Lost in Green Transformation; Comment on “A Review of the Applicability of Current Green Practices in Healthcare Facilities”

Articles in Press

Document Type : Commentary

Authors

1 Independent Researcher, Münster, Germany

2 Center for Hospital Management, University of Münster, Münster, Germany

3 Center for Health Care Management and Regulation, HHL Leipzig Graduate School of Management, Leipzig, Germany

4 Kerckhoff Clinic, Heart-Lung Center, Bad Nauheim, Teaching Hospital of the University Clinic Gießen-Marburg, Gießen, Germany

Abstract

This commentary refers to the scoping review “A Review of the Applicability of Current Green Practices in Healthcare Facilities” by Soares et al and intents to bring in additional aspects influencing the green transformation in healthcare and to propose concrete means that could be helpful to move forward towards carbon footprint reduction as well as resource saving. The authors aim to help to identify how circular economy (CE) can be implemented in current hospitals. Following up on this, we would like to enrichen the discussion by three thematic areas we pose as questions: (1) Is the green transformation a prominent part of the strategic agenda of hospital? (2) What impact on the green transformation is caused by legal interventions? (3) Which concrete means help to achieve carbon footprint reduction, resource saving and have a self-financing capability? Our comment is based on practical experience with green pilot projects in German hospitals.

Keywords

References

  1. Soares AL, Buttigieg SC, Bak B, et al. A review of the applicability of current green practices in healthcare facilities. Int J Health Policy Manag. 2023;12:6947. doi:34172/ijhpm.2023.6947
  2. Abfallmanager Medizin. https://www.abfallmanager-medizin.de/zahl-des-monats/ein-krankenhaus-verbraucht-pro-bett-bis-zu-500-liter-wasser-am-tag/. Assessed April 27, 2025.
  3. Hartmann Science Center. CO2-Emissionen im Gesundheitssystem. https://www.hartmann-science-center.com/de-de/news-und-themen/sustainability/co2emissions. Accessed April 26, 2025.
  4. von Eiff W, Lorenz O. Monitoring Einkauf und Logistik im Krankenhaus (Monitoring of purchasing and logistics in hospitals). Lieferkettenmanagement im Spagat zwischen Resilienz und Wirtschaftlichkeit in Krisenzeiten (Supply chain management in the balancing act between resilience and cost-effectiveness in times of crisis). Berlin: Wegweiser; 2023.
  5. Kurz C. Krankenhäuser. Ein Drittel in den roten Zahlen (German). Deutsches Ärzteblatt. 2023;120(25:A1105-A1106.
  6. Gerhart M: Medizinprodukte der Klasse 1. Johner Institute GmbH; 2025. https://www.johner-institut.de/blog/regulatory-affairs/medizinprodukte-der-klasse-1/. Assessed October 10, 2025.
  7. Bundesverband Medizintechnologie (BVMed). Regulatorik Zahlen und Fakten zur MDR. https://www.bvmed.de/themen/regulatorik-mdr/zahlen-und-fakten-zur-mdr. Assessed October 11, 2025.
  8. Unwin B, Duchateau J. Remanufacturing Single-Use Medical Devices: Views from England, France and Beyond. https://hospitalhealthcare.com/in-depth/sustainability/remanufacturing-single-use-medical-devices-views-from-england-france-and-beyond/. Assessed April 27, 2025.
  9. Schulte A, Maga D, Thonemann N. Combining life cycle assessment and circularity assessment to analyze environmental impacts of the medical remanufacturing of electrophysiology catheters. Sustainability. 2021;13(2):898. doi:3390/su13020898
  10. Ditac G, Cottinet PJ, Quyen Le M, et al. Carbon footprint of atrial fibrillation catheter ablation. Europace. 2023;25(2):331-340. doi:1093/europace/euac160
  11. von Eiff W. Whitepaper medical re-manufacturing. In: Das Krankenhaus; 2024:996-1002.
  12. Ruhaltinger J. Nachhaltigkeit und Sicherheit im OP. Mehrwegtextilien im klinischen Einsatz (Sustainability and safety in the operating room. Reusable textiles in clinical use). In: ÖKZ Das österreichische Gesundheitswesen (ÖKZ The Austrian Healthcare System). Sonderpublikation; 2023:2-8. https://www.gesundheitswirtschaft.at/app/uploads/2023/05/OeKZ_Sonderpublikation2023_Salesianer.pdf. Assessed October 20, 2025.
  13. von Eiff W. Klinische Textilien im OP: Einweg oder Mehrweg? (German). Health und Care Management. 2015;6(3):60-63.
  14. Shah S, Morris H, Thiagarajah S, et al. Handling 'carbon footprint' in orthopaedics. Ann R Coll Surg Engl. 2024;106(6):498-503. doi:1308/rcsann.2023.0052
  15. Totty JP, Moss JWE, Barker E, et al. The impact of surgical site infection on hospitalisation, treatment costs, and health-related quality of life after vascular surgery. Int Wound J. 2021;18(3):261-268. doi:1111/iwj.13526
  16. Popp W. Kosten von Krankenhausinfektionen. Hycomed website. https://www.hykomed.de/wp-content/uploads/2018/02/Kosten_26-02-2018.pdf. Accessed April 27, 2025.
  17. Keller RL, Muir K, Roth F, Jattke M, Stucki M. From bandages to buildings: identifying the environmental hotspots of hospitals. J Clean Prod. 2021;319:128479. doi:1016/j.jclepro.2021.128479
  18. Reinhardt G, Gärtner S, Wagner T. Ökologische Fußabdrücke von Lebensmitteln und Gerichten in Deutschland. Heidelberg: Institute for Energy and Environmental Research; 2020. https://www.ifeu.de/fileadmin/uploads/Reinhardt-Gaertner-Wagner-2020-Oekologische-Fu%C3%9Fabdruecke-von-Lebensmitteln-und-Gerichten-in-Deutschland-ifeu-2020.pdf. Assessed October 7, 2025.
  19. Deutsches Krankenhaus Institut und Techniker Krankenkasse. Klinikreport Nachhaltigkeit. Schwerpunkt Speisereste. 2025. https://www.dki.de/forschungsprojekt/klinikreport-nachhaltigkeit-impuls-kompakt. Assessed October 6, 2025.
  20. KMA Whitepaper. Nachhaltig wirtschaften bei der Speisenversorgung im Krankenhaus. Berlin: Georg Thieme Verlag KG; 2021. https://www.kma-online.de/mediathek/whitepaper/detail/nachhaltig-wirtschaften-bei-der-speisenversorgung-im-krankenhaus-6.
  21. von Eiff W, Lorenz O. Monitoring Einkauf und Logistik im Krankenhaus. Lieferkettenmanagement im Spagat zwischen Resilienz und Wirtschaftlichkeit in Krisenzeiten (Supply chain management in the balancing act between resilience and cost-effectiveness in times of crisis). Berlin: Wegweiser; 2023.
  22. McAlister S, McGain F, Petersen M, et al. The carbon footprint of hospital diagnostic imaging in Australia. Lancet Reg Health West Pac. 2022;24:100459. doi:1016/j.lanwpc.2022.100459
International Journal of Health Policy and Management

Articles in Press, Corrected Proof
Available Online from 17 November 2025

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History

  • Received Date: 17 May 2025
  • Revised Date: 20 October 2025
  • Accepted Date: 26 October 2025
  • First Published Date: 17 November 2025
  • Published Date: 17 November 2025

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