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Decarbonizing surgical care: a qualitative systematic review guided by the Congruence Model
Leonard Kloevekorn1, Oskar Roemeling2, Amal Fakha1
1Department of Innovation, Management & Strategy, University of Groningen, P.O. Box 800, Groningen, AV, 9700, The Netherlands.
BMC Health Services Research
|November 23, 2024
Summary
This study identifies key carbon emission sources in surgical care, like anesthetic gases and waste, using the Congruence Model. Understanding these factors helps reduce the healthcare sector's environmental impact.
Area of Science:
- Environmental Science
- Healthcare Management
- Organizational Behavior
Background:
- Healthcare is a significant carbon emitter, posing a challenge for climate change adaptation.
- Surgical care contributes substantially to the healthcare sector's carbon footprint.
- Direct carbon emissions from hospital surgical settings require focused investigation.
Purpose of the Study:
- To identify and analyze direct carbon emission sources in surgical care.
- To apply the Congruence Model for a systemic analysis of these emission sources within organizational contexts.
- To understand organizational change related to reducing carbon emissions in surgery.
Main Methods:
- A qualitative systematic literature review following PRISMA guidelines.
- Searches conducted across PubMed, Business Source Premier, and EBSCOhost databases.
- Analysis guided by the Congruence Model to interpret findings.
Main Results:
- Identified emission hotspots in surgical care: anesthetic gases, sterilization, and habitual behaviors.
- Linked emission sources to the 'Work' and 'People' domains of the Congruence Model.
- Sustainability measures, such as recycling and waste segregation, align with the 'Structure' domain.
Conclusions:
- The Congruence Model effectively categorizes surgical carbon emission sources (People, Work, Structure, Culture).
- The model facilitates exploration of (in)congruencies impacting emission reduction efforts.
- Opportunities exist to enhance carbon emission reduction within the surgical care process.
Keywords:
Carbon emissionCongruence modelGreenhouse gassesHealthcareHospitalLiterature reviewSurgerySustainabilityMore Related Videos
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