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--- tags: Health, 健檢, 醫院, 淨零, ESG --- # 醫院淨零氣候行動 20230721 亞太永續論壇分場論壇 【健康永續與醫療淨零之展望】 https://www.accupass.com/event/2306200219091817059766 20230330 台灣健康永續論壇 - 相關網址 - https://www.accupass.com/event/2302091033271512121277 - 主辦單位釋出的部分簡報檔案:https://reurl.cc/Rv9GYg - 檔案清單:新聞稿、台安醫院簡報 - 簡報側拍照片:https://photos.app.goo.gl/ikv1YAnTsvnEk1CRA - 聯合國 - 美國 - 英國最嚴格 - https://www.england.nhs.uk/greenernhs/whats-already-happening/ - https://www.kingsfund.org.uk/events/nhs-and-climate-change - 醫院宣示以科學方法,完成2050淨零排放目標 - 承諾 - 計畫 - 進展 - 發表 - 合作夥伴 - 世界經濟論壇 - 五個行動項目 - 台灣情境,特定措施描述 - 例如興建綠建築空間的議價,因為建築物生命週期 69% 是屬於使用階段的排放,有舉例 101大樓也是醫院機構入駐 - 衛生福利部醫事司簡報過程中提及,比較有機會推動的事項: - 電力空調系統改善 - 輔助推動遠距醫療 - 巡迴醫療車,採用電動車 - 綠色金融 - 碳費徵收,可視為綠色通膨 - 技術投資,優惠利率投資方案 - 金管會與金融行庫,醫院端若進行永續轉型,資金 - 政府部門 - 衛生福利部醫事司 - 本次簡報採用四個架構 - 醫學中心、區域醫院 - 電力 - 空調 - 提出檢視架構: - 是否有能源管理 ISO50001 + 是否有溫室氣體盤查ISO14064-1 - 象限圖 - 手冊:醫院如何於推動健康促進工作時呼應氣候行動實務手冊 - https://health99.hpa.gov.tw/material/7342 - 2023 會有「計畫」 - 根據不同醫院狀況,導入 - 能源管理 ISO50001 - 溫室氣體盤查 ISO14064-1 - 研訂一些指引 - 溝通會議 - 人員訓練課程 - 評鑑機制,是否要導入評鑑機制內? - 原則: - 評鑑看什麼,要讓醫院有時間準備 - 執行一段時間 - 再導入 - 輔導: - 辦公室或專案 - 健保署,可能需要因應: - 例如醫院可能向健保署表示,成本墊高,要求「給付經費」提高 - 醫院經營:如董事會、院長 - 關心的是「財務」 - 例如長庚醫療本業為負的 - 台灣醫務管理學會 - 可採用 80/20 法則 - 醫院,屬於用電大戶,其中空調照明佔大宗 - 但如何找廠商? - 醫院如何相信廠商的方案建議? - 大林慈濟醫院分享關於 空調與照明 - 與工研院綠能所合作 - 採購磁浮式,減少摩擦 - 先採購 200 噸以上,用於開刀房 - 目前有預計再採購一檯 800 噸以上 - 照明,先換 24 小時使用的照明區域,先換 LED - 經濟部有補助 - 有案例介紹:可參考「醫院如何於推動健康促進工作時呼應氣候行動實務手冊」 - 台灣健康醫院學會 - http://www.hph.org.tw/ - 新光吳火獅紀念醫院 - 永續發展報告書 https://www.skh.org.tw/skh/9aa8f44b15.html - 有持續強調 WHO: Health is an investment, not a cost - 經常性衛生支出,各國家的排比,最高美國,台灣與墨西哥比中位更低 - 彰化基督基督教醫院 - 工務部人員分享與發問 - 兩套系統 - 低溫開刀房 - 以及另一套系統 - 與「感染控制」需要一併討論 - 產生「廢棄物」 - 有關生物有害廢棄物,是否不一定焚燒?需要與「環保署」溝通 - 長庚醫療體系 - 規模 - 員工人數 2.5 萬人 - 分布位置 - 導入 ISO50001 - SWOT 探討,見簡報 - 對策列舉,見簡報 - 設置高階節能組織,院區區域劃分.. - 提供作業方式、教育訓練.. - 規章與規範,讓各部門依循,定期查核 - 也是員工環境 - https://webapp.cgmh.org.tw/csr/report.aspx - note: 質子中心有小型風力發電 - https://www1.cgmh.org.tw/intr/intr2/c33e0/zhizizhongxin.html#.ZCUkSOxByFg 其他 - 醫事組織加入零碳競逐 - https://www.seinsights.asia/article/3289/3271/7950 - Global Road Map for Health Care Decarbonization - A navigational tool for achieving zero emissions with climate resilience and health equity - https://healthcareclimateaction.org/roadmap - 中央:健康促進與環境友善醫院教戰手冊 - https://health99.hpa.gov.tw/storage/pdf/materials/21774.pdf 健檢專案與碳排議題 - 發想中,大概的假設方向: - 無紙化,例如臺南市用線上系統,取代健檢紙本問卷 - 查查看是否有論文,有描述到透過 提升健康檢查品質或更早期發現疾病,以降低治療事務,所降低的治療事務,其碳排放量,或許可視為 健檢專案所間接減少的碳排;或可挑選一兩項疾病,試算看看 在早期、晚期 的發現與接續治療過程,醫事行為的碳排量 - Yvonne> 例如以大腸癌為例,早期發現可能兩次門診、30分鐘手術可以解決,但是三或四期就可能是6小時手術、24次化療+48次門診

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