Environmental Science and Pollution Research

, Volume 26, Issue 4, pp 3196–3207 | Cite as

Environmental assessment in health care organizations

  • Isabel RomeroEmail author
  • María Carmen Carnero
Contaminated sites, waste management and green chemistry: New challenges from monitoring to remediation


The aim of this research is to design a multi-criteria model for environmental assessment of health care organizations. This is a model which guarantees the objectivity of the results obtained, is easy to apply, and incorporates a series of criteria, and their corresponding descriptors, relevant to the internal environmental auditing processes of the hospital. Furthermore, judgments were given by three experts from the areas of health, the environment, and multi-criteria decision techniques. From the values assigned, geometric means were calculated, giving weightings for the criteria of the model. This innovative model is intended for application within a continuous improvement process. A practical case from a Spanish hospital is included at the end. Information contained in the sustainability report provided the data needed to apply the model. The example contains all the criteria previously defined in the model. The results obtained show that the best-satisfied criteria are those related to energy consumption, generation of hazardous waste, legal matters, environmental sensitivity of staff, patients and others, and the environmental management of suppliers. On the other hand, those areas returning poor results are control of atmospheric emissions, increase in consumption of renewable energies, and the logistics of waste produced. It is recommended that steps be taken to correct these deficiencies, thus leading to an acceptable increase in the sustainability of the hospital.


Health care organization Environment Sustainability Environmental management system Environmental assessment Analytical hierarchy process Multi-criteria decision making 



This research was supported by the Junta de Comunidades de Castilla-La Mancha and the European Regional Development Fund under grant number PPII-2014-013-P.

Supplementary material

11356_2017_1016_MOESM1_ESM.docx (81 kb)
ESM 1 (DOCX 81 kb)


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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2017

Authors and Affiliations

  1. 1.Business Administration, Technical School of Industrial EngineeringUniversity of Castilla-La ManchaCiudad RealSpain

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