Vol. 6, UBC Press, Vancouver.

[9]   Setyowati, E., Harani, A.R. and Falah, Y.N. (2013) Green Building Design Concepts of Healthcare Facilities on the Orthopedic Hospital in the Tropics. Procedia-Social and Behavioral Sciences, 101, 189-199.
http://dx.doi.org/10.1016/j.sbspro.2013.07.192

[10]   Natural Resources Canada.
http://www.nrcan.gc.ca/publications/fossil-energy-future/1167

[11]   Punpeng, T. (2011) GREEN and CLEAN Hospital. Oral Presentation at Asia Regional Conference for Mercury Free Health Care. Manila.

[12]   National Health Service Sustainable Development Unit (2013) Route Map for Sustainable Health.
http://www.sduhealth.org.uk/resources/default.aspx?q=Route+Map+for+Sustainable+Health

[13]   Strategic Approach to International Chemicals Management (2011) Provisional Draft Strategy for Strengthening the Engagement of the Health Sector in Implementation of the Strategic Approach to International Chemicals Management.
http://www.saicm.org/index.php?option=com_content&view=article&id=221:iccm-2-health&catid=89:iccm-2

[14]   Cheng, Y.W., Sung, F.C., Yang, Y., Lo, Y.H., Chung, Y.T. and Li, K.C. (2009) Medical Waste Production at Hospitals and Associated Factors. Waste Management, 29, 440-444.
http://dx.doi.org/10.1016/j.wasman.2008.01.014

[15]   Shojaei, S. and Tehrani, H. (2004) Textbook of Preventive and Social Medicine (Persian). Samt Publication, 3.

[16]   World Health Organization (2010) Health in the Green Economy: Co-Benefits to Health of Climate Change Mitigation. Health Facilities. Geneva.

[17]   Health Care without Harm (HCWH) (2011) Global Green and Healthy Hospitals: A Comprehensive Environmental Health Agenda for Hospitals and Health Systems around the World.
http://noharm.org/lib/downloads/building/GGHHA.pdf

[18]   World Health Organization (WHO), Health Care without Harm (HCWH) (2009) Healthy Hospitals, Healthy Planet, Healthy People: Addressing Climate Change in Health Care Settings. 1-28.
http://www.who.int/globalchange/publications/healthcare_settings/en

[19]   (2005) Greener Hospitals. Improving Environmental Performance. Edited by: Environment Science Center, Augsburg, Germany with Support from: Bristol-Myers.
http://www.bms.com/Documents/sustainability/downloads/greenh.pdf

[20]   McDonald, R.C. (2005) The Economics of Green Building in Canada: Highlighting Seven Keys to Cost Effective Green Building. PhD Dissertation, Royal Roads University, Colwood.

[21]   National Health Service (NHS). Saving Carbon, Improving Health, 45.
http://www.sduhealth.org.uk/documents/publications/1237308334_qylG_saving_carbon,_
improving_health_nhs_carbon_reducti.pdf


[22]   Azmal, M., Kalhor, R., Dehcheshmeh, N.F., Goharinezhad, S., Heidari, Z.A. and Farzianpour, F. (2014) Going toward Green Hospital by Sustainable Healthcare Waste Management: Segregation, Treatment and Safe Disposal. Health, 6, 2632-2640.
http://dx.doi.org/10.4236/health.2014.619302

[23]   Farrokhshahi, J. (2013) Survey of Accreditation Standards of Green Hospital Model in Selected Hospital Related to Social Security Organization in Kermanshah, Iran in 2012. National Conference of Quality Improvement with the Approach of Clinical Governance.

[24]   Farzianpour, F., Hosseini, S., Mirsepasi, A., Honary, H., Hosseini, S.S. and Hosseini, S. (2013) Internal Evaluation of the Department of Environmental Health Science and Engineering. American Journal of Applied Sciences, 10, 58-63.
http://dx.doi.org/10.3844/ajassp.2013.58.63

[25]   Jabbarvand, M., Mokhtare, H., Sharifi, R., Shafiei, M. and Negahban, Z. (2011) A Comparative Study of Energy Consumption and Management at Farabi Aye Hospital, Tehran, Iran. Ebnesina Scientific Journal, 14, 41-48.

[26]   Farzianpour, F., Hosseini, S.H. and Hosseini, S. (2014) Global Change and Human Health. 2nd International Congress on Energy Efficiency and Energy Related Materials, Libery Hotels Lykia, Oludeniz, 16-19 October 2014, 365. www.enefm2014.org

[27]   Emami, M.H. and Seraydaran, M. (2012) Guideline of Green Management (Specialized for Medical Universities, Hospitals and Healthcare Centers, Tehran, Iran). Iran Green.

[28]   Farzianpour, F., Aghababa, S., Delgoshaei, B. and Haghgoo, M. (2011) Performance Evaluation a Teaching Hospital Affiliated to Tehran University of Medical Sciences Based on Baldrige Excellence Model. American Journal of Economics and Business Administration, 3, 272-276.

[29]   Sahamir, S.R. and Zakaria, R. (2014) Green Assessment Criteria for Public Hospital Building Development in Malaysia. Procedia Environmental Sciences, 20, 106-115.
http://dx.doi.org/10.1016/j.proenv.2014.03.015

[30]   Green Guide for Health Care (GGHC) (2007) Best Practices for Creating High Performance Healing Environments.
http://www.gghc.org/documents/Reports/GGHC_V2_Pilot_Report.pdf

[31]   National Health Service (NHS). Saving Carbon, Improving Health, 54-55.
http://www.sduhealth.org.uk/documents/publications/1237308334_qylG_saving_carbon,
_improving_health_nhs_carbon_reducti.pdf


[32]   World Health Organization (WHO) (2010) Health in the Green Economy: Health Co-Benefits of Climate Change Mitigation.
http://www.who.int/hia/hgehousing.pdf

[33]   Guenther, R. and Vittori, G. (2008) Sustainable Healthcare Architecture. New York.
http://eu.wiley.com/WileyCDA/WileyTitle/productCd-1118086821.html

[34]   McDermott-Levy, R. (2011) The Nurse’s Role on Green Teams: An Environmental Health Opportunity. Pennsylvania Nurse, 66, 17-21.

 
 
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