Environmental Performance Measurement in Hospitals: …
137
Table 2 Topics of the excluded references
Topic of excluded papers
Number of papers
Hospital accreditation (not related to the environment)
1
Country and urban/city level environmental concerns (including hospital
waste)
14
Green infrastructure for healthcare facilities
2
Internal environment/organizational climate
3
Pay-for-Performance studies (P4P)
3
Quality of care
45
Rural level environmental concerns
2
Strategies to improve performance in non-healthcare organizations
6
Total of results
76
3 Data Analysis
3.1 The Bibliometric Review of the Papers
The 10 remaining papers were reviewed in terms of year of publication, publication outlet, and distribution of papers/authors per country of origin, affiliation and
number of citations. The content analysis aimed to uncover existing and proposed
environmental performance frameworks for hospitals. Table 3 lists the authors and
paper titles.
The distribution of publications between 1987 and 2017 was analyzed next: 1996
(one paper), 2011 (one paper), 2014 (one paper), 2015 (two papers), 2016 (three
papers) and 2017 (two papers). The absence of studies from 1987 up until 1996
and the gap between 1996 and 2011 are noteworthy. In 2014, it appears the topic
resurfaced. Nonetheless, the reason behind the lack of a significant number of studies
within a 30-year period seems to be unclear. The country of origin of the authors was
also analyzed. Table 4 lists the authors per country of origin.
The publication outlets were also identified. The ‘Journal of Cleaner Production’
is at the top of the list; it published three of the papers. In second place, the ‘Journal of
Green Building’ published two papers. Other four journals published each, one paper,
and the paper ‘The implications of sustainable development and the zero option for
health care waste’ was published in the 7th Iswa International Congress Proceedings.
A certain prevalence amongst European countries is suggested, since four papers
included Europe-based researchers. Two papers included researchers from North
America and two are authors from South America. There are also researchers based
in Africa, Asia and the Middle East. Considering the number of researchers per
country of origin, recently there has been a certain predominance of researchers
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