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Hospitals have a responsibility to link human health and the environment, but food waste in hospitals has traditionally been much higher than in other areas of food supply. The cause of this situation has many negative impacts on health, economy, society, and environment. As a result, food waste has become a topic of discussion in hospital food departments. Part of this problem is plate waste, the served food that remains uneaten by patients. Given the magnitude of the food problem, this systematic review is aimed to identify the most common measures used to reduce plate waste in hospitals. PubMed, Scopus, and Google Scholar databases were comprehensively searched to identify food waste studies worldwide using related search terms. Many approaches have been recommended to increase patient food intake and minimise plate waste in hospitals. Up to date, the four most common include flexible portion sizes, increased food choices through selective menus, additional nutritional support and a better ordering and delivery system. Among them, the most used and effective are flexible portion sizes which may increase the ability of patients choosing their menus and upgrade ordering and delivery system by electronic format. In most studies, plate waste covers the most significant percentage of food waste produced in hospitals, while more than one approach is recommended to minimise it. In this aspect, further well‐design, multicenter, clinical studies are strongly required to highlight and establish novel and effective approaches for improving food waste management in hospitals by reducing plate waste.
Hospitals have a responsibility to link human health and the environment, but food waste in hospitals has traditionally been much higher than in other areas of food supply. The cause of this situation has many negative impacts on health, economy, society, and environment. As a result, food waste has become a topic of discussion in hospital food departments. Part of this problem is plate waste, the served food that remains uneaten by patients. Given the magnitude of the food problem, this systematic review is aimed to identify the most common measures used to reduce plate waste in hospitals. PubMed, Scopus, and Google Scholar databases were comprehensively searched to identify food waste studies worldwide using related search terms. Many approaches have been recommended to increase patient food intake and minimise plate waste in hospitals. Up to date, the four most common include flexible portion sizes, increased food choices through selective menus, additional nutritional support and a better ordering and delivery system. Among them, the most used and effective are flexible portion sizes which may increase the ability of patients choosing their menus and upgrade ordering and delivery system by electronic format. In most studies, plate waste covers the most significant percentage of food waste produced in hospitals, while more than one approach is recommended to minimise it. In this aspect, further well‐design, multicenter, clinical studies are strongly required to highlight and establish novel and effective approaches for improving food waste management in hospitals by reducing plate waste.
PurposeThe purpose of the study is to comprehensively and extensively investigate food waste in hospitals and the environmental and economic effects it imposes on society. By knowing the reasons and factors affecting the creation of such wastes, it is possible to help reduce these effects.Design/methodology/approachThis study was conducted by systematic search in PubMed, Scopus, Science Direct and Web of Science databases.FindingsThe results suggest that high-income countries such as Denmark, Sri Lanka, Portugal and Spain have more significant amounts of food waste than low-income countries like Turkey. The main reasons for food waste include inadequate food quality, low patient appetite and issues with the dining environment. Therefore, it is crucial to address these root causes to minimize food waste and alleviate the burden on the environment.Research limitations/implicationsThe study relies primarily on secondary data analysis and does not include original food waste audits or interviews with hospital staff. While the literature review provides useful background, conducting first-hand audits and interviews could strengthen the study by providing more current, contextualized and granular insights into food waste in hospitals. The lack of primary data collection limits the ability to make hospital-specific recommendations or quantify the opportunity for improvement. Additionally, the focus is on general frameworks rather than interventions tailored to the needs and constraints of hospitals in low- and middle-income regions. More region-specific research would be needed to understand nuanced challenges and develop customized solutions suitable for implementation in those settings.Originality/valueEffective measures can be taken to make policies and determine appropriate solutions to reduce these wastes. By recognizing the problems in structures, one can take steps to reduce global warming and waste of national funds.
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