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首页> 外文期刊>Journal of Health Services Research & Policy >Environmentally sustainable health and social care: Scoping review and implications for the English NHS
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Environmentally sustainable health and social care: Scoping review and implications for the English NHS

机译：环境可持续的健康和社会关怀：范围审查及其对英语NHS的影响

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Objectives: To review the evidence on environmental sustainability in health and social care, describe what the implicationsnof sustainability might be for service models and policy, and explore the connection between environmental andnfinancial sustainability.nMethods: Literature review of 78 published articles and qualitative analysis of 28 semi-structured interviews.nResults: Provision of health and social care has a substantial impact on the environment, and opportunities exist at annumber of levels to deliver services in a more sustainable way. While there is some scope to improve efficiency at thenoperational level, significant improvements in sustainability may require a more fundamental transformation in servicenmodels, for example, with a stronger emphasis on prevention. The current policy framework in England is perceived toncreate a number of barriers that discourage professionals from redesigning services in ways which could promote bothnenvironmental and financial sustainability.nConclusions: Increasingly, health and social care will need to be delivered in ways that are not only financially sustainable,nbut environmentally sustainable too. Close conceptual connections exist with improving productivity – focusing onncost-effectiveness, value and prevention of avoidable activity could enhance sustainability from both an environmental andna financial perspective. Priorities for health care organisations could include prevention, exploring the opportunitiesnpresented by new technologies, and improving medicines management and prescribing practices. Policy-makers need tonexplore what changes are needed to create a more enabling environment, as well as how existing policies can bendelivered in the most sustainable way.
机译：目标：回顾健康和社会护理中环境可持续性的证据，描述可持续性可能对服务模式和政策产生的影响，并探讨环境与财务可持续性之间的联系.n方法：对78篇发表的文章进行文献综述，并对28篇论文进行定性分析半结果式访谈。n结果：提供卫生和社会护理会对环境产生重大影响，并且在许多层面都存在以更可持续的方式提供服务的机会。尽管可以在运营水平上提高效率还有一定的余地，但可持续性的显着改善可能需要对服务模型进行更根本的转变，例如，更加强调预防。人们认为，英格兰当前的政策框架会造成许多障碍，使专业人员不愿以能够促进环境和财务可持续性的方式重新设计服务。n结论：越来越需要以不仅仅在财务上可持续的方式提供卫生和社会保健，但在环境方面也是可持续的。在提高生产力方面存在紧密的概念联系-从环境和财务角度出发，着重于成本效益，价值和防止可避免的活动可以增强可持续性。卫生保健组织的优先重点可以包括预防，探索新技术带来的机会以及改善药物管理和处方方法。决策者需要探索需要哪些变化才能创建更有利的环境，以及如何以最可持续的方式实施现有政策。

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