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How Hospitals and Health Systems Can Help Clinicians Reduce Greenhouse Gases and Act on Climate Change

Doctor in mask holds corners of hospital bed

Procurement Transplant Coordinator Cristina Alvarado moves a donor for a CT scan at OneLegacy on June 29, 2023, in Azusa, Calif. Health systems and hospitals can do much more to lead on climate change, including increasing clinician engagement by helping them understand the link between individual action and organizational impact. Photo: Francine Orr/Los Angeles Times via Getty Images

Procurement Transplant Coordinator Cristina Alvarado moves a donor for a CT scan at OneLegacy on June 29, 2023, in Azusa, Calif. Health systems and hospitals can do much more to lead on climate change, including increasing clinician engagement by helping them understand the link between individual action and organizational impact. Photo: Francine Orr/Los Angeles Times via Getty Images

Authors
  • Arnav Shah
    Arnav Shah

    Senior Research Associate, Policy and Research, The Commonwealth Fund

  • Lovisa Gustafsson
    Lovisa Gustafsson

    Vice President, Controlling Health Care Costs, The Commonwealth Fund

Authors
  • Arnav Shah
    Arnav Shah

    Senior Research Associate, Policy and Research, The Commonwealth Fund

  • Lovisa Gustafsson
    Lovisa Gustafsson

    Vice President, Controlling Health Care Costs, The Commonwealth Fund

Toplines
  • With four out of five clinicians saying it’s important for their employers to address climate change, health systems and hospitals have a strong incentive to act on decarbonization

  • Health systems and hospitals can do much more to lead on climate change, including empowering clinicians to be a part of the solution

Many health care delivery systems across the United States have pledged to reduce their greenhouse gas emissions. Health care workers — who must play a central role in these efforts — want their employers to take on decarbonization activities. About four of five clinicians surveyed said it’s important for their hospital to address climate change and that doing so is aligned with their organization’s mission. Further, health systems’ approaches to climate change can be a powerful draw for attracting staff; about six of 10 clinicians surveyed said a prospective employer’s policies and actions on climate change would impact their decision to apply for a job.

This post uses data from the Commonwealth Fund 2023 Climate and Health Care Workforce Survey of 1,001 U.S. clinicians about their views on health systems and climate change. The people surveyed worked at a hospital or a health system comprising one or more hospitals. (See “How We Conducted This Survey” for further details on the survey and methodology.)

In addition to wanting their employers to act on climate change, clinicians want to be part of the solution. More than three-quarters (76%) of surveyed clinicians said they were likely or extremely likely to take personal actions at work like reducing energy consumption, reducing paper usage, and being more efficient with water to help reduce their organization’s environmental impact.

Health systems can help increase clinician engagement when it comes to taking climate action at work by helping them understand the link between individual action and organizational impact. Surveyed clinicians were asked how their employers could encourage or enable them to reduce their environmental impact at work. They felt that understanding the following impacts would encourage them to a great extent: how reducing climate impact saves clinicians’ time (42%), how it provides organizational financial savings (41%), how it benefits the health of their patients and the public (41%) or the health of themselves and colleagues (40%), and how it can fit into their roles at the organization (35%).

The survey found that clinicians were not offered trainings that could help them identify and implement decarbonization steps in their jobs. Less than half (42%) of surveyed clinicians said their employers are currently offering refresher or reminder trainings on waste sorting and proper material use. Even fewer said their employers were offering continuing medical education or grand rounds (30%) or required annual staff trainings (27%) about incorporating decarbonization activities into their jobs.

CHART

More than eight of 10 surveyed clinicians said incorporating methods of reducing personal environmental impact into training would be very or somewhat effective in reducing the organization’s overall environmental impact. Four of five said having leadership (e.g., board members and senior managers) lead by example would be effective in helping to reduce environmental impact. About seven of 10 said sharing news stories or examples of what other organizations are doing, posting signage, and introducing a “green champion” (i.e., a dedicated person to raise awareness around sustainability issues and identify actions) would be effective.

These survey findings — in addition to the previously published results about the importance to clinicians of health systems addressing climate change — crystalize many of the attitudes and perceptions U.S. clinicians have about decarbonizing the health care system. There are many ways for clinicians to lead climate action — at the individual, organizational, professional, industry, regulatory, or government levels. And there are many pathways through which health systems can motivate their employees to rethink consumption and practice patterns and address climate change that lead to a more sustainable health system.

Publication Details

Date

Contact

Arnav Shah, Senior Research Associate, Policy and Research, The Commonwealth Fund

[email protected]

Citation

Arnav Shah and Lovisa Gustafsson, “How Hospitals and Health Systems Can Help Clinicians Reduce Greenhouse Gases and Act on Climate Change,” To the Point (blog), Commonwealth Fund, Mar. 13, 2024. https://doi.org/10.26099/r87p-6f74