Evidence map›Paper›PMID 40205607›Full record

ArticleBMC health services research2025

Environmental costs in healthcare system: the case studies of Greece health care.

Anastasios Sepetis, Fotios Rizos, Ioannis Parlavantzas, Paraskevi N Zaza, Ioannis E Nikolaou

Abstract read
In one paragraph

Article in BMC health services research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Medical waste management within the Green Hospital approach: a systematic review of direct, contextual, and transferable evidence.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2026
    Pooled it
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Anastasios SepetisPostgraduate Health and Social Care Management Program, Department of Business Administration, University of West Attica, Athens, 12244, Greece.
Fotios RizosBusiness Administration Department, University of West Attica, Egaleo, Athens, 12244, Greece.
Ioannis ParlavantzasBusiness Administration Department, University of West Attica, Egaleo, Athens, 12244, Greece.
Paraskevi N ZazaDepartment of Computer Science and Biomedical Informatics, University of Thessaly, Lamia, 35131, Greece.
Ioannis E NikolaouDepartment of Environmental Engineering, Democritus University of Thrace, Xanthi, Greece. inikol@env.duth.gr.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Climate change is considered one of the greatest threats to environmental sustainability, human health and social well-being worldwide. The healthcare sector is one of the main actors with a strong negative environmental footprint, being responsible for about 4% of global emissions, and is also considered one of the costliest sectors, with healthcare spending absorbing about 10% of global economic output. This article examines the environmental costs of the healthcare system in Greece, with a focus on public hospitals. The data analysis methodology was based on linear ordinary regression (OLS) models to calculate environmental costs related to energy consumption, waste management and water consumption. Data was collected through the Ministry of Health's platform (BI Health) and analyzed using Stata software. The main findings suggest that environmental costs are a significant part of total operating costs, particularly in university and specialist hospitals. Factors such as the number of beds, the existence of special units (e.g. ICU) and the use of natural gas have a significant impact on environmental costs. The study offers a mathematical model for predicting environmental costs, which can help hospital administrators to make decisions about sustainable practices. This model could provide an important opportunity for practical application to make targeted decisions such as investing in sustainable technologies, improving energy efficiency and enhancing waste management, leading to cost-effective and environmentally sustainable practices.

Indexed as

Delivery of Health CareHospitals, PublicClimate ChangeGreeceHumansOrganizational Case StudiesWaste ManagementEnergy consumptionEnvironmental costsGreen hospitalsHealthcare sectorSustainable healthcareWaste management

Identifiers

PMID40205607
PMCPMC11983924

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.