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Hospital medical waste management in Shandong Province, ChinaDepartment of Health Policy and Planning, Graduate School of Medicine, the University of Tokyo, Tokyo, Japan
Department of Health Policy and Planning, Graduate School of Medicine, the University of Tokyo, Tokyo, Japan
Institute of Social Medicine and Health Services Management, School of Public Health, Shandong University, Jinan City, Shandong Province, China, lzxu{at}sdu.edu.cn
Institute of Social Medicine and Health Services Management, School of Public Health, Shandong University, Jinan City, Shandong Province, China
Institute of Social Medicine and Health Services Management, School of Public Health, Shandong University, Jinan City, Shandong Province, China
Institute of Social Medicine and Health Services Management, School of Public Health, Shandong University, Jinan City, Shandong Province, China
Institute of Social Medicine and Health Services Management, School of Public Health, Shandong University, Jinan City, Shandong Province, China
Institute of Social Medicine and Health Services Management, School of Public Health, Shandong University, Jinan City, Shandong Province, China
Institute of Social Medicine and Health Services Management, School of Public Health, Shandong University, Jinan City, Shandong Province, China
Institute of Social Medicine and Health Services Management, School of Public Health, Shandong University, Jinan City, Shandong Province, China
The University of Tokyo Hospital, Tokyo, Japan Medical waste refers to those hazardous waste materials generated by healthcare activities, including a broad range of materials, and remains as an issue on both public health and environment. In China, there was inadequate information on the implementation of management systems in hospitals based on the national regulatory framework. The objectives of this study were to assess the current situation of medical waste management and to identify factors determining the implementation of a management system based on the national regulatory framework in hospitals. We investigated 23 general hospitals in both urban and rural areas of Shandong Province, China, by both quantitative and qualitative approaches. The medical waste generation rate was 0.744, 0.558 and 1.534 kg bed— 1 day—1 in tertiary hospitals, urban secondary hospitals and county hospitals, respectively. There is a wide disparity between implementation in tertiary, secondary and county hospitals. With increasing financial, technological, and materials investment, a management system has been established in tertiary and secondary hospitals. Financial support and administrative monitoring by the government is urgently needed to build a sound management system in hospitals located at remote and less-developed areas. In those areas issues in the financial, administrative and technical aspects should be further examined.
Key Words: Hospital • medical waste • national regulations • management system • generation rate • disposal methods • wmr 08—0103
This version was published on June
1, 2009 Waste Management & Research, Vol. 27, No. 4,
336-342 (2009) |
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