IDEAS home Printed from https://ideas.repec.org/p/nim/nimawp/42-2011.html
   My bibliography  Save this paper

Achieving compliance with healthcare waste management regulations: empirical evidence from small European healthcare units

Author

Abstract

Healthcare units generate substantial amounts of hazardous or potentially hazardous wastes as by-products of their medical services. The inappropriate management of these wastes poses significant risks to people and the environment. In Portugal, as in other EU countries, the collection, storage, treatment and disposal of healthcare waste is regulated by law. Although legal provisions covering the safe management of healthcare waste date back to the 1990s, little is known about the compliance of Portuguese healthcare units with the relevant regulations. In this study we evaluate the extent of compliance by small private healthcare units with current waste management regulations, and its determinants. Recent estimates indicate that these units account for at least 20% of the healthcare waste produced at the national level. Their large numbers, however, make monitoring and government control of their compliance with legislative requirements problematic. Using data collected by a national survey of over 700 private healthcare units, we find that the majority of these units do not comply with current waste management regulations. An estimated generalized linear model uncovers a regional effect on the degree of compliance, which is also influenced by the type of healthcare delivered, use of service providers, implementation of regular internal audits, etc. The strongest factor influencing the degree of compliance is, however, education and training. This result is extremely important for policy because it shows empirically that providing education and training for all healthcare workers on medical waste issues is crucial in order to attain proper practices in healthcare waste management and compliance with regulations.

Suggested Citation

  • Anabela Botelho, 2011. "Achieving compliance with healthcare waste management regulations: empirical evidence from small European healthcare units," NIMA Working Papers 42, Núcleo de Investigação em Microeconomia Aplicada (NIMA), Universidade do Minho.
  • Handle: RePEc:nim:nimawp:42/2011
    as

    Download full text from publisher

    File URL: http://www3.eeg.uminho.pt/publications/NIMAwp42.pdf
    File Function: full text
    Download Restriction: none

    References listed on IDEAS

    as
    1. Joseph Hilbe, 1993. "Generalized linear models," Stata Technical Bulletin, StataCorp LP, vol. 2(11).
    2. Anabela Botelho & Lígia M. Costa Pinto & Isabel Rodrigues, 2005. "How To Comply With Environmental Regulations? The Role Of Information," Contemporary Economic Policy, Western Economic Association International, vol. 23(4), pages 568-577, October.
    3. Paolino, Philip, 2001. "Maximum Likelihood Estimation of Models with Beta-Distributed Dependent Variables," Political Analysis, Cambridge University Press, vol. 9(04), pages 325-346, January.
    Full references (including those not matched with items on IDEAS)

    More about this item

    Keywords

    Waste management; medical waste; legislation; compliance;

    JEL classification:

    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • Q53 - Agricultural and Natural Resource Economics; Environmental and Ecological Economics - - Environmental Economics - - - Air Pollution; Water Pollution; Noise; Hazardous Waste; Solid Waste; Recycling

    NEP fields

    This paper has been announced in the following NEP Reports:

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:nim:nimawp:42/2011. See general information about how to correct material in RePEc.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (NIMA). General contact details of provider: http://nima.eeg.uminho.pt/ .

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service hosted by the Research Division of the Federal Reserve Bank of St. Louis . RePEc uses bibliographic data supplied by the respective publishers.