S19: Sustainability and environmental impact of health


Wednesday 1 Nov | 11:25-12:55


 


Part 1: Workplace sustainability and environmental reform, be the change


In pursuit of best practice and ethical congruency, there is growing momentum within healthcare to decouple care from emissions and environmental degradation. But what does that look like in practice? This presentation will address why climate and environmental action is within scope for healthcare professionals and provide multiple examples of practical clinical implementation. Accompanying business case and carbon accounting will reinforce the triple bottom line savings that are available for people, planet, and profit. We will explore existing and developing governance settings that will further support Australia’s transformation, and reference ready to use frameworks, tools, and resources.


Roslyn Morgan, ANMF (Victoria Branch), Australia


 


Part 2: Prioritisation and effects of alternative healthcare models for a sustainable health system


To counteract unsustainable increases in healthcare expenditure, alternative models for delivering healthcare have been proposed. Our Delphi study brought together 82 Australian health system stakeholders to provide input and reach consensus about which alternative models should be prioritised for implementation and research in the Australian context. 70% or more of the Delphi panel rated 14 models as high or very high priority, including improving medical care in residential aged care facilities; delivery of in-home intravenous anti-cancer therapy; and hospital-athome. We then investigated evidence for, and/or factors affecting implementation of these models and will discuss translation of our findings into practice.


Objectives:



  • A worked example of the Delphi methodology in which an expert panel of healthcare stakeholders and leaders are brought together to provide input and reach consensus

  • Approaches to classify alternative models of health care delivery

  • Succinct overview of the effectiveness and cost-effectiveness of various models of care that have been assessed in past decades

  • Discussion about which alternative models of health care delivery should be prioritised for future implementation or research in Australian context

  • Evidence associated with enablers and barriers to the implementation of one high-priority alternative model of healthcare delivery


Denise O’Connor, Monash University, Australia


Jason Wallis, Monash University, Australia


Liesl Nicol, Monash University, Australia


 


Part 3: Healthcare’s carbon addiction: it’s time to quit


Climate change is a health issue. Not only are our health systems increasingly being required to manage climate-health impacts; but also healthcare itself is a major contributor to greenhouse gas emissions driving climate change. Therefore health systems have a responsibility to address their climate risks. At the same time there are also many opportunities to improve health and quality of care, whilst reducing emissions. Dr Charlesworth leads the Climate Risk & Net Zero Unit at NSW Health and will discuss the key elements of their net zero transition program.


Kate Charlesworth, NSW Ministry of Health, Australia