Addressing Climate Change in Healthcare Organizations: A PRISMA‐Based Bibliometric Review of Governance and Clinical Revolution

ABSTRACT Climate change poses a growing managerial challenge for healthcare organizations. As climate risks transcend institutional boundaries, interorganizational connectivity is essential to harmonize standards and scale effective climate action. This study maps organizational responses aligned with SDG 13. Following the PRISMA protocol, a Scopus search (2015–2025) identified 129 eligible records. Thematic synthesis was combined with author‐keyword co‐occurrence and co‐citation analysis using VOSviewer and Biblioshiny (RStudio). The field is young but rapidly expanding after 2022. The following five thematic clusters emerge: (1) governance and system framing, (2) measurement and greenhouse‐gas accounting, (3) waste and impact management, (4) clinical operations decarbonization, and (5) planetary health and quality improvement. Governance and accounting practices catalyze climate action at the point of care, with progress strongest where measurement links to procurement and accountability. Research priorities include Scope‐3 supplier engagement, cost‐carbon evidence at service level, and a shift toward more connected, collaborative, and system‐oriented healthcare governance.

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Publication Details

Journal
Business Strategy and the Environment
Published
2026-04-20
DOI
https://doi.org/10.1002/bse.70883
Primary Topic
Climate Change and Health Impacts
Type
article
Field-Weighted Citation Impact
0.00
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article

Addressing Climate Change in Healthcare Organizations: A PRISMA‐Based Bibliometric Review of Governance and Clinical Revolution

Michele Milone, Fiorella Pia Salvatore, Rosa Spinnato
Business Strategy and the Environment
Climate Change and Health Impacts
article

Addressing Climate Change in Healthcare Organizations: A PRISMA‐Based Bibliometric Review of Governance and Clinical Revolution

Michele Milone, Fiorella Pia Salvatore, Rosa Spinnato
article en

Abstract

ABSTRACT Climate change poses a growing managerial challenge for healthcare organizations. As climate risks transcend institutional boundaries, interorganizational connectivity is essential to harmonize standards and scale effective climate action. This study maps organizational responses aligned with SDG 13. Following the PRISMA protocol, a Scopus search (2015–2025) identified 129 eligible records. Thematic synthesis was combined with author‐keyword co‐occurrence and co‐citation analysis using VOSviewer and Biblioshiny (RStudio). The field is young but rapidly expanding after 2022. The following five thematic clusters emerge: (1) governance and system framing, (2) measurement and greenhouse‐gas accounting, (3) waste and impact management, (4) clinical operations decarbonization, and (5) planetary health and quality improvement. Governance and accounting practices catalyze climate action at the point of care, with progress strongest where measurement links to procurement and accountability. Research priorities include Scope‐3 supplier engagement, cost‐carbon evidence at service level, and a shift toward more connected, collaborative, and system‐oriented healthcare governance.

Business Strategy and the Environment
University of Foggia (IT)
Climate action
Openalex Percentile: Top 7%
Climate Change and Health Impacts
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