عوامل موثر بر پیاده‌سازی استانداردهای بیمارستان سبز الگوی مفهومی GGHH در بیمارستان‌های سازمان تامین اجتماعی
محورهای موضوعی : -مدیریت خدمات بهداشتی و درمانی
سحر خودکار
1
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شقایق وحدت
2
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سمیه حسام
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1 - دانشجوی کارشناسی‌ارشد مدیریت خدمات بهداشتی درمانی، دانشکده مدیریت، واحد تهران جنوب، دانشگاه آزاد اسلامی، تهران، ایران
2 - استادیار، گروه مدیریت خدمات بهداشتی و درمانی، دانشکده مدیریت، واحد تهران جنوب، دانشگاه آزاد اسلامی، تهران، ایران
3 - دانشیار، گروه مدیریت خدمات بهداشتی و درمانی، دانشکده مدیریت، واحد تهران جنوب، دانشگاه آزاد اسلامی، تهران، ایران
کلید واژه: ابعاد بیمارستان سبز, مولفه‌های بیمارستان سبز, بیمارستان سبز,
چکیده مقاله :
مقدمه: بیمارستان‌ها از منابع طبیعی استفاده می‌کنند؛ که همه آن‌ها بر روی محیط زیست تأثیر منفی می‌گذارند. اما آن‌ها با استفاده هوشمندانه و پایدار از منابع طبیعی مفهوم بیمارستان سبز را در جهان گسترش می‌دهند. هدف این پژوهش بررسی عوامل موثر بر پیاده‌سازی استانداردهای بیمارستان سبز در بیمارستان‌های سازمان تامین اجتماعی در سال ۱۴۰۱ با بهر‌ه‌گیری از الگوی مفهومی GGHH می‌باشد. روش پژوهش: این پژوهش کاربردی، کمی و توصیفی با نمونه‌گیری هدفمند (مدیر، بهبود کیفیت، بهداشت محیط/ حرفه‌ای) در بیمارستان‌های تامین اجتماعی (حجم نمونه 210 نفر) انجام گرفت. پرسشنامه پژوهشگر ساخته و با روش آماری آزمون شاپیروویلکس، ویلکاکسون و فریدمن در نرم‌افزار SPSS (0.001: p-Values) می‌باشد. یافته‌ها: مولفه‌های با میانگین (یا میانه) بیشتر از حد متوسط (سطح اطمینان 95 درصد) از اهمیت کافی برخوردار هستند. میزان موثر بودن مولفه‌ها در بخش انرژی بالاترین رتبه با ۲۰.۲۷ امتیاز مربوط به استفاده از دستگاه‌های کارآمد انرژی و پایین‌ترین رتبه با امتیاز ۷.۰۹ مربوط به حداقل استفاده از گرمایش مصنوعی می‌باشد. میزان موثر بودن مولفه‌ها در بخش غذا بالاترین رتبه با امتیاز ۱۰.۸۳ مربوط به استفاده از ظروف غذای قابل استفاده مجدد و پایین‌ترین رتبه با امتیاز ۴.۷۹ مربوط به تامین مواد غذایی در داخل بیمارستان می‌باشد. میزان موثر بودن مولفه‌ها در بخش آب بالاترین رتبه با امتیاز ۸.۳۵ مربوط به استفاده از بازیافت فاضلاب و پایین‌ترین رتبه با امتیاز ۳.۴۲ مربوط به استفاده از پرده آب می‌باشد. نتیجه‌گیری: با توجه به یافته‌های پژوهش حاضر، با برنامه‌ریزی بهینه و تامین منابع به استانداردهای بیمارستان سبز الگوی GGHH را در بیمارستان پیاده کرد.
Introduction: Hospitals use natural resources; All of which have a negative impact on the environment. But they spread the concept of green hospital in the world by intelligent and sustainable use of natural resources. The purpose of this research is to investigate the factors affecting the implementation of the green hospital standards in the hospitals of the Social Security Organization in 1401 in GGHH model.Research method:research was applied, quantitative and descriptive with targeted sampling (manager, quality improvement, environmental/professional health) in social security hospitals (sample: 210). The questionnaire was researcher made and the statistical method is Shapiro-Wilks, Wilcoxon and Friedman test in SPSS (0.001: p-values).Findings: Components with more than average (CI: 95%) are of sufficient importance. The effectiveness of components in the energy sector has the highest rating (20.27) related to the use of energy efficient devices and the lowest rating (7.09) related to the minimum use of artificial heating. The effectiveness of the components in the food sector is the highest rating (10.83) related to the use of reusable food containers and the lowest rating (4.79) related to the supply of food inside the hospital. The effectiveness of the components in the water sector has the highest rank (8.35) related to the use of wastewater recycling and the lowest rank (3.42) related to the use of "water curtain".Conclusion: According to the findings of the current research, with optimal planning and provision of resources to the standards of the Green Hospital, the GGHH model was implemented in hospitals.
1- Golbazi M, Kan B Aktas, Credit Analysis of LEED Certified Healthcare Facilities, Journal of Engineering, 2016; (145): 203-210. [In Persian]
2- Green hospital, Sustainable Economy, National Research Programme, 2022, FNSNF https://www.greenhospital.ch/index_en.html, NRP 73
3- Dhillon VS, Kaur D. Green Hospital and Climate Change: Their Interrelationship and the Way Forward, 2015; 9(12): E01–LE05
4- Energy Saving and Carbon Reduction Policies at the Taiwan National Cheng Kung University Hospital 2017, Cite as Green Hospitals.
5- Zhan Z, Xu W, Lin X, Xinyue Q, Wenjie S, Wang C, Huang Z, BIM-Based Green Hospital Building Performance Pre-Evaluation: A Case Study, 2022; 14(4): 2066; https://doi.org/10.3390/su14042066. [China]
6- Moafaq M, Hosseini M, Ali Mohammadzadeh K. The level of readiness of medical service centers in the establishment and implementation of Rasht Green Hospital standards. C from Gilan, University of Medical Sciences; 2019, 29(1): 11-21. [In Persian]
7- Nowruzi D. Vahdat SH. Hesam S, Criteria for determining a green hospital: a district review, Health Information Management, 2017; (16)6. [In Persian]
8- Hejazi SH, Pishdar, Identification and ranking of requirements affecting the design of a green hospital using an integrated approach to expand quality performance and fuzzy logic; 2017. [In Persian]
9- Yazdi M, Yazdanpanah, Aghaei P, Identifying and prioritizing the implementation of green hospital standards in Imam Hasan Mojtabi hospital, Darab city, MA, 2016, Department of Health Care Management, Maroodasht Islamic Azad University [In Persian]
10- Ali Talshi MS, Nejadkorki F, Azimzadeh H, Qaniyan MR, Namayandeh S. Towards the standards of the green hospital in Yazd teaching hospitals in 2013, Journal of Ilam University of Medical Sciences, 2014, (5) 22, 114-27. [In Persian]
11- Hatamipour H, Fallahnejad Ms, Sadri Esfahani A, Identification of factors affecting the design of the green hospital based on quality function development (QFD) and fuzzy hierarchical analysis process (FAHP). 2017, master's thesis, industrial engineering, Faculty of Engineering and Science. [persian]
12- Teymourzadeh E, Ghanizadeh Q, Zaboli R, Yaghoubi R. A review of key indicators of a "green hospital" in a selected military hospital. Military Medicine, 2016 July, 22(4). 401-409. [In Persian]
13- Redução do Desperdício de Alimentos Hospital Israelita Albert Einstein – São Paulo – SP – Brasil, 2017, Cite as Green Hospitals. [Spanish]
14- Water– A Precious Commodity: Conserving and Reducing Water Consumption Using Recycled Reject Water Processed from Water Treatment System Buddhist Tzu-Chi Dialysis Centre (Penang Branch), Malaysia, 2016 August, Cite as Green Hospitals
15- Shabani Y, Vafayi Najar A, Meragi M, Hooshmand E. Review and comparison of existing models for the management of Green Hospital. Journal of Health Management. 2016 (72) 21. [In Persian]
16- Hafeznia MR, Introduction to research methods in humanities; Tehran, Samit Publications, 2014, 11th edition. [In Persian]
17- Momeni M, Statistical analysis using SPSS, 1389, Tehran, New Book.
18- “Growing People” Woodford Gardens – Waitakere Hospital, 2017 May, Cite as Green Hospitals
19- The Implementation of Building and Energy Management System in Optimizing Energy-saving Practices Taichung Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, August 2016, http://taichung.tzuchi.com.tw/
20- Creating a Green Environment Initiative with Kaohsiung Municipal Siaogang Hospital (KMSH), 2014, Cite as Green Hospitals
21- Innovación en el modelo de atención nutricional: alimentación más sana y reducción de residuos orgánicos, 2017, Cite as Green Hospitals. [Spanish]
22- Vegetarianism and Utilization of Reusable Food Containers Reduces Carbon Emissions Buddhist Tzu-Chi Dialysis Centre (Penang Branch), September, 2016, http://tzuchi.org.my
23- Mesa Verde Hospital Penco Lirquén, may, 2017, Cite as Green Hospitals. [Spanish]
24- Perez C, Luffi M, Martinez C, ESTUDIO DE CASO COMIDA PARA LAS LOMBRICES Hospital San Jose de Casablanca (Chile), 2019, Cite as Green Hospitals. [Spanish]
25- Creating a Green Environment Initiative with Kaohsiung Municipal Siaogang Hospital (KMSH), 2014, Cite as Green Hospitals
26- The Integrated Management of Energy Conservation Beijing Huilongguan Hospital, 2015 June, Cite as Green Hospitals.
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1- Golbazi M, Kan B Aktas, Credit Analysis of LEED Certified Healthcare Facilities, Journal of Engineering, 2016; (145): 203-210. [In Persian]
2- Green hospital, Sustainable Economy, National Research Programme, 2022, FNSNF https://www.greenhospital.ch/index_en.html, NRP 73
3- Dhillon VS, Kaur D. Green Hospital and Climate Change: Their Interrelationship and the Way Forward, 2015; 9(12): E01–LE05
4- Energy Saving and Carbon Reduction Policies at the Taiwan National Cheng Kung University Hospital 2017, Cite as Green Hospitals.
5- Zhan Z, Xu W, Lin X, Xinyue Q, Wenjie S, Wang C, Huang Z, BIM-Based Green Hospital Building Performance Pre-Evaluation: A Case Study, 2022; 14(4): 2066; https://doi.org/10.3390/su14042066. [China]
6- Moafaq M, Hosseini M, Ali Mohammadzadeh K. The level of readiness of medical service centers in the establishment and implementation of Rasht Green Hospital standards. C from Gilan, University of Medical Sciences; 2019, 29(1): 11-21. [In Persian]
7- Nowruzi D. Vahdat SH. Hesam S, Criteria for determining a green hospital: a district review, Health Information Management, 2017; (16)6. [In Persian]
8- Hejazi SH, Pishdar, Identification and ranking of requirements affecting the design of a green hospital using an integrated approach to expand quality performance and fuzzy logic; 2017. [In Persian]
9- Yazdi M, Yazdanpanah, Aghaei P, Identifying and prioritizing the implementation of green hospital standards in Imam Hasan Mojtabi hospital, Darab city, MA, 2016, Department of Health Care Management, Maroodasht Islamic Azad University [In Persian]
10- Ali Talshi MS, Nejadkorki F, Azimzadeh H, Qaniyan MR, Namayandeh S. Towards the standards of the green hospital in Yazd teaching hospitals in 2013, Journal of Ilam University of Medical Sciences, 2014, (5) 22, 114-27. [In Persian]
11- Hatamipour H, Fallahnejad Ms, Sadri Esfahani A, Identification of factors affecting the design of the green hospital based on quality function development (QFD) and fuzzy hierarchical analysis process (FAHP). 2017, master's thesis, industrial engineering, Faculty of Engineering and Science. [persian]
12- Teymourzadeh E, Ghanizadeh Q, Zaboli R, Yaghoubi R. A review of key indicators of a "green hospital" in a selected military hospital. Military Medicine, 2016 July, 22(4). 401-409. [In Persian]
13- Redução do Desperdício de Alimentos Hospital Israelita Albert Einstein – São Paulo – SP – Brasil, 2017, Cite as Green Hospitals. [Spanish]
14- Water– A Precious Commodity: Conserving and Reducing Water Consumption Using Recycled Reject Water Processed from Water Treatment System Buddhist Tzu-Chi Dialysis Centre (Penang Branch), Malaysia, 2016 August, Cite as Green Hospitals
15- Shabani Y, Vafayi Najar A, Meragi M, Hooshmand E. Review and comparison of existing models for the management of Green Hospital. Journal of Health Management. 2016 (72) 21. [In Persian]
16- Hafeznia MR, Introduction to research methods in humanities; Tehran, Samit Publications, 2014, 11th edition. [In Persian]
17- Momeni M, Statistical analysis using SPSS, 1389, Tehran, New Book.
18- “Growing People” Woodford Gardens – Waitakere Hospital, 2017 May, Cite as Green Hospitals
19- The Implementation of Building and Energy Management System in Optimizing Energy-saving Practices Taichung Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, August 2016, http://taichung.tzuchi.com.tw/
20- Creating a Green Environment Initiative with Kaohsiung Municipal Siaogang Hospital (KMSH), 2014, Cite as Green Hospitals
21- Innovación en el modelo de atención nutricional: alimentación más sana y reducción de residuos orgánicos, 2017, Cite as Green Hospitals. [Spanish]
22- Vegetarianism and Utilization of Reusable Food Containers Reduces Carbon Emissions Buddhist Tzu-Chi Dialysis Centre (Penang Branch), September, 2016, http://tzuchi.org.my
23- Mesa Verde Hospital Penco Lirquén, may, 2017, Cite as Green Hospitals. [Spanish]
24- Perez C, Luffi M, Martinez C, ESTUDIO DE CASO COMIDA PARA LAS LOMBRICES Hospital San Jose de Casablanca (Chile), 2019, Cite as Green Hospitals. [Spanish]
25- Creating a Green Environment Initiative with Kaohsiung Municipal Siaogang Hospital (KMSH), 2014, Cite as Green Hospitals
26- The Integrated Management of Energy Conservation Beijing Huilongguan Hospital, 2015 June, Cite as Green Hospitals.