Evidence map›Paper›PMID 41691231›Full record

ArticleBMC health services research2026

Redesigning healthcare facilities for sustainability: green hospital transformations and new infrastructure planning.

Şeref Maden, Gökhan Kerse

Abstract read
In one paragraph

Article in BMC health services research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. Review
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

2 authors.

Şeref MadenMehmet Tanrıkulu Vocational School of Health Services, Bolu Abant Izzet Baysal University, Bolu, Türkiye. seref.maden@ibu.edu.tr.ORCID http://orcid.org/0000-0002-4946-5445
Gökhan KerseDepartment of Management Information Systems, Faculty of Economics and Administrative Sciences, Kafkas University, Kars, Türkiye.ORCID http://orcid.org/0000-0002-1565-9110

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study aims to analyze the green transformation processes of existing hospitals and the sustainable design principles of newly constructed healthcare facilities in Türkiye. Given the healthcare sector's significant environmental impacts-including high energy consumption, carbon emissions, water management challenges, and waste recycling issues-this research investigates strategies to minimize these impacts and support the transition toward sustainable healthcare systems within the national context.

methodsA qualitative research design was employed, involving in-depth interviews with 24 healthcare managers from both public and private hospitals across Türkiye. Participants were selected using criterion and maximum variation sampling techniques, supplemented by snowball sampling to identify relevant stakeholders. Data were analyzed using MAXQDA 2020 qualitative analysis software to extract key components of sustainable healthcare facilities.

resultsThe analysis revealed several critical environmental challenges facing existing hospitals in Türkiye, such as the lack of sustainable infrastructure leading to excessive energy consumption, inefficient waste management systems, suboptimal water use, and limited initiatives aimed at reducing carbon footprints. In contrast, newly designed healthcare facilities demonstrate solutions including the integration of solar panels and renewable energy systems, implementation of water recycling, adoption of green roof designs and natural ventilation, and the expansion of smart energy management technologies. Healthcare managers highlighted that the main barriers to green hospital transformation include high costs, structural limitations of existing buildings, and insufficient managerial support.

conclusionTo effectively advance green transformation in the Turkish healthcare sector, it is recommended to establish sustainable architectural standards for new hospital buildings, develop financial and managerial frameworks to incentivize the green transformation of existing facilities, and accelerate the transition to carbon-neutral healthcare systems through targeted policy and strategic initiatives. The widespread adoption of green practices in healthcare institutions is critical for environmental sustainability and public health. Efficient resource management, waste control, and environmental awareness programs are essential to align healthcare institutions in Türkiye with Sustainable Development Goals (SDGs). CLINICAL TRIAL NUMBER: Not applicable.

Indexed as

Hospital Design and ConstructionCarbon FootprintConservation of Natural ResourcesHumansInterviews as TopicQualitative ResearchSustainable DevelopmentTurkeyWaste ManagementCarbon footprint reductionGreen hospitalsHealthcare infrastructureHospital designSustainable healthcare

Identifiers

PMID41691231
PMCPMC13011303

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.