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The Measurement of Environmental Performance in Hospitals: A Systematic Review of Literature

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Sustainable Operations Management

Abstract

For the past 25 years, academics and practitioners have raised concerns on the measurement of environmental sustainability performance. Addressing these issues has become paramount for organizations worldwide. In the healthcare sector, especially in hospitals, measuring environmental performance relates to the reduction of environmental impact and continuous improvements in the quality of processes and outcomes. Considering this context, the study seeks to identify how concerns on environmental sustainability and performance measurement have pervaded the healthcare operations management literature. A two-tier systematic review of literature included: (1) a literature review on performance measurement, environmental sustainability and healthcare operations management; (2) a bibliometric review of literature, which evaluated published studies (1988–2013), focusing on citation numbers, country of origin, main journals, authors and themes. The study highlighted concerns on the lack of strategic focus of performance indicators, relevance and robustness of metrics and difficulties for the deployment of measures within different hierarchical levels. Furthermore, the bibliometric review emphasized the scarcity of published research addressing the environmental performance measurement in the healthcare setting, especially in the context of developing countries. New frameworks are necessary to define relevant and meaningful indicators for monitoring and assessing environmental performance if healthcare systems and operations are to be improved.

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Notes

  1. 1.

    The terms environmental and sustainability are used interchangeably and in combination in the study.

  2. 2.

    It is important to indicate that the set of 35 papers is listed at the end of the list of references and arranged alphabetically (Abou-Ali and Abdelfattah 2013; Aitken et al. 2011; Andrade et al. 2012; Boriani et al. 2013; Boyer et al. 2012; Braithwaite et al. 2012; Brown et al. 2013; Chen et al. 2013; El-Jardali et al. 2011; Freitas et al. 2011; Gajewski and Dunton 2013; Gimelli and Muccillo 2013; Hao et al. 2012; Harmancioglu et al. 2013; Iacone et al. 2012; Joiner and Coleman 2012; Klazinga et al. 2011; Koutkias et al. 2012; Lin et al. 2013; Mears et al. 2011; Menikpura et al. 2012; Mutale et al. 2013; Mutemwa 2005; Olafsdottir et al. 2011; Peterson et al. 2013; Santana-Medina et al. 2013; Seke et al. 2013; Sulku 2012; Tanaka et al. 2013; Tchouaket et al. 2012; Townend 1996; Tseng 2013; Wakai et al. 2013; Yi and Ma 2010; Yildiz and Demirors 2013). Within the text, the format author(s) name/year of publication was adopted for easiness.

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Acknowledgment

The researchers would like to acknowledge the support of ‘UNIDAVI’ through a PhD scholarship provided to Mrs. Blass.

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Correspondence to Andreia Pasqualini Blass .

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Blass, A.P., da Costa, S.E.G., de Lima, E.P., Borges, L.A. (2015). The Measurement of Environmental Performance in Hospitals: A Systematic Review of Literature. In: Chiarini, A. (eds) Sustainable Operations Management. Measuring Operations Performance. Springer, Cham. https://doi.org/10.1007/978-3-319-14002-5_5

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