Evidence map›Paper›PMID 37579377›Full record

SynthesisInternational journal of health policy and management2023

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

Ana Luísa Soares, Sandra C Buttigieg, Bartosz Bak, Sonya McFadden, Ciara Hughes, Patricia McClure, Jose Guilherme Couto, Isabel Bravo

Abstract readSystematic Review
In one paragraph

Synthesis in International journal of health policy and management, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Green radiotherapy: aitro survey on sustainability awareness among Italian radiation therapists.Technical innovations & patient support in radiation oncology · 2026
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  14. Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Ana Luísa SoaresMedical Physics Service, Portuguese Oncology Institute of Porto, Porto, Portugal.ORCID 0009-0009-3323-8465
Sandra C ButtigiegDepartment of Health Systems Management and Leadership, Faculty of Health Sciences, University of Malta, Msida, Malta.ORCID 0000-0002-0572-2462
Bartosz BakRadiotherapy Department II, Greater Poland Cancer Center, Poznan, Poland.ORCID 0000-0003-4567-4917
Sonya McFaddenFaculty of Life and Health Sciences, Ulster University, Newtownabbey, UK.ORCID 0000-0002-4001-7769
Ciara HughesFaculty of Life and Health Sciences, Ulster University, Newtownabbey, UK.ORCID 0000-0002-1064-6775
Patricia McClureFaculty of Life and Health Sciences, Ulster University, Newtownabbey, UK.ORCID 0000-0002-7649-6247
Jose Guilherme CoutoRadiography Department, Faculty of Health Sciences, University of Malta, Msida, Malta.ORCID 0000-0002-8262-2828
Isabel BravoMedical Physics and Radiobiology Group, Research Center (IPOP), Portuguese Oncology Institute of Porto, Porto, Portugal.ORCID 0000-0001-6445-6443

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCircular 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.

methodsWe 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.

resultsThrough 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.

conclusionSpecific 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.

Indexed as

Conservation of Natural ResourcesHospitalsDelivery of Health CareHumansCarbon FootprintCircular EconomyHealthcare ManagementHealthcare WasteHospital Sustainability

Identifiers

PMID37579377
PMCPMC10461902

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.