フランスの病院は,垂直的な差異化のために温室効果ガスの排出量を公表していますか?
Nathalie Clavel1, Laurie Marrauld2, Myriam Lescher-Cluzel2
1School of Public Health, Department of Health Management, Evaluation and Policy, University of Montreal, Montreal, Canada. nathalie.clavel@umontreal.ca.
International journal of health economics and management
|August 31, 2025
まとめ
フランスの病院では 温室効果ガス (GHG) の報告は行っていない. 報告は患者の要求や 品質シグナルではなく 内部的な要因に左右され 強化された執行と 脱炭素化への支援が必要になります
科学分野:
- 環境科学
- 医療管理
- 組織的行動
背景:
- フランスの病院は温室効果ガス (GHG) の排出量を報告する義務がありますが,その遵守は異なります.
- 自発的または不適合な報告の根本的な組織的動機はよく理解されていません.
- GHG報告が患者満足度報告のような差別化戦略として機能するかどうかについては,現存する研究が不足しています.
研究 の 目的:
- フランスの病院が垂直差分化戦略として温室効果ガス (GHG) 排出量開示を活用しているかどうかを調査する.
- 温室効果ガスの報告が患者の満足度スコア報告と関連しているかどうかを判断する.
- 病院の炭素報告の背後にある主な動機を特定する.
主な方法:
- 病院の管理者との質的半構造面接を組み合わせた 量的な分析を組み合わせた 混合的方法のアプローチ
- 定量分析:温室効果ガス排出量報告と患者満足度スコア報告の関連性を検証した.
- 質的分析: 排出報告に対する管理者の動機を調査した.
主要な成果:
- 報告された温室効果ガス (GHG) 排出量と患者満足度スコアとの間に有意な関連性は見つかりませんでした.
- 病院は 温室効果ガス排出量公表と 患者の満足度報告を 統一されたシグナル戦略として 採用していないようです
- 質的データによると 温室効果ガスの報告は 主にリーダーシップ,プロセスの改善,組織の価値観などの 内部要因によって動機付けられ 外部差別化ではありません
結論:
- 温室効果ガス (GHG) の報告は,フランス病院では現在,差別化戦略として使用されていません.
- 温室効果ガス排出量報告の義務の遵守を確実にするには,規制の強化が不可欠です.
- 病院は,方法論的指導,訓練,専用の持続可能性の役割を含め,環境パフォーマンスを統合し,ヘルスケアの脱炭素化を進めるためのサポートを必要としています.
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