This volume examines the intersections of health care and environmental health, both in terms of traditional failures and the revolution underway to fix them. Authored by one of the pioneers in health care's green movement, it presents practical solutions for health care organizations and clinicians to improve their environments and the health of their communities.

Green Healthcare Institutions : Health, Environment, and Economics, Workshop Summary is based on the ninth workshop in a series of workshops sponsored by the Roundtable on Environmental Health Sciences, Research, and Medicine since the roundtable began meeting in 1998. When choosing workshops and activities, the roundtable looks for areas of mutual concern and also areas that need further research to develop a strong environmental science background. This workshop focused on the environmental and health impacts related to the design, construction, and operations of healthcare facilities, which are part of one of the largest service industries in the United States. Healthcare institutions are major employers with a considerable role in the community, and it is important to analyze this significant industry. The environment of healthcare facilities is unique; it has multiple stakeholders on both sides, as the givers and the receivers of care. In order to provide optimal care, more research is needed to determine the impacts of the built environment on human health. The scientific evidence for embarking on a green building agenda is not complete, and at present, scientists have limited information. Green Healthcare Institutions : Health, Environment, and Economics, Workshop Summary captures the discussions and presentations by the speakers and participants; they identified the areas in which additional research is needed, the processes by which change can occur, and the gaps in knowledge.

Health care is ubiquitous in the industrialized world. Yet, every medical development, technique, and procedure impacts the environment. Green bioethics synthesizes environmental ethics and biomedical ethics, thus creating an interdisciplinary approach to sustainable health care. Notably, green bioethics addresses not the structure of environmental sustainability in health-care institutions but the sustainability of individual health-care offerings. It parallels traditional biomedical ethics by providing four principles for ethical guidance: distributive justice, resource conservation, simplicity, and ethical economics. Through these four principles, green bioethics presents a coherent framework for evaluating the sustainability of medical developments, techniques, and procedures. The future of our world may very well depend on how effectively we halt ecological destruction and conserve our resources in all areas of life. The principles of green bioethics, outlined in this book, will advance sustainability in health care.

“Green” buildings—buildings that use fewer resources to build and to sustain—are commonly thought to be too expensive to attract builders and buyers. But are they? The answer to this question has enormous consequences, since residential and commercial buildings together account for nearly 50% of American energy consumption—including at least 75% of electricity usage—according to recent government statistics. This eye-opening book reports the results of a large-scale study based on extensive financial and technical analyses of more than 150 green buildings in the U.S. and ten other countries. It provides detailed findings on the costs and financial benefits of building green. According to the study, green buildings cost roughly 2% more to build than conventional buildings—far less than previously assumed—and provide a wide range of financial, health and social benefits. In addition, green buildings reduce energy use by an average of 33%, resulting in significant cost savings. Greening Our Built World also evaluates the cost effectiveness of “green community development” and presents the results of the first-ever survey of green buildings constructed by faith-based organizations. Throughout the book, leading practitioners in green design—including architects, developers, and property owners—share their own experiences in building green. A compelling combination of rock-solid facts and specific examples, this book proves that green design is both cost-effective and earth-friendly.

According to Dr. Larry Malerba, modern medicine has perfected the short-term technical repair of the physical body at the expense of the long-term psychological and spiritual well-being of the whole person. In Green Medicine he examines this issue and provides a realistic blueprint for wellness and a valuable guide for those seeking deeper and more lasting healing. Written in an accessible style, the book draws on a rich range of fields—physics, philosophy, Jungian thought, shamanism, alchemy, Eastern thought, Western esotericism, sustainability, orthodox medicine—to create a green medical paradigm that represents a powerful integrative medical perspective. Dr. Malerba interweaves case histories from his own practice with innovative concepts from alternative and Western medicine in order to address a number of crucial questions: • What are the personal and environmental costs to the overuse of pharmaceutical drugs? • Is conventional medicine as scientific as it claims to be? • How can conventional doctors and alternative healers begin to work together? • How can individuals transform medicine and become participants in their own healthcare? Green Medicine offers a practical and philosophical basis for building a viable green alternative that draws on the inherent unity of body, heart, mind, soul, and nature.

Farming for Health describes the use of farms, farm animals, plants and landscapes as a base for promoting human mental and physical health and social well-being. The book offers an overview of the development of ‘Farming for Health’ initiatives across Europe, resulting from changing paradigms in health care and the demand for new social and financial activities in agriculture and rural areas. The contributors are drawn from a range of countries and disciplines.

Blueprint for Green Affordable Housing is a guide for housing developers, advocates, public agency staff, and the financial community that offers specific guidance on incorporating green building strategies into the design, construction, and operation of affordable housing developments. A completely revised and expanded second edition of the groundbreaking 1999 publication, this new book focuses on topics of specific relevance to affordable housing including: how green building adds value to affordable housing the integrated design process best practices in green design for affordable housing green operations and maintenance innovative funding and finance emerging programs, partnerships, and policies Edited by national green affordable housing expert Walker Wells and featuring a foreword by Matt Petersen, president and chief executive officer of Global Green USA, the book presents 12 case studies of model developments and projects, including rental, home ownership, special needs, senior, self-help, and co-housing from around the United States. Each case study describes the unique green features of the development, discusses how they were successfully incorporated, considers the project's financing and savings associated with the green measures, and outlines lessons learned. Blueprint for Green Affordable Housing is the first book of its kind to present information regarding green building that is specifically tailored to the affordable housing development community.

We are on the verge of the nation's worst nursing shortage in history. Dedicated nurses are leaving hospitals in droves, and there are not enough new recruits to the profession to meet demand. Even hospitals that were once very highly regarded for the quality of their nursing care, such as Boston's Beth Israel Deaconess Medical Center, now struggle to fill vacant positions. What happened? Dana Beth Weinberg argues that hospital restructuring in the 1990s is to blame. In their attempts to retain profit margins or even just to stay afloat, hospitals adopted a common set of practices to cut costs and increase revenues. Many strategies squeezed greater productivity out of nurses and other hospital workers. Nurses' workloads increased to the point that even the most skilled nurses questioned whether they could provide minimal, safe care to patients. As hospitals hemorrhaged money, it seemed that no one—not hospital administrators, not doctors—felt they could afford to listen to nurses. Through a careful look at the effects of the restructuring strategies chosen and implemented by Beth Israel Deaconess Medical Center, the author examines management's efforts to balance service and survival. By showing the effects of hospital restructuring on nurses' ability to plan, evaluate, and deliver excellent care, Weinberg provides a stinging indictment of standard industry practices that underestimate the contribution nurses make both to hospitals and to patient care.

In this collection of seven major essays (one of them published here for the first time), Monica Green argues that a history of women's healthcare in medieval western Europe has not yet been written because it cannot yet be written - the vast majority of texts relating to women's healthcare have never been edited or studied. Using the insights of women's history and gender studies, Green shows how historians need to peel off the layers of unfounded assumption and stereotype that have characterized the little work that has been done on medieval women's healthcare. Seen in their original contexts, medieval gynecological texts raise questions of women's activity as healthcare providers and recipients, as well as questions of how the sexual division of labor, literacy, and professionalization functioned in the production and use of medical knowledge on the female body. An appendix lists all known medieval gynecological texts in Latin and the western European vernacular languages.

In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.