KitNewCare - Developing a framework/model to environmentally sustainable and climate neutral health and care systems using the Kidney care pathway

目前的医疗保健系统措施不足以实现欧盟绿色交易目标。其社会、经济和临床后果是显著的。目前的举措不足的原因包括缺乏对问题或潜在解决方案的认识。选择什么样的过程是复杂的，低成本，低碳，提供更好的护理还是具有更好的社会影响。目前的系统对可持续教育、政策或研究的投资不足。解决方案在有限的领域效果良好，但作为真正的系统性变革的模式效率低下。在卫生系统中没有商定的环境足迹系统，也没有与工业界和病人建立伙伴关系，以建立真正可持续的系统。肾脏护理是一个合适的测试案例，其资源占用量大，护理途径明确。KitNewCare的联盟将与肾脏护理、生命周期评估方法、教育、传播和沟通、卫生经济学和数据管理方面的领先专家一起解决这个问题。KitNewCare将在欧盟范围内对可持续发展前景进行测绘，以揭示每个影响领域不同临床中心的热点。为了找到解决方案，将利用质量改进周期来分析临床路径和行业创新。KitNewCare将共同开发和试点可持续工具（例如基于4因素LCA模型有目的地开发的可操作仪表板，该仪表板将监测和衡量4种不同的结果）创新解决方案，培训，指导方针和建议，作为概念验证，然后可以应用于医疗保健系统;我们的工作将通过利益相关者的互动以及患者和公众参与计划来了解，以确保适当的设计，吸收，传播和利用。这将使决策者和医疗保健提供者能够减少污染、碳排放和浪费。

Current measuresin healthcare systems are insufficient to reach the EU Green Deal goals. The social, economic and clinical consequences are significant. Reasons that current initiatives fall short include lack of awareness as to the problem, or potential solutions. There is complexity as to what process to choose, the low cost, the low carbon, the one that provides better care or the one which has the better social impact. The current system has insufficient investment in sustainable education, policy or research. Solutions work well in limited areas but are inefficient as a model for true systemic change. There is no agreed system of environmental foot printing in the health system and few partnerships with industry and patients to develop a truly sustainable system. Kidney care is a suited test case with its large resource footprint and well-defined care pathways. KitNewCare’s consortium will solve the problem with leading experts in kidney care, life cycle assessment methodology, education, dissemination and communication, health economics, and data management. KitNewCare will perform an EU-wide mapping of the sustainability landscape to reveal the hotspots across different clinical centres in each impact area. To locate solutions Quality Improvement Cycles will be utilised to analyse clinical pathways and industry innovations. KitNewCare will co-develop and pilot sustainable tools (such as the purposefully developed actionable dashboard, based on the 4-factor LCA model, which will monitor and benchmark the 4 different outcomes) innovative solutions, training, guidelines and recommendations as a proof of concept which can then be applied to the healthcare system; Our work will be informed by a stakeholder interaction and a Patient and Public Involvement programme to ensure proper design, uptake, dissemination and exploitation. This will enable decision makers and healthcare providers to reduce pollution, carbon emissions, and waste.