A Review of the Applicability of Current Green Practices in Healthcare Facilities

Background  Circular economy (CE) has raised great interest as a concept and as a development model worldwide. This concept aims to provide a substitute for the linear economic model, which was based on production and consumption, continuous growth, and resources depletion. CE allows a greener econo...

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Main Authors: Ana Luísa Soares, Sandra C. Buttigieg, Bartosz Bak, Sonya McFadden, Ciara Hughes, Patricia McClure, Jose Guilherme Couto, Isabel Bravo
Format: Article
Language:English
Published: Kerman University of Medical Sciences 2023-12-01
Series:International Journal of Health Policy and Management
Subjects:
Online Access:https://www.ijhpm.com/article_4445_1adcc926fcb475094b99b890dfd11313.pdf
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author Ana Luísa Soares
Sandra C. Buttigieg
Bartosz Bak
Sonya McFadden
Ciara Hughes
Patricia McClure
Jose Guilherme Couto
Isabel Bravo
author_facet Ana Luísa Soares
Sandra C. Buttigieg
Bartosz Bak
Sonya McFadden
Ciara Hughes
Patricia McClure
Jose Guilherme Couto
Isabel Bravo
author_sort Ana Luísa Soares
collection DOAJ
description Background  Circular economy (CE) has raised great interest as a concept and as a development model worldwide. This concept aims to provide a substitute for the linear economic model, which was based on production and consumption, continuous growth, and resources depletion. CE allows a greener economy with sustainable development and promotes more balanced societies. The healthcare sector is a major contributor to the climate crisis, with a carbon footprint representing 4.4% of global net emissions. It is thus essential to rethink the applicability of CE in healthcare.Methods   We conducted a scoping review guided by the Arksey and O’Malley methodological framework and utilised PRISMA-ScR (Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews) checklist. A systematic search from MEDLINE complete, SCOPUS, and Web of Science databases published between 1992 and 2022.Results  Through database searching a total of 1018 records were identified and 475 duplicates were removed. From the total search, 543 articles were screened by title/abstract according to the inclusion and exclusion criteria. After screening, 38 full-text articles were selected and assessed for eligibility. Forty-seven additional records were also identified through other sources and screened for eligibility. Other sources included: 12 articles from snowballing of previous papers; 9 articles following peer-reviewers suggestions; 19 reports from relevant organisations in CE and healthcare; two webpage, and one book.Conclusion  Specific areas were identified where hospitals could reduce their greenhouse gas (GHG) emissions and consequently their negative environmental impact, namely through waste management, energy, water, transportation/travel, hospital design, food optimisation, green procurement, and behaviour. Also, lack of staff awareness and knowledge of the environmental impact of healthcare, and hospitals sustainability were identified as major contributors.
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spelling doaj.art-3e0a3523953344288cb4ed40a0a85b492024-04-15T19:04:24ZengKerman University of Medical SciencesInternational Journal of Health Policy and Management2322-59392023-12-0112Issue 111510.34172/ijhpm.2023.69474445A Review of the Applicability of Current Green Practices in Healthcare FacilitiesAna Luísa Soares0Sandra C. Buttigieg1Bartosz Bak2Sonya McFadden3Ciara Hughes4Patricia McClure5Jose Guilherme Couto6Isabel Bravo7Medical Physics Service, Portuguese Oncology Institute of Porto, Porto, PortugalDepartment of Health Systems Management and Leadership, Faculty of Health Sciences, University of Malta, Msida, MaltaRadiotherapy Department II, Greater Poland Cancer Center, Poznan, PolandFaculty of Life and Health Sciences, Ulster University, Newtownabbey, UKFaculty of Life and Health Sciences, Ulster University, Newtownabbey, UKFaculty of Life and Health Sciences, Ulster University, Newtownabbey, UKRadiography Department, Faculty of Health Sciences, University of Malta, Msida, MaltaMedical Physics and Radiobiology Group, Research Center (IPOP), Portuguese Oncology Institute of Porto, Porto, PortugalBackground  Circular economy (CE) has raised great interest as a concept and as a development model worldwide. This concept aims to provide a substitute for the linear economic model, which was based on production and consumption, continuous growth, and resources depletion. CE allows a greener economy with sustainable development and promotes more balanced societies. The healthcare sector is a major contributor to the climate crisis, with a carbon footprint representing 4.4% of global net emissions. It is thus essential to rethink the applicability of CE in healthcare.Methods   We conducted a scoping review guided by the Arksey and O’Malley methodological framework and utilised PRISMA-ScR (Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews) checklist. A systematic search from MEDLINE complete, SCOPUS, and Web of Science databases published between 1992 and 2022.Results  Through database searching a total of 1018 records were identified and 475 duplicates were removed. From the total search, 543 articles were screened by title/abstract according to the inclusion and exclusion criteria. After screening, 38 full-text articles were selected and assessed for eligibility. Forty-seven additional records were also identified through other sources and screened for eligibility. Other sources included: 12 articles from snowballing of previous papers; 9 articles following peer-reviewers suggestions; 19 reports from relevant organisations in CE and healthcare; two webpage, and one book.Conclusion  Specific areas were identified where hospitals could reduce their greenhouse gas (GHG) emissions and consequently their negative environmental impact, namely through waste management, energy, water, transportation/travel, hospital design, food optimisation, green procurement, and behaviour. Also, lack of staff awareness and knowledge of the environmental impact of healthcare, and hospitals sustainability were identified as major contributors.https://www.ijhpm.com/article_4445_1adcc926fcb475094b99b890dfd11313.pdfcircular economycarbon footprinthealthcare wastehealthcare managementhospital sustainability 
spellingShingle Ana Luísa Soares
Sandra C. Buttigieg
Bartosz Bak
Sonya McFadden
Ciara Hughes
Patricia McClure
Jose Guilherme Couto
Isabel Bravo
A Review of the Applicability of Current Green Practices in Healthcare Facilities
International Journal of Health Policy and Management
circular economy
carbon footprint
healthcare waste
healthcare management
hospital sustainability 
title A Review of the Applicability of Current Green Practices in Healthcare Facilities
title_full A Review of the Applicability of Current Green Practices in Healthcare Facilities
title_fullStr A Review of the Applicability of Current Green Practices in Healthcare Facilities
title_full_unstemmed A Review of the Applicability of Current Green Practices in Healthcare Facilities
title_short A Review of the Applicability of Current Green Practices in Healthcare Facilities
title_sort review of the applicability of current green practices in healthcare facilities
topic circular economy
carbon footprint
healthcare waste
healthcare management
hospital sustainability 
url https://www.ijhpm.com/article_4445_1adcc926fcb475094b99b890dfd11313.pdf
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