Uma proposta de quadro conceitual para avaliação da sustentabilidade nas unidades hospitalares estaduais do Rio de Janeiro

Abstract

The public health sector plays a crucial role in society, and the growing environmental and social awareness makes it imperative to rethink and improve existing practices. Awareness of the pollution caused by hospital operations, which consume energy, water, and various materials throughout the year, in turn, generates solid waste and liquid effluents that are potentially hazardous and of varied nature, whether chemical, biological, or infectious. The 2030 Agenda encompasses the 17 Sustainable Development Goals (SDGs), which outline 169 specific targets. Among these goals, SDG 3 emphasizes promoting health as a fundamentally important component for achieving the global agenda, explicitly highlighting the purpose of ensuring healthy lives and well-being for all people, regardless of age. In this context, ESG can be defined as a set of best practices to be adopted by hospital units, currently seen as a key factor. This work aims to contribute to the development of sustainability in state hospital units in Rio de Janeiro, aiming to improve the sustainable management of these institutions through a conceptual framework that synthesizes the evaluation of sustainability for hospital units in the State of Rio de Janeiro. The methodology involved a literature review identifying publications and technical documents related to sustainability in hospital units. Based on this research, the relevant studies were selected to construct the conceptual framework for sustainability evaluation in state hospital units in Rio de Janeiro. Using the conceptual framework, it is possible to identify which actions have already been implemented and more accurately map the efforts needed to implement the remaining essential actions for hospital unit sustainability. Implementing sustainable practices, compliance with regulations, and adopting ESG principles are essential to ensuring the effectiveness and accountability of health institutions.