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首页> 外文期刊>Environmental Science & Technology >Mainstreaming Carbon Management in Healthcare Systems: A Bottom-Up Modeling Approach
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Mainstreaming Carbon Management in Healthcare Systems: A Bottom-Up Modeling Approach

机译：卫生保健系统中的碳管理主流：自下而上的建模方法

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摘要

Increasing greenhouse gas emissions threaten human health and the environment. In response, healthcare managers face significant challenges in balancing operational decisions about patient care with carbon mitigation targets. We explore a bottom-up modeling framework to aid in the decision-making for both carbon and cost in healthcare, using data from a case study in Cornwall, UK. A model was built and run for secondary healthcare, specifically outpatient clinics, theater lists, beds, and diagnostic facilities. Five scenarios were tested: business-as-usual; service expansion; site closure; water temperature reduction;and theater optimization.The estimated emissions from secondary healthcare in Cornwall ran to 5787 T CO_2eq with patient travel adding 2215 T CO_2eq. Closing selected sites would have reduced this by 4% (261 T CO_2eq), a reduction less than the resulting increases in patient transport emissions. Reducing hot water temperatures by 5 ℃ and improving theater usage would lower the footprint by 0.7% (44 T CO_2eq) and 0.08% (5 T CO_2eq), respectively. We consider bottom-up models important tools in the process of estimating and modeling the carbon footprint of healthcare. For the carbon reduction targets of the healthcare sector to be met,the use of these bottom-up models in decision making and forward planning is pivotal.
机译：温室气体排放量的增加威胁着人类健康和环境。作为回应，医疗保健经理在平衡有关患者护理的运营决策与减排目标之间面临着巨大的挑战。我们使用英国康沃尔郡的案例研究中的数据，探索了一种自下而上的建模框架，以帮助制定医疗保健中的碳和成本。建立并运行了用于二级医疗保健的模型，特别是门诊诊所，剧院列表，病床和诊断设施。测试了五个方案：照常营业；服务扩展；工地关闭；康沃尔郡二级医疗机构的估计排放量达到5787 T CO_2eq，患者出行增加了2215 T CO_2eq。关闭选定的站点将使这一点减少4％（261 T CO_2eq），减少幅度小于导致的患者运输排放量增加的幅度。将热水温度降低5℃并提高剧院使用率将分别减少足迹0.7％（44 T CO_2eq）和0.08％（5 T CO_2eq）。在评估和建模医疗保健碳足迹的过程中，我们认为自下而上的模型是重要的工具。为了实现医疗保健部门的碳减排目标，在决策和前瞻性计划中使用这些自下而上的模型至关重要。

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  • 来源
    《Environmental Science & Technology》 |2013年第2期|678-686|共9页
  • 作者

    Adam S. Pollard; Timothy I. Taylor; Lora E. Fleming; Will Stahl-Timmins; Michael H. Depledge; Nicholas J. Osborne;

  • 作者单位

    European Centre for Environment and Human Health, University of Exeter Medical School, University of Exeter, Truro, Cornwall,TR1 3HD, U.K.,Royal Cornwall Hospitals NHS Trust, Truro, Cornwall, TR1 3LJ, U.K.;

    European Centre for Environment and Human Health, University of Exeter Medical School, University of Exeter, Truro, Cornwall,TR1 3HD, U.K.;

    European Centre for Environment and Human Health, University of Exeter Medical School, University of Exeter, Truro, Cornwall,TR1 3HD, U.K.;

    European Centre for Environment and Human Health, University of Exeter Medical School, University of Exeter, Truro, Cornwall,TR1 3HD, U.K.;

    European Centre for Environment and Human Health, University of Exeter Medical School, University of Exeter, Truro, Cornwall,TR1 3HD, U.K.;

    European Centre for Environment and Human Health, University of Exeter Medical School, University of Exeter, Truro, Cornwall,TR1 3HD, U.K.,Gastro and Food Allergy, Murdoch Children's Research Institute, Flemington Road, Parkville, Melbourne, Australia,Department of Paediatrics, University of Melbourne, Flemington Road, Parkville, Melbourne, Australia,Centre for Molecular, Environmental, Genetic and Analytic Epidemiology, University of Melbourne, Australia;

  • 收录信息 美国《科学引文索引》(SCI);美国《工程索引》(EI);美国《生物学医学文摘》(MEDLINE);美国《化学文摘》(CA);
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