Health service planning and sustainable development: considering what, where and how care is delivered through a pro-environmental lensSharon Desmond
A Federation University, Federation Business School, University Drive, Ballarat, Vic. 3350, Australia.
B Western Health, Gordon Street, Footscray, Vic. 3011, Australia.
C Corresponding author. Email: firstname.lastname@example.org
Australian Health Review - https://doi.org/10.1071/AH16217
Submitted: 28 September 2016 Accepted: 20 December 2016 Published online: 2 March 2017
The aim of the present paper was to review the opportunities currently available to health service planners to advance sustainable development in their future-facing roles within health service organisation. Critical challenges and enablers to facilitate health services planners in adopting a pro-environmental lens are discussed.
What is known about the topic? Despite its harmful effect on the environment, health has been slower than other industries to embrace the sustainable development agenda. The attitudes and knowledge base of health service planners with regard to environmental sustainability has not been widely studied. For health service planners, embracing pro-environmental considerations in sustainable model of care development is a powerful opportunity to review care paradigms and prepare for the implementation of meaningful, improved health and system efficiency.
What does this paper add? This paper advances the case for health service planners to embrace a pro-environmental stance and guides health service leaders in the preparation and implementation of sustainable and improved health and system efficiency.
What are the implications for practitioners? Health service planers are in an ideal position to champion the sustainable development agenda as they explore what care is delivered, how care is delivered and where care is delivered. External policy, health service leadership and carbon literacy are advanced as critical contextual factors to facilitate the key role that health service planners can play in building sustainable healthcare organisations.
References Costello A, Abbas M, Allen A, Ball S, Bellamy R, Friel S, Groce N, Johnson A, Kett M, Lee M, Levy C, Maslin M, NcCoy D, McGuire B, Montgomery H, Napier D, Pagel C, Patel J, Puppim de Oliveira JA, Redclift N, Rees H, Rogger D, Scott J, Stephensonr J, Twigg J, Wolff J, Pattersson C. Managing the health effects of climate change. Lancet 2009; 373 1693–733.
| Managing the health effects of climate change.CrossRef |
 Ulhøi JP, Ulhøi BP. Beyond climate focus and disciplinary myopia. The roles and responsibilities of hospitals and healthcare professionals. Int J Environ Res Public Health 2009; 6 1204–14.
| Beyond climate focus and disciplinary myopia. The roles and responsibilities of hospitals and healthcare professionals.CrossRef |
 Johnson SW. Summarizing green practices in U.S. hospitals. Hosp Top 2010; 88 75–81.
 Connor A, Mortimer F. The Green Nephrology Survey of sustainability in renal units in England, Scotland and Wales. J Ren Care 2010; 36 153–60.
| The Green Nephrology Survey of sustainability in renal units in England, Scotland and Wales.CrossRef |
 Dunphy JL. Healthcare professionals. Perspectives on environmental sustainability. Nurs Ethics 2014; 21 414–25.
| Healthcare professionals. Perspectives on environmental sustainability.CrossRef |
 Victorian Auditor General. Energy efficiency in the health sector. Melbourne: Victorian Government Printer; 2012.
 McGain F, Naylor C. Environmental sustainability in hospitals – a systematic review and research agenda. J Health Serv Res Policy 2014; 19 245–52.
| Environmental sustainability in hospitals – a systematic review and research agenda.CrossRef |
 Dunphy JL. Enhancing the Australian healthcare sector’s responsiveness to environmental sustainability issues: suggestions from Australian healthcare professionals. Aust Health Rev 2013; 37 158–65.
 Blashki G, Armstrong G, Berry HL, Weaver HJ, Hanna EG, Bi P, Harley D, Spickett JT. Preparing health services for climate change in Australia. Asia Pac J Public Health 2011; 23 133S–43S.
| Preparing health services for climate change in Australia.CrossRef |
 Huang C, Vaneckova P, Wang X, FitzGerlad G, Guo Y, Tong S. Constraints and barriers to public health adaptation to climate change: a review of the literature. Am J Prev Med 2011; 40 183–90.
| Constraints and barriers to public health adaptation to climate change: a review of the literature.CrossRef | 1:CAS:528:DC%2BC3MXltlyltLs%3D&md5=0dfbf0b6cd26b7f368c74cf0b1977d95CAS |
 Pencheon D, Rissel CE, Hadfield G, Madden DL. Health sector leadership in mitigating climate change: experience from the UK and NSW. NSW Public Health Bull 2009; 20 173–6.
| Health sector leadership in mitigating climate change: experience from the UK and NSW.CrossRef |
 Naylor C, Appleby J. Environmentally sustainable health and social care: Scoping review and implications for the English NHS. J Health Serv Res Policy 2013; 18 114–21.
| Environmentally sustainable health and social care: Scoping review and implications for the English NHS.CrossRef |
 Weaver HJ, Blashki GA, Capon AG, McMichael AJ. Climate change and Australia’s heath care system – risks, research and responses. Aust Health Rev 2010; 34 441–4.
| Climate change and Australia’s heath care system – risks, research and responses.CrossRef |
 Department of Health. Victoria, Greening our hospitals program. Available at: https://www2.health.vic.gov.au/hospitals-and-health-services/planning-infrastructure/sustainability/water/greening-our-hospitals [verified 26 November 2016].
 Coote A, editor. Claiming the health dividend. Kings Fund; 2002. Available at: https://www.kingsfund.org.uk/publications/claiming-health-dividend [verified 18 January 2017].
 McGain F. Sustainable hospitals? An Australian perspective. Perspect Public Health 2010; 130 19–20.
| Sustainable hospitals? An Australian perspective.CrossRef |
 Porter M, Lee TH. The strategy that will fix health-care. Harvard Business Review. 2013. Available at: https://hbr.org/2013/10/the-strategy-that-will-fix-health-care.2 [verified 8 April 2016].
 Patrick R, Capetola T, Townsend M, Hanna L. Incorporating sustainability into community based health care practice. EcoHealth 2011; 8 277–89.
| Incorporating sustainability into community based health care practice.CrossRef |
 New South Wales Agency for Clinical Innovation. Understanding the process to develop a model of care: an ACI framework. 2013. Available at: https://www.aci.health.nsw.gov.au/resources/models-of-care [verified 26 November 2016].
 20 Department of Health Queensland. Guide to health service planning. Brisbane: Queensland Health; 2015.
 Burton AJ, Bambrick HJ, Friel S. Is enough attention given to climate change in health service planning? An Australian perspective. Glob Health Action 2014; 7 1–8.
 Eagar K, Garrett P, Lin V. Health planning: Australian perspectives. 2nd edn. Sydney: Allen and Unwin; 2001.
 McMillan K. Sustainability: an evolutionary concept analysis. Exploring nursing’s role within the sustainably movement. J Adv Nurs 2014; 70 756–67.
| Sustainability: an evolutionary concept analysis. Exploring nursing’s role within the sustainably movement.CrossRef |
 Zander A, Niggerbrugge A, Pencheon D, Lyratzopoulos G. Changes in travel related carbon emissions associated with modernization of services for patients with acute myocardical infarction: a case study. J Public Health 2010; 33 272–9.
| Changes in travel related carbon emissions associated with modernization of services for patients with acute myocardical infarction: a case study.CrossRef |
 Desmond S. Implementing climate change mitigation in health services: the importance of context. J Health Serv Res Policy 2016; 21 257–62.
| Implementing climate change mitigation in health services: the importance of context.CrossRef |
 Anåker A, Nilsson M, Holmner A, Elf M. Nurses’ perceptions of climate and environmental issues: a qualitative study. J Adv Nurs 2015; 71 1883–91.
| Nurses’ perceptions of climate and environmental issues: a qualitative study.CrossRef |
 Jamieson M, Wicks A, Boulding T. Becoming environmentally sustainable in healthcare: an overview. Aust Health Rev 2015; 39 417–24.
| Becoming environmentally sustainable in healthcare: an overview.CrossRef |
 Topf M. Psychological explanations and interventions for indifference to greening hospitals. Health Care Manage Rev 2005; 30 2–8.
| Psychological explanations and interventions for indifference to greening hospitals.CrossRef |
 McGain F. The microbiological and sustainability effect of washing anesthesia breathing circuits less frequently. Anaesthesia 2014; 69 337–42.
| The microbiological and sustainability effect of washing anesthesia breathing circuits less frequently.CrossRef | 1:STN:280:DC%2BC2cvis1yitg%3D%3D&md5=10898095ec36d947ffde7c0bfcb12a32CAS |
 Glasziou P, Moynihan R, Richards T, Godlee F. Too much medicine; too little care. BMJ 2013; 347 f4247
 Charlesworth K, Jamieson M, Davey R, Butler CD. Transformational change in healthcare: an examination of four case studies. Aust Health Rev 2016; 40 163–7.
 Brown VA, Grootjans J, Ritchie J, Townsend M, Verrinder G. Sustainability and health: supporting global ecological integrity in public health. Sydney: Allen & Unwin; 2013.
 Bond A, Jones A, Haynes R, et al Tackling climate change close to home: mobile breast screening as a model. J Health Serv Res Policy 2009; 14 165–7.
| Tackling climate change close to home: mobile breast screening as a model.CrossRef |
 Oliveira TC, Barlow J, Goncalves L, Bayer S. Tele consultations reduce greenhouse gas emissions. J Health Serv Res Policy 2013; 18 209–14.
| Tele consultations reduce greenhouse gas emissions.CrossRef |
 Connor A, Lillywhite R, Cooke MW. The carbon footprints of home and in-centre maintenance haemodialysis in the United Kingdom. Hemodial Int 2011; 15 39–51.
| The carbon footprints of home and in-centre maintenance haemodialysis in the United Kingdom.CrossRef |
 Schroeder K, Thompson T, Frith K, Pencheon D. Sustainable healthcare. London: John Wiley and Sons; 2013.
 Christensen CM, Grossman JH, Hwang J. The innovator’s prescription: a disruptive solution for health care. New York: McGraw-Hill; 2009.
 Canyon D. Systems thinking: basic constructs, application challenges, misuse in health, and how public health leaders can pave the way forward. Hawaii J Med Public Health 2013; 72 440–4.
 Dosi G. Some notes on national systems of innovation and production, and their implications for economic analysis. In: Archibiugi D, Howells J, Michie J, editors. Policy in a global economy. Cambridge: Cambridge University Press; 1999. pp. 35-48.
 Thiel LP. Sustainability. Cambridge: Polity Press; 2013.
 Erridge A, Hennigan S. Sustainable procurement in health and social care in Northern Ireland. Public Money Manag 2012; 32 363–370.
| Sustainable procurement in health and social care in Northern Ireland.CrossRef |
 Degeling P, Sage D, Kennedy J, Maxwell S, Kennedy J, Coyle B. A comparison of the impact of hospital reform on medical subcultures in some Australian and New Zealand hospitals. Aust Health Rev 1999; 22 172–188.
| A comparison of the impact of hospital reform on medical subcultures in some Australian and New Zealand hospitals.CrossRef | 1:STN:280:DC%2BD3M%2Fgt1Crug%3D%3D&md5=daad5eb1ba719c7c4041c28654e0c7d4CAS |
 Degeling P, Maxwell S, Kennedy J, Coyle B. Medicine, management, and modernisation: a ‘danse macabre’. BMJ 2003; 326 649–52.
 Sorensen R, Paull G, Magann L, Davis JM. Managing between the agendas: implementing health care reform policy in an acute care hospital. J Health Organ Manag 2013; 27 698–713.
| Managing between the agendas: implementing health care reform policy in an acute care hospital.CrossRef |
 Lim EK, Perkins A, Agar JWM. The carbon footprint of an Australian satellite haemodialysis unit. Aust Health Rev 2013; 37 369–74.
| The carbon footprint of an Australian satellite haemodialysis unit.CrossRef |