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Cited by 35Healthcare Quality and ManagementHealthcare Facilities Design and SustainabilityHealthcare Systems and Practices

Assessment of Labor Practices in Healthcare Using an Innovatory Framework for Sustainability

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Moldovan, Flaviu, Moldovan, Liviu, Bataga, Tiberiu·2023·Medicina
DOI 10.3390/medicina59040796PMC PMC10143905
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Abstract

Background and Objectives: The concept of sustainability in healthcare is poorly researched. There is a perceived need for new theoretical and empirical studies, as well as for new instruments to assess the implementation of new labor practices in the field. Such practices address unmet social needs and consolidate the sustainable development systems which promote health equity. The objective of the research is to design an innovative reference framework for sustainable development and health equity of healthcare facilities, and to provide a practical validation of this framework. Materials and Methods: The research methods consist of designing the elements of the new frame of reference, designing an indicator matrix, elaborating indicator content, and assessing the reference framework. For the assessment stage, we used sustainable medical practices reported in the scientific literature as well as a pilot reference framework that was implemented in healthcare practice. Results: The new reference framework suggested by the present study is composed of 57 indicators organized in five areas: environmental responsibility, economic performance, social responsibility, institutional capacity, and provision of sustainable healthcare services. These indicators were adapted and integrated into the seven basic topics of the social responsibility standard. The study presents the content of the indicators in the field of labor practices, as well as their evaluation grids. The innovative format of the evaluation grids aims to describe achievement degrees, both qualitatively and quantitatively. The theoretical model was validated in practice through its implementation at the Emergency Hospital in Targu Mures. Conclusions: The conclusions of the study reflect the usefulness of the new reference framework, which is compatible with the requirements in the healthcare field, but differs from other existing frameworks, considering its objective regarding the promotion of sustainable development. This objective facilitates the continuous quantification of the sustainability level, the promotion of sustainable development strategies, and sustainability-oriented approaches on the part of interested parties.

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  • The Healthcare Labor Practice Framework highlights that personal accomplishment is closely tied to conditions such as workload, staffing adequacy, emotional labor demands, and autonomy.

    “The Healthcare Labor Practice Framework also highlights that PA is closely tied to conditions such as workload, staffing adequacy, emotional labor demands, and autonomy [63].”

    From Effects of Third-Wave Cognitive Behavioral Therapy for Healthcare Professionals’ Burnout: A Systematic Review and Meta-Analysis (2025) · cites this paper as [63]

    The Materials and Methods section (2.2) discusses burnout risk and factors affecting medical staff satisfaction, but does not link personal accomplishment to workload, staffing adequacy, emotional labor demands, or autonomy. Searches for “personal accomplishment” with those conditions and with burnout and autonomy found no passage making the claimed connection. (LLM, conf=0.72)

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Authors
Moldovan, F., Moldovan, L., & Bataga, T.
Affiliations
  • Universitatea de Medicină, Farmacie, Științe și Tehnologie „George Emil Palade” din Târgu Mureș (RO)
  • Orthopedics—Traumatology Department, Faculty of Medicine, “George Emil Palade” University of Medicine, Pharmacy, Science, and Technology of Targu Mures, 540142 Targu Mures, Romania
Corresponding author
Moldovan, Flaviu
ORCID
Venue
Medicina
Publisher
MDPI AG
Published
2023-04-19
Volume
59
Issue
4
Pages
796
ISSN
  • 1010-660X (ISSN-L)
  • 1648-9144
DOI
10.3390/medicina59040796
PMC
PMC10143905
OpenAlex
W4366590767
Cited by
35
References
4
Citations by year
2026: 6 · 2025: 14 · 2024: 10 · 2023: 5
FWCI
7.84
Type
journal article
Language
en
Open access
Licence
Locations
  • Medicina (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
University of Medicine, Pharmacy, Science and Technology “George Emil Palade” of Targu Mures (164/2/10.01.2023)
Topics
  • Health Sciences › Health Professions › Health Information Management › Healthcare Quality and Management
  • Social Sciences › Urban Studies › Healthcare Facilities Design and Sustainability
  • Health Sciences › Health Professions › General Health Professions › Healthcare Systems and Practices
Keywords
health system sustainability, labor practices, reference framework, sustainability indicators, health equity, social responsibility, environmental responsibility, economic performance, institutional capacity, emergency hospital, indicator matrix, evaluation grid
MeSH terms
Delivery of Health Care, Health Promotion, Humans

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Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

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