DEVELOPMENT OF SUSTAINABLE HEALTHCARE MODEL FOR THE HOSPITALS IN NORTHERN INDIA
Background: Healthcare organizations incorporate products and services at economical prices to deliver healthcare services of good quality. All the operations performed in the organizations aimed to achieve a higher level of environmental sustainability governed by the Sustainable Developmental Goals of 2030.
Aims: This study aims to develop a sustainable healthcare model using Analytical Hierarchy Process (AHP).
Methods: First and foremost, the authors have identified the factors associated with the sustainable healthcare system through a literature review. Based on these factors, a questionnaire was developed and administered to 25 healthcare organizations from December 2020 to March 2021. An Analytical Hierarchy Process is utilized to rank the factors, and a conceptual model is developed. The Felix Hospitals substantiate this model. The authors have also applied sensitivity analysis to validate the results achieved via AHP.
Results: The AHP model demonstrates the focus is on the environment first, followed by the economic and social dimensions sustainably. The validated model was also substantiated by the hospital (Felix) results and sensitivity analysis.
Conclusion: It can be concluded that hospital sustainability highly depends on the environment in the first stage and economic and social sustainability in the second and third stages. The same result was achieved through AHP.
Keywords: analytical hierarchy process, hospital, sustainable healthcare.
Adibi, H. et al. (2012) ‘Development of an effective risk management system in a teaching hospital’, Journal of Diabetes and Metabolic Disorders, 11, p. 15. Available at: https://doi.org/10.1186/2251-6581-11-15.
Alwis, D.D. and Limaye, V.S. (2021) The Costs of Inaction: The Economic Burden of Fossil Fuels and Climate Change on Health in the United States. Medical Society Consortium on Climate & Health. Available at: https://www.nrdc.org/press-releases/report-health-costs-climate-change-and-fossil-fuel-pollution-tops-820-billion-year (Accessed: 24 June 2023).
Bolnick, H.J. et al. (2020) ‘Health-care spending attributable to modifiable risk factors in the USA: an economic attribution analysis’, The Lancet. Public Health, 5(10), pp. e525–e535. Available at: https://doi.org/10.1016/S2468-2667(20)30203-6.
Catalyst, N. (2018) ‘What Is Risk Management in Healthcare’, in. Available at: https://www.semanticscholar.org/paper/What-Is-Risk-Management-in-Healthcare-Catalyst/033be3262d1e3c8af071884f2b075daa7615572f (Accessed: 24 June 2023).
Chauhan, A., Jakhar, S.K. and Jabbour, C.J.C. (2022) ‘Implications for sustainable healthcare operations in embracing telemedicine services during a pandemic’, Technological Forecasting and Social Change, 176, p. 121462. Available at: https://doi.org/10.1016/j.techfore.2021.121462.
Ferdosi, M., Rezayatmand, R. and Molavi Taleghani, Y. (2020) ‘Risk Management in Executive Levels of Healthcare Organizations: Insights from a Scoping Review (2018)’, Risk Management and Healthcare Policy, 13, pp. 215–243. Available at: https://doi.org/10.2147/RMHP.S231712.
Goossens, L.M.A., Vemer, P. and Rutten-van Mölken, M.P.M.H. (2020) ‘The risk of overestimating cost savings from hospital-at-home schemes: A literature review’, International Journal of Nursing Studies, 109, p. 103652. Available at: https://doi.org/10.1016/j.ijnurstu.2020.103652.
Gupta, H. (2017) ‘Integration of Quality and Innovation Practices for Global Sustainability: An Empirical Study of Indian SMEs’, Global Business Review, 18(1), pp. 210–225. Available at: https://doi.org/10.1177/0972150916666969.
Jones, J.D., Ferguson, P.R. and Suleman, M. (2022) ‘The practical, ethical and legal reasons why patients should not be transferred between NHS trusts for phage therapy’, Journal of Patient Safety and Risk Management, 27(6), pp. 263–267. Available at: https://doi.org/10.1177/25160435221120300.
Kruk, M.E. et al. (2018) ‘High-quality health systems in the Sustainable Development Goals era: time for a revolution’, The Lancet. Global Health, 6(11), pp. e1196–e1252. Available at: https://doi.org/10.1016/S2214-109X(18)30386-3.
Marimuthu, M. and Paulose, H. (2016) ‘Emergence of Sustainability Based Approaches in Healthcare: Expanding Research and Practice’, Procedia - Social and Behavioral Sciences, 224, pp. 554–561. Available at: https://doi.org/10.1016/j.sbspro.2016.05.437.
Mehra, R. and Sharma, M.K. (2021) ‘Measures of Sustainability in Healthcare’, Sustainability Analytics and Modeling, 1, p. 100001. Available at: https://doi.org/10.1016/j.samod.2021.100001.
Momete, D.C. (2016) ‘Building a Sustainable Healthcare Model: A Cross-Country Analysis’, Sustainability, 8(9), p. 836. Available at: https://doi.org/10.3390/su8090836.
Pekar, F. (2019) ‘Future Challenges Towards Sustainable Healthcare’, Scientific Papers of Silesian University of Technology. Organization and Management Series, 2019(141), pp. 303–317. Available at: https://doi.org/10.29119/1641-3466.2019.141.23.
Singh, B. (2012) ‘Risk Management in Hospitals’, International Journal of Innovation, Management and Technology, 3(4). Available at: https://doi.org/10.7763/IJIMT.2012.V3.266.
Trivitron (2020) ‘The Importance of a Sustainable Healthcare System’, Blog | Trivitron Healthcare Solutions | Medical Device Company, 7 August. Available at: https://www.trivitron.com/blog/the-importance-of-a-sustainable-healthcare-system/ (Accessed: 24 June 2023).
WHO-Europe (2017) Environmentally sustainable health systems: a strategic document. Copenhagen: World Health Organization. Regional Office for Europe. Available at: https://apps.who.int/iris/handle/10665/340375.
Yadav, S.S.K., Gupta, H. and Bandyopadhayay, A. (2015) ‘Selection of a sustainability awareness project in an academic institution using the Analytic Hierarchy Process (AHP )’, International Journal of Technology Management & Sustainable Development, 14(3), pp. 205–225. Available at: https://doi.org/10.1386/tmsd.14.3.205_1.
Copyright (c) 2023 Hima Gupta, Shweta Garg, Utkarsh Gupta
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
1. As an author you (or your employer or institution) may do the following:
- make copies (print or electronic) of the article for your own personal use, including for your own classroom teaching use;
- make copies and distribute such copies (including through e-mail) of the article to research colleagues, for the personal use by such colleagues (but not commercially or systematically, e.g. via an e-mail list or list server);
- present the article at a meeting or conference and to distribute copies of the article to the delegates attending such meeting;
- for your employer, if the article is a ‘work for hire’, made within the scope of your employment, your employer may use all or part of the information in the article for other intra-company use (e.g. training);
- retain patent and trademark rights and rights to any process, procedure, or article of manufacture described in the article;
- include the article in full or in part in a thesis or dissertation (provided that this is not to be published commercially);
- use the article or any part thereof in a printed compilation of your works, such as collected writings or lecture notes (subsequent to publication of the article in the journal); and prepare other derivative works, to extend the article into book-length form, or to otherwise re-use portions or excerpts in other works, with full acknowledgement of its original publication in the journal;
- may reproduce or authorize others to reproduce the article, material extracted from the article, or derivative works for the author’s personal use or for company use, provided that the source and the copyright notice are indicated.
All copies, print or electronic, or other use of the paper or article must include the appropriate bibliographic citation for the article’s publication in the journal.
2. Requests from third parties
Although authors are permitted to re-use all or portions of the article in other works, this does not include granting third-party requests for reprinting, republishing, or other types of re-use.
3. Author Online Use
- Personal Servers. Authors and/or their employers shall have the right to post the accepted version of articles pre-print version of the article, or revised personal version of the final text of the article (to reflect changes made in the peer review and editing process) on their own personal servers or the servers of their institutions or employers without permission from JAKI;
- Classroom or Internal Training Use. An author is expressly permitted to post any portion of the accepted version of his/her own articles on the author’s personal web site or the servers of the author’s institution or company in connection with the author’s teaching, training, or work responsibilities, provided that the appropriate copyright, credit, and reuse notices appear prominently with the posted material. Examples of permitted uses are lecture materials, course packs, e-reserves, conference presentations, or in-house training courses;
