Çevre Dostu Hastaneler: Sürdürülebilir Sağlık Hizmetlerinde Yeşil Hastanelerin Önemi

Öz

Bu çalışmada, çevre dostu hastaneler ve sürdürülebilir sağlık hizmetlerinde yeşil hastanelerin önemi literatüre kapsamında değerlendirilmiştir. Karbon ayak izinin iklim değişikliği ve insan sağlığı üzerindeki olumsuz etkilerinin önlem alınmadığı takdirde gelecekte de devam edeceği öngörülmektedir. Ülkelerin gelişmişlik düzeylerine göre değişkenlik göstermekle birlikte sağlık sektörü, toplam sera gazı emisyonlarına, %2 ile %7 arasında olumsuz katkı sağlamaktadır. Gerekli önlemler alınmadığı takdirde, sağlık sektöründen kaynaklanan emisyonların 2050 yılına kadar üç kat artabileceği öngörülmektedir. Sağlık tesislerinin, hastalara kaliteli hizmet sunmasının yanında çevre güvenliğini sağlamada da yeşil konsepte uygun öncül rol oynaması önemlidir. Çevre dostu hastanelerin (yeşil hastaneler) ortaya çıkışı, sağlık sektörünü tehdit eden çevresel etkilerin azaltılmasına katkı sağlayıp, sağlık hizmetlerinin sürdürülebilirliğini sağlamada umut verici çözümler sunmaktadır. Yeşil hastanelerin; çevresel, ekonomik, sağlık ve güvenlik avantajlarının yanında, hasta memnuniyetini ve çalışan verimliliğini artırma, çevreye duyarlı sağlık hizmeti sunma avantajları da mevcuttur. Yeşil sağlık tesisleri iklim değişikliği ilgili yasal düzenlemelere uyum sağlayarak, karbon emisyonu ve diğer çevresel olumsuz etkileri azaltmaktadır. Bu doğrultuda ülkelerin sağlık tesislerini yeşil sağlık politikasına uygun şekilde donatması ve dönüştürmesi önerilmektedir.

Anahtar Kelimeler

• Sürdürülebilirlik
• Sağlık politikası
• Sağlık yönetimi
• Yeşil hastane

Eco-Friendly Hospitals: The Importance of Green Hospitals in Sustainable Healthcare

Öz

In this study, the importance of green hospitals in environmentally friendly healthcare services and sustainable healthcare systems is evaluated within the scope of the relevant literature. It is projected that the negative effects of carbon footprints on climate change and human health will continue in the future unless necessary measures are taken. Although it varies depending on countries' levels of development, the healthcare sector contributes negatively to total greenhouse gas emissions, accounting for approximately 2% to 7%. If appropriate actions are not implemented, emissions originating from the healthcare sector are expected to triple by 2050. In addition to providing quality services to patients, healthcare facilities must also play a leading role in ensuring environmental safety in accordance with the green concept. The emergence of environmentally friendly hospitals (green hospitals) contributes to reducing the environmental impacts threatening the healthcare sector and offers promising solutions for ensuring the sustainability of healthcare services. Green hospitals offer not only environmental, economic, health, and safety advantages, but also improve patient satisfaction, enhance employee productivity, and deliver environmentally conscious healthcare services. By complying with climate change-related regulations, green healthcare facilities reduce carbon emissions and other negative environmental impacts. In this context, it is recommended that countries equip and transform their healthcare facilities in alignment with green healthcare policies.

Anahtar Kelimeler

• Sustainability
• Health policy
• Health management
• Green hospital

Kaynakça

1. Akdağ, H. C., & T. Beldek. (2019). Green hospital together with a lean healthcare system. industrial engineering in the big data era: Selected papers from the global joint conference on industrial engineering and its application areas, GJCIE 2018, June 21–22, 2018, Nevsehir, Turkey, 461-470.
2. Akgün, F. (2024). Sağlık yönetimi öğrencilerinin yeşil yönetim ve sürdürülebilirlik algısının incelemesi. Çankırı Karatekin Üniversitesi İktisadi ve İdari Bilimler Fakültesi Dergisi, 14(4), 1144-1171. doi: 10.18074/ckuiibfd.1572866 Aver, Ö.F. (2021). Yeşil hastane derecelendirme sisteminin geliştirilmesi: Türkiye örneği. Gazi Üniversitesi, Sosyal Bilimler Enstitüsü, Doktora Tezi. Ankara.
3. Alkaabi, A., & Aljaradin, M. (2022). Green hospitals for the future of healthcare: A review. Al-Kitab Journal for Pure Sciences, 6(2), 31-45. https://doi.org/10.32441/kjps.06.02.p4
4. Baytaş, V. & Çetin-Aydın, G. (2022). Sağlık Kurumlarında Çevreye Duyarlı Politikalar: Yeşil Hastane Örnekleri. Ekonomi Maliye İşletme Dergisi, 5(2): 336-356. Doi:10.46737/emid.1199900
5. Berniak-Woźny, J., & Rataj, M. (2023). Towards green and sustainable healthcare: a literature review and research agenda for green leadership in the healthcare sector. International journal of environmental research and public health, 20(2), 908. https://doi.org/10.3390/ijerph20020908
6. Brundtland, G.H. (1987). World commission on environment and development (WCED). our common future. Oxford: Oxford University Press; 1987.
7. Cohen, R., Eames, P. C., Hammond, G. P., Newborough, M., & Norton, B. (2022). Briefing: The 2021 Glasgow Climate Pact: Steps on the transition pathway towards a low carbon world. Proceedings of the Institution of Civil Engineers-Energy, 175(3), 97-102. https://doi.org/10.1680/jener.22.00011
8. Çilhoroz, Y., & Işık, O. (2019). Yeşil hastane sertifika sistemleri. Sağlık Bilimleri ve Meslekleri Dergisi, 6(1), 161-169.DOI: 10.17681/hsp.394880

9. Çimen, A., & Çimen, S. (2024). Modern hastaneler: inovatif malzemelerle sağlık ve Sürdürülebilirlik. Sürdürülebilir Mühendislik Uygulamaları ve Teknolojik Gelişmeler Dergisi, 7(1), 70-75.Doi: 10.51764/smutgd.1500779
10. Dhillon, V. S., & Kaur, D. (2015). Green hospital and climate change: Their interrelationship and the way forward. Journal of clinical and diagnostic research: JCDR, 9(12), LE01. DOI: 10.7860/JCDR/2015/13693.6942
11. Danilov, A., Benuzh, A., Yeye, O., Compaore, S., & Rud, N. (2020). Design of healthcare structures by green standards. In E3S Web of Conferences (Vol. 164, p. 05002). EDP Sciences. DOI:https://doi.org/10.32441/kjps.06.02.p4
12. Elkington, J. (1997). Cannibals with forks – Triple bottom line of 21st century business. Stoney Creek, CT: New Society Publishers.
13. Fuller, R., Landrigan, P. J., Balakrishnan, K., Bathan, G., Bose-O’Reilly, S., Brauer, M., ... & Lanphear, B. (2022). Pollution and health: a progress update. Lancet Planetary Health 6 (6): e535–e547. https://doi.org/10.1016/ S2542-5196(22)00090-0
14. Garg A, Dewan A. (2022). Green Hospitals. In: Manual of Hospital Planning and Designing. Singapore: Springer: p. 485-98. Golbazi, M., & Aktas, C. B. (2020). LEED certification and patient wellbeing in green healthcare facilities. Journal of Green Building, 15(4), 3-18. https://doi.org/10.3992/jgb.15.4.3
15. Gökalp, Y., Eti, S., Yüksel, S., & Dinçer, H. (2025). Towards sustainable healthcare: A fuzzy multi-criteria framework for green hospital investments. Computer and Decision Making: An International Journal, 2, 419-424. https://doi.org/10.59543/comdem.v2i.10969
16. Imron, A., & Husin, A. E. (2021). Value engineering and lifecycle cost analysis to improve cost performance in green hospital project. Archives of Civil Engineering, 67(4), 497-510. DOI: 10.24425/ace.2021.138514
17. Karliner, J., Osewe, P., Neira, M., Arora, D., Galvao, L., & Reddy, K. S. (2023). Momentum builds for health-care climate action. The Lancet, 402(10402), 595-597.
18. Kumari, S., & Kumar, R. (2020). Green hospital-A necessity and not option. Journal of Management Research and Analysis, 7(2), 46-51. http://doi.org/10.18231/j.jmra.2020.010
19. Marshal, O., N. C. Sunaryo, S. J. Kurniawan, D. Herwendanasari, E. Hariyanto, and S. Andarini, Universitas Brawijaya. (2021). Green hospital implementation in Indonesia: A literature review. Journal of Community Health and Preventive Medicine 1 (2):32-41. doi: 10.21776/ub.jochapm.2021.001.02.5 McIver, L., Beavon, E., Malm, A., Awad, A., Uyen, A., Devine, C., Voûte, C., Tremblay, L., Baxter, L., & Dewez, J. E. (2024). Impacts of climate change on human health in humanitarian settings: Evidence gaps and future research needs. PLoS Climate, 3(3), e0000243. https://doi.org/10.1371/ journal.pclm.0000243
20. Mora, C., Spirandelli, D., Franklin, E. C., Lynham, J., Kantar, M. B., Miles, W., ... & Hunter, C. L. (2018). Broad threat to 120 humanity from cumulative climate hazards intensified by greenhouse gas emissions. Nature climate change, 8(12), 1062-1071. https://doi.org/10.1038/s41558-018-0315-6
21. Oliveira, G. P., Delgado, D. B. M., & Carvalho, M. (2024). Analysis and forecast of emissions associated with electricity consumption in hospitals: Encouraging a net zero healthcare roadmap in Brazil. Energy and Buildings, 324, 114785. https://doi.org/10.1016/j.enbuild.2024.114785
22. Pascale, F., & Achour, N. (2024). Envisioning the sustainable and climate resilient hospital of the future. Public health, 237, 435-442.https://doi.org/10.1016/j.puhe.2024.10.028
23. Perdana, A., Sedayu, A., Permana, K. A., Maulana, R., Nurfadilah, R., & Jasim, M. I. (2025). Comparative Study of Physical Design Principles in Green Hospital Concept (Case Study: Teaching Hospital). In IOP Conference Series: Earth and Environmental Science 1439 (1), 012027. doi:10.1088/1755-1315/1439/1/012027
24. Priyan, S., Matahen, R., Priyanshu, D., & Mouqdadi, M. (2024). Environmental strategies for a healthcare system with green technology investment and pandemic effects. Innovation and Green Development, 3(1), 100113. https://doi.org/10.1016/j.igd.2023.100113
25. Romanello , M, Di Napoli, C. Drummond, P. Green, C. Kennard. H. Lampard, P. et al (2022). The 2022 report of the Lancet Countdown on health and climate change: health at the mercy of fossil fuels. Lancet; 400 (10363):1619-54. https://doi.org/10.1016/S0140-6736(22)01540-9
26. Rodríguez‐Jiménez, L., Romero‐Martín, M., Spruell, T., Steley, Z., & Gómez‐Salgado, J. (2023). The carbon footprint of healthcare settings: a systematic review. Journal of advanced nursing, 79(8), 2830-2844.https://doi.org/10.1111/jan.15671
27. Sharda, R., Dongre, P., Srinivasan, H., Kumari, L., & Kulkarni, M. (2024). Impact of green hospital design on patients’ well-being and operating cost of the hospital: A systematic review. Hospital Topics, 1-9. https://doi.org/10.1080/00185868.2024.2326409
28. Shih, Y.-Y., Y.-H. Lu, T.-Y. Liu, and M.-F. Wu. 2017. The staffs’ adoption intention of knowledge management system in green hospital: The theory of technology acceptance model applied. International Journal of Organizational Innovation 9 (3):27-35.
29. Sohn, B.L. (1973). The Stockholm declaration on the human environment. The Harvard Int Law J. 14(3):423-515. Tomiak, W., Kupis, R., Kowalik, J., & Skrobisz, K. (2024). Green hospitals: A a remedy for the climate change burden on the polish healthcare system. Prospects in Pharmaceutical Sciences, 22(2), 45-49. DOI: https://doi.org/10.56782/pps.179
30. Thomas, A., & Suresh, M. (2024). Readiness for green transformation process in healthcare organizations. Journal of Indian Business Research, 16(1), 171-199.DOI 10.1108/JIBR-05-2023-0162