Article describes the life cycle assessment method and introduces opportunities for method performance in healthcare system settings. LSA draws attention to careful use of resources, environmental, human and social responsibility. Modelling of environmental and technological inputs allows optimizing performance of the system. Various factors and parameters that may influence effectiveness of different sectors in healthcare system are detected. Performance optimization of detected parameters could lead to better system functioning, higher patient safety, economic sustainability and reduce resources consumption.
Keywords: life cycle assessment, holistic approach, healthcare management, social responsibility, modelling.
DOI: http://dx.doi.org/10.17721/1728-2667.2015/166-1/4

References

1. Gjalt Huppes, Mary Ann Curran. Environmental Life Cycle Assessment: Background and Perspective. Life Cycle Assessment handbook., Scrivener Publishing, 2012., p.1-14.
2. Reinout Heijungs, Jeroen B. Guinee. An Overview of the Life Cycle Assessment Method – Past, Present and Future. Life Cycle Assessment handbook., Scrivener Publishing, 2012.
3. Mary Ann Curran. Life Cycle Assessment: principles and practice., Scientific Applications International Corporation SAIC. National Risk Management Research Laboratory. EPA,600,R-06,060, 2006.
4. J. Ziman. Social responsibility – The impact of social responsibility on science., Impact of Science on Society, 197121:113–122
5. A. Moskovsky. Plato and the modern science., Consciousness and physical reality., 1996, Vol.1 №.1-2.
6. Zeljko Dugac, Stella Fatovic-Ferencic, Luka Kovacic, Tomislav Kovacevic. Role of Andrija Stampar in Building the World Health Organization., Croatian Medical Journal, 2008. 49, p. 697-708.
7. Guinee, J.B., Handbook on Life Cycle Assessment, Operational Guide to the ISO Standards., Kluwer Academic Publishers, 2002.
8. Vigon, B. W., Tolle, D. A., Cornary, B. W. Life Cycle Assessment: Inventory Guidelines and Principles., US EPA, Document EPA/600/R-92/245, 1993
9. Guido Sonnemann, Bruce Vigon. Global Guidance Principles for Life Cycle Assessment Databases. UNEP,
SETAC Life Cycle Initiative. United Nations Environment Programme, 2011.
10. Michael Deru, National Renewable Energy Laboratory,. U.S. Life Cycle Inventory Database Roadmap, DOE/GO-102009-2881, 2009, Access at: http://www.nrel.gov/lci
11. Frischknecht R., Jungbluth N., Althaus H.J. , Bauer C., Doka G., Dones R., Hischier R., Hellweg S., Humbert S., Köllner T., Loerincik Y., Margni M. and Nemecek T. Implementation of Life Cycle Impact Assessment Methods. Ecoinvent report No. 3, v2.0. Swiss Centre for Life Cycle Inventories, 2007.
12. International Standards Organization. Environmental Management – Life Cycle Assessment – Principles and
Framework ISO 14040, 2010, Access at: http://www.iso.org/iso/catalogue_detail?csnumber=37456.
13. International Standards Organization. Environmental management, Life cycle assessment, Requirements and guidelines ISO 14044, 2006, Access at: http://www.iso.org/iso/catalogue_detail?csnumber=38498
14. Alexandra C. Hetherington, Aiduan Li Borrion, Owen Glyn Griffiths, Marcelle C. McManus. Use of LCA as
adevelopment tool within early research: challenges and issues across different sectors., Int J Life Cycle Assess /19:130–143 DOI 10.1007/s11367-013-0627-8, 2014.
15. Norihiro Itsubo, Atsushi Inaba, Research Center for Life Cycle Asessment,. LIME, A Comprehensive Japanese LCIA Methodology based on Endpoint Modeling., 6th International Conference on Ecobalance, 2004.
16. Olivier Jolliet, Ruedi Müller-Wenk, Jane Bare, Alan Brent, Mark Goedkoop, Reinout Heijungs, Norihiro Itsubo, Claudia Peña, David Pennington, José Potting, Gerald Rebitzer, Mary Stewart, Helias Udo de Haes, Bo Weidema. The LCIA midpoint-damage framework of the UNEP,SETAC life cycle initiative., The International Journal of Life Cycle Assessment. Vol. 9, Issue 6, 2004, pp 394-404
17. G. Rebitzer, T. Ekvallb, R. Frischknechtc, D. Hunkelerd, G. Norrise, T. Rydbergf, W.-P. Schmidtg, S. Suhh, B.P. Weidemai, D.W. Penningtonf. Life cycle assessment, Part 1, Framework, goal and scope definition, inventory analysis, and applications., Environment International Journal. DOI: 10.1016/j.envint.2003.11.005, Vol. 30, Issue 5, 2004, Pp. 701–720.
18. D.W. Pennington, J. Potting, G. Finnveden, E. Lindeijer, O. Jolliet, T. Rydberg, G. Rebitzer. Life cycle assessment Part 2: Current impact assessment practice., Environment International Journal. DOI: 10.1016/j.envint.2003.12.009, Vol. 30, Issue 5, 2004, Pp. 721–739.
19. J.C. Bare, P. Hofstetter, D. W. Pennington, Helias A. Udo de Haes. Midpoints versus endpoints: The sacrifices and benefits., The International Journal of Life Cycle Assessment, 2000, Vol. 5, Issue 6, pp. 319-326.
20. J. Bengtsson, N.Howard. A Life Cycle Impact Assessment. Building Products Innovation Council., 2010.
21. Udo De Haes, H.A. Industrial ecology and life cycle assessment., Handbook of Industrial Ecology, UK, Edward Elgar, 2002.
22. Sonnemann, G., et al. Integrated Life-Cycle and Risk Assessment for Industrial Processes, Advanced Methods in Resource and Waste Management. CRC Press, 2003.
23. Michelsen, Ottar; Fet, Annik Magerholm; Dahlsrud, Alexander. Eco-efficiency in extended supply chains: A case study of furniture production. Journal of Environmental Management, 2006, vol. 79.
24. Fet, Annik Magerholm; Michelsen, Ottar. Industrial ecology study and research program at Norwegian University of Science and Technology. Clean Technologies and Environmental Policy., 2003, vol. 5.
25. Sparrevik, Lars Magnus, Saloranta, Tuomo, Cornelissen, Gerard, Eek, Espen; Fet, Annik Magerholm, Breedveld, Gijs D., Linkov, Igor. Use of life cycle assessments to evaluate the environmental footprint of contaminated sediment remediation., Environmental Science and Technology. 2011, vol. 45.
26. A.A.Jensen, A.Remmen et al. UNEP Guide to Life Cycle Management – A bridge to sustainable products. UNEP Life Cycle Initiative., 2006, Access at: www.unep.org
27. Wormer, Blair A, Augenstein, Vedra A, Carpenter, Christin L, et al. The green operating room: simple changes to reduce cost and our carbon footprint. The American surgeon, 2013, Vol. 79, Issue, 7, Pp: 666-71.
28. B. Lippiatt, A. L. Greig, P. Lavappa. BEES, Building for Environmental and Economic Sustainability, software., National Institute of Standards and Technology (NIST)., 2010,Access at
http://www.nist.gov/el/software.cfm
29. Jeswani, H.K. Azapagic, A., Schepelmann, P., and Ritthoff, M. Options for broadening and deepening the LCA approaches., J of Cleaner Production, 2010, 18, pp.120-127.
30. Tomas Ekvalla, Anne-Marie Tillmanb, Sverker Molanderb . Normative ethics and methodology for life cycle assessment., Journal of Cleaner Production, 2005, DOI: 10.1016/j.jclepro. 2005.05.010 Vol. 13, Issues 13–14, pp. 1225–1234.
31. Lord Holme, Richard Watts. Making Good Business Sense., The World Business Council for Sustainable
Development, 2000.
32. Skaar, Christofer, Fet, Annik Magerholm. Accountability in the Value Chain: From Environmental Product Declaration,EPD, to CSR Product Declaration., Corporate Social Responsibility and Environmental Management., 2012, vol. 19.
33. N.Marinković, K.Vitale, N. Janev Holcer, A. Džakula, T.Pavić. Management of hazardous medical waste in Croatia., Waste management Journal., 2008, vol. 28/6, pp.1049-1056.
34. Merriam – Webster dictionary. An Encyclopedia Britannica Company.,Access at
http://www.merriam-webster.com/dictionary/holistic.html
35. Business Dictionary. Web Finance Inc., Access at: http://www.businessdictionary.com/
definition/product.html