SAĞLIK SEKTÖRÜNDE KARBON AYAK İZİ ÜZERİNE BİLİMSEL YAYINLARIN KÜRESEL EĞİLİMLERİ: WEB OF SCİENCE VERİTABANI ÜZERİNDEN BİBLİYOMETRİK BİR İNCELEME
Yıl 2025,
Cilt: 11 Sayı: 3, 210 - 225, 31.12.2025
Ramazan Erdem
,
Pınar Güneş Uçakkuş
,
Hatice Güneş
,
Ahmet Alkan
Öz
Bu çalışma, 1975–2024 yılları arasında Web of Science veri tabanında yayımlanan 108 akademik yayını bibliyometrik yöntemlerle analiz ederek, sağlık hizmetlerinde karbon ayak izi konusundaki literatürün genel yapısını haritalamayı ve gelecekte yapılacak araştırmalara yol göstermeyi amaçlamaktadır. 2024 yılının Ağustos ayında “carbon footprint” ve sağlık hizmetleri odaklı anahtar kelimeler kullanılarak yürütülen tarama sonucunda elde edilen veriler, VOSviewer yazılımı aracılığıyla atıf analizi, ortak kelime ağı ve zamansal eğilim görselleştirmeleriyle değerlendirilmiştir. Analiz bulguları, yayın sayısının 2007 yılından itibaren belirgin bir artış gösterdiğini ve 2024 yılında en yüksek seviyesine ulaştığını ortaya koymaktadır. Bu konuda, ülke bazında en fazla katkı sırasıyla Amerika Birleşik Devletleri (25 yayın), Birleşik Krallık (22) ve Avustralya (11) tarafından yapılmıştır. En üretken kurumlar arasında University of Sydney (8 yayın) ve University of London (7 yayın) öne çıkarken, Frontiers in Public Health (6 yayın) ve BMJ (5 yayın) yayınlarda en çok öne çıkan dergiler olarak belirlenmiştir. Disiplin dağılımı incelendiğinde halk sağlığı ve çevre bilimleri alanlarının (toplam 55 yayın) literatürde daha baskın olduğu görülmektedir. Atıf analizine göre, en etkili yazarlar Forbes McGain (374 atıf, 3 yayın) ve Arunima Malik’tir (374 atıf, 3 yayın). En çok atıf alan makale ise Tennison ve diğerlerinin (2021, 347 atıf) İngiltere Ulusal Sağlık Sistemi’nin (NHS) karbon ayak izini değerlendirdikleri çalışmadır. Anahtar kelime analizinde “carbon footprint” (34 tekrar, 147 bağlantı gücü), “climate change” (9 tekrar, 36 bağlantı gücü) ve “carbon emissions” (7 tekrar, 28 bağlantı gücü) temel kavramlar olarak ön plana çıkmış, pandemi sonrası dönemde “telemedicine” ve “green hospitals” gibi temaların yükselen eğilimler gösterdiği saptanmıştır. Sonuç olarak, elde edilen bulgular sağlık hizmetlerinde karbon ayak izi araştırmalarının çok disiplinli bir yapıya sahip olduğunu ortaya koymaktadır. Sağlık sektörünün iklim değişikliğine karşı direncinin artırılması için hem disiplinlerarası hem de uluslararası iş birliklerinin yapılması ve daha kapsamlı çalışmaların yürütülmesi önemli görülmektedir.
Kaynakça
-
Akhlaqi, M. Y., & Hanapi, Z. B. M. (2023). Task offloading paradigm in mobile edge computing—Current issues, adopted approaches, and future directions. Journal of Network and Computer Applications, 212, 103650. https://doi.org/10.1016/j.jnca.2023.103650
-
Bolan, S., Padhye, L. P., Jasemizad, T., Govarthanan, M., Karmegam, N., Wijesekara, H., Amarasiri, D., Hou, D., Zhou, P., Biswal, B. K., Balasubramanian, R., Wang, H., Siddique, K. H. M., Rinklebe, J., Kirkham, M. B., & Bolan, N. (2024). Impacts of climate change on the fate of contaminants through extreme weather events. Science of the Total Environment, 909, 168388. https://doi.org/10.1016/j.scitotenv.2023.168388
-
Bousema, T., Burkot, T. R., Duffy, P. E., Dyer, M., Drakeley, C., & Sauerwein, R. (2020). Reducing the carbon footprint of academic conferences: The example of the American Society of Tropical Medicine and Hygiene. American Journal of Tropical Medicine and Hygiene, 103(5), 1758–1761. https://doi.org/10.4269/ajtmh.20-1013
-
Chung, J. W., & Meltzer, D. O. (2009). Estimate of the carbon footprint of the US health care sector. JAMA, 302(18), 1970–1972. https://doi.org/10.1001/jama.2009.1610
-
Gundolf, K., & Filser, M. (2013). Management research and religion: A citation analysis. Journal of Business Ethics, 112(1), 177–185. https://doi.org/10.1007/s10551-012-1243-7
-
Hamilton, I., Kennard, H., McGushin, A., Höglund-Isaksson, L., Kiesewetter, G., Lott, M., Milner, J., Purohit, P., Rafaj, P., Sharma, R., Springmann, M., Woodcock, J., & Watts, N. (2021). The public health implications of the Paris Agreement: A modelling study. The Lancet Planetary Health, 5(2), e74–e83. https://doi.org/10.1016/S2542-5196(20)30249-7
-
Holmner, Å., Ebi, K., Lazuardi, L., & Nilsson, M. (2014). Carbon footprint of telemedicine solutions: Unexplored opportunity for reducing carbon emissions in the health sector. PLOS ONE, 9(9), e105040. https://doi.org/10.1371/journal.pone.0105040
-
Karliner, J., Slotterback, S., Boyd, R., Ashby, B., Steele, K., & Wang, J. (2020). Health care’s climate footprint: The health sector contribution and opportunities for action. European Journal of Public Health, 30(Suppl. 5), ckaa165.843. https://doi.org/10.1093/eurpub/ckaa165.843
-
Khan, S. A. R., Yu, Z., Umar, M., & Tanveer, M. (2022). The impact of carbon pricing, climate financing, and financial literacy on COVID-19 cases: Go-for-green healthcare policies. Economic Research–Ekonomska Istraživanja, 35(1), 5738–5756. https://doi.org/10.1080/1331677X.2022.2092719
-
Lau, I., Burdorf, A., Hesseling, S., Wijk, L., Tauber, M., & Hunfeld, N. (2024). The carbon footprint of a Dutch academic hospital—Using a hybrid assessment method to identify driving activities and departments. Frontiers in Public Health, 12, 1380400. https://doi.org/10.3389/fpubh.2024.1380400
-
Liu, X., Zhan, F. B., Hong, S., Niu, B., & Liu, Y. (2013). Replies to comments on “A bibliometric study of earthquake research: 1900–2010”. Scientometrics, 96(3), 933–936. https://doi.org/10.1007/s11192-013-0953-8
-
Lokmic-Tomkins, Z., Davies, S., Block, L., Cochrane, L., Dorin, A., Gerich, H., … & Peltonen, L. (2022). Assessing the carbon footprint of digital health interventions: A scoping review. Journal of the American Medical Informatics Association, 29(12), 2128–2139. https://doi.org/10.1093/jamia/ocac196
-
Malik, A., Lenzen, M., McAlister, S., & McGain, F. (2018). The carbon footprint of Australian health care. The Lancet Planetary Health, 2(1), e27–e35. https://doi.org/10.1016/S2542-5196(17)30180-8
-
McAlister, S., Barratt, A. L., Bell, K. J. L., McGain, F., & Malik, A. (2022). The carbon footprint of hospital diagnostic imaging in Australia. The Lancet Regional Health – Western Pacific, 23, 100456. https://doi.org/10.1016/j.lanwpc.2022.100456
-
Nansai, K., Fry, J., Malik, A., Takayanagi, W., Kondo, N., Kouno, R., Nakajima, K., & Kagawa, S. (2020). Carbon footprint of Japanese health care services from 2011 to 2015. Resources, Conservation and Recycling, 152, 104525. https://doi.org/10.1016/j.resconrec.2019.104525
-
Özkan, E. (2024). Intensive care unit carbon footprint: A bibliometric and document content analysis. Nursing in Critical Care, 30(1), 11–18. https://doi.org/10.1111/nicc.13142
-
Pichler, P. P., Jaccard, I. S., Weisz, U., & Weisz, H. (2019). International comparison of health care carbon footprints. Environmental Research Letters, 14(6), 064004. https://doi.org/10.1088/1748-9326/ab19e1
-
Pournader, M., Shi, Y., Seuring, S., & Koh, S. L. (2020). Blockchain applications in supply chains, transport and logistics: A systematic review of the literature. International Journal of Production Research, 58(7), 2063–2081. https://doi.org/10.1080/00207543.2019.1651946
-
Raffetti, E., Ahrne, M., Döring, S., Hagström, A., Mazzoleni, M., Messori, G., Rusca, M., & Zarantonello, L. (2024). Sustainable transformations for healthcare systems in a changing climate. Cell Reports Sustainability, 1(3), 100054. https://doi.org/10.1016/j.crsus.2024.100054
-
Rizan, C., Reed, M., & Bhutta, M. F. (2021). The carbon footprint of waste streams in a UK hospital. Journal of the Royal Society of Medicine, 114(6), 295–301. https://doi.org/10.1177/0141076821991162
-
Rodrigues, S. P., van Eck, N. J., Waltman, L., & Jansen, F. W. (2014). Mapping patient safety: A large-scale literature review using bibliometric visualization techniques. BMJ Open, 4(3), e004468. https://doi.org/10.1136/bmjopen-2013-004468
-
Strange, M., Booth, A., Akiki, M., Wieringa, S., & Shaw, S. (2023). The role of virtual consulting in developing environmentally sustainable health care: Systematic literature review. Journal of Medical Internet Research, 25, e44823. https://doi.org/10.2196/44823
-
Tennison, I., Roschnik, S., Ashby, B., Boyd, R., Hamilton, I., Oreszczyn, T., Owen, A., Romanello, M., & Eckelman, M. (2021). Health care’s response to climate change: A carbon footprint assessment of the NHS in England. The Lancet Planetary Health, 5(2), e84–e92. https://doi.org/10.1016/S2542-5196(20)30271-0
-
Wu, R., Zhang, S., Yu, Y., & Huang, C. (2019). The carbon footprint of the Chinese health-care system: An environmentally extended input–output and structural path analysis study. Resources, Conservation and Recycling, 145, 482–489. https://doi.org/10.1016/j.resconrec.2019.02.031
-
Yang, L., Chen, Z., Liu, T., Gong, Z., Yu, Y., & Wang, J. (2013). Global trends of solid waste research from 1997 to 2011 by using bibliometric analysis. Scientometrics, 96(1), 133–146. https://doi.org/10.1007/s11192-012-0911-6
GLOBAL TRENDS IN SCIENTIFIC PUBLICATIONS ON CARBON FOOTPRINT IN THE HEALTHCARE SECTOR: A BIBLIOMETRIC ANALYSIS BASED ON THE WEB OF SCIENCE DATABASE
Yıl 2025,
Cilt: 11 Sayı: 3, 210 - 225, 31.12.2025
Ramazan Erdem
,
Pınar Güneş Uçakkuş
,
Hatice Güneş
,
Ahmet Alkan
Öz
This study aims to map the general structure of the literature on carbon footprint in healthcare and guide future research by analysing 108 academic publications published in the Web of Science database between 1975 and 2024 using bibliometric methods. The data obtained from the search, conducted in August 2024 using "carbon footprint" and healthcare-focused keywords, was evaluated using VOSviewer software for citation analysis, keyword network, and temporal trend visualization. The analysis findings reveal that the number of publications has increased significantly since 2007 and reached its peak in 2024. The United States (25 publications), the United Kingdom (22), and Australia (11) made the most contributions, respectively. The University of Sydney (8 publications) and the University of London (7 publications) were among the most productive institutions, while Frontiers in Public Health (6 publications) and BMJ (5 publications) were identified as the most prominent journals in terms of publications. An examination of the disciplinary distribution reveals that the fields of public health and environmental sciences (55 publications in total) dominate the literature. According to the citation analysis, the most influential authors are Forbes McGain (374 citations, 3 publications) and Arunima Malik (374 citations, 3 publications). The most cited article is Tennison et al.'s (2021, 347 citations) study assessing the carbon footprint of the UK National Health System (NHS). Keyword analysis revealed that "carbon footprint" (34 repetitions, 147 link strength), "climate change" (9 repetitions, 36 link strength), and "carbon emissions" (7 repetitions, 28 link strength) emerged as key concepts, with themes such as "telemedicine" and "green hospitals" showing rising trends in the post-pandemic period. Consequently, the findings reveal that carbon footprint research in healthcare has a multidisciplinary structure. It is important to establish both interdisciplinary and international collaborations and conduct more comprehensive studies to increase the resilience of the health sector to climate change.
Destekleyen Kurum
The authors report no financial support.
Teşekkür
We are grateful to the TÜBİTAK (Science Fellowships and Grant Programme Directorate, 2219 Postdoctoral Research Fellowship Programme Abroad) for the support provided to Prof. Dr. Ramazan Erdem, one of the authors of the study; and to Prof. Dr. Andrew Briggs at the London School of Hygiene & Tropical Medicine for his advisory role during the research process.
Kaynakça
-
Akhlaqi, M. Y., & Hanapi, Z. B. M. (2023). Task offloading paradigm in mobile edge computing—Current issues, adopted approaches, and future directions. Journal of Network and Computer Applications, 212, 103650. https://doi.org/10.1016/j.jnca.2023.103650
-
Bolan, S., Padhye, L. P., Jasemizad, T., Govarthanan, M., Karmegam, N., Wijesekara, H., Amarasiri, D., Hou, D., Zhou, P., Biswal, B. K., Balasubramanian, R., Wang, H., Siddique, K. H. M., Rinklebe, J., Kirkham, M. B., & Bolan, N. (2024). Impacts of climate change on the fate of contaminants through extreme weather events. Science of the Total Environment, 909, 168388. https://doi.org/10.1016/j.scitotenv.2023.168388
-
Bousema, T., Burkot, T. R., Duffy, P. E., Dyer, M., Drakeley, C., & Sauerwein, R. (2020). Reducing the carbon footprint of academic conferences: The example of the American Society of Tropical Medicine and Hygiene. American Journal of Tropical Medicine and Hygiene, 103(5), 1758–1761. https://doi.org/10.4269/ajtmh.20-1013
-
Chung, J. W., & Meltzer, D. O. (2009). Estimate of the carbon footprint of the US health care sector. JAMA, 302(18), 1970–1972. https://doi.org/10.1001/jama.2009.1610
-
Gundolf, K., & Filser, M. (2013). Management research and religion: A citation analysis. Journal of Business Ethics, 112(1), 177–185. https://doi.org/10.1007/s10551-012-1243-7
-
Hamilton, I., Kennard, H., McGushin, A., Höglund-Isaksson, L., Kiesewetter, G., Lott, M., Milner, J., Purohit, P., Rafaj, P., Sharma, R., Springmann, M., Woodcock, J., & Watts, N. (2021). The public health implications of the Paris Agreement: A modelling study. The Lancet Planetary Health, 5(2), e74–e83. https://doi.org/10.1016/S2542-5196(20)30249-7
-
Holmner, Å., Ebi, K., Lazuardi, L., & Nilsson, M. (2014). Carbon footprint of telemedicine solutions: Unexplored opportunity for reducing carbon emissions in the health sector. PLOS ONE, 9(9), e105040. https://doi.org/10.1371/journal.pone.0105040
-
Karliner, J., Slotterback, S., Boyd, R., Ashby, B., Steele, K., & Wang, J. (2020). Health care’s climate footprint: The health sector contribution and opportunities for action. European Journal of Public Health, 30(Suppl. 5), ckaa165.843. https://doi.org/10.1093/eurpub/ckaa165.843
-
Khan, S. A. R., Yu, Z., Umar, M., & Tanveer, M. (2022). The impact of carbon pricing, climate financing, and financial literacy on COVID-19 cases: Go-for-green healthcare policies. Economic Research–Ekonomska Istraživanja, 35(1), 5738–5756. https://doi.org/10.1080/1331677X.2022.2092719
-
Lau, I., Burdorf, A., Hesseling, S., Wijk, L., Tauber, M., & Hunfeld, N. (2024). The carbon footprint of a Dutch academic hospital—Using a hybrid assessment method to identify driving activities and departments. Frontiers in Public Health, 12, 1380400. https://doi.org/10.3389/fpubh.2024.1380400
-
Liu, X., Zhan, F. B., Hong, S., Niu, B., & Liu, Y. (2013). Replies to comments on “A bibliometric study of earthquake research: 1900–2010”. Scientometrics, 96(3), 933–936. https://doi.org/10.1007/s11192-013-0953-8
-
Lokmic-Tomkins, Z., Davies, S., Block, L., Cochrane, L., Dorin, A., Gerich, H., … & Peltonen, L. (2022). Assessing the carbon footprint of digital health interventions: A scoping review. Journal of the American Medical Informatics Association, 29(12), 2128–2139. https://doi.org/10.1093/jamia/ocac196
-
Malik, A., Lenzen, M., McAlister, S., & McGain, F. (2018). The carbon footprint of Australian health care. The Lancet Planetary Health, 2(1), e27–e35. https://doi.org/10.1016/S2542-5196(17)30180-8
-
McAlister, S., Barratt, A. L., Bell, K. J. L., McGain, F., & Malik, A. (2022). The carbon footprint of hospital diagnostic imaging in Australia. The Lancet Regional Health – Western Pacific, 23, 100456. https://doi.org/10.1016/j.lanwpc.2022.100456
-
Nansai, K., Fry, J., Malik, A., Takayanagi, W., Kondo, N., Kouno, R., Nakajima, K., & Kagawa, S. (2020). Carbon footprint of Japanese health care services from 2011 to 2015. Resources, Conservation and Recycling, 152, 104525. https://doi.org/10.1016/j.resconrec.2019.104525
-
Özkan, E. (2024). Intensive care unit carbon footprint: A bibliometric and document content analysis. Nursing in Critical Care, 30(1), 11–18. https://doi.org/10.1111/nicc.13142
-
Pichler, P. P., Jaccard, I. S., Weisz, U., & Weisz, H. (2019). International comparison of health care carbon footprints. Environmental Research Letters, 14(6), 064004. https://doi.org/10.1088/1748-9326/ab19e1
-
Pournader, M., Shi, Y., Seuring, S., & Koh, S. L. (2020). Blockchain applications in supply chains, transport and logistics: A systematic review of the literature. International Journal of Production Research, 58(7), 2063–2081. https://doi.org/10.1080/00207543.2019.1651946
-
Raffetti, E., Ahrne, M., Döring, S., Hagström, A., Mazzoleni, M., Messori, G., Rusca, M., & Zarantonello, L. (2024). Sustainable transformations for healthcare systems in a changing climate. Cell Reports Sustainability, 1(3), 100054. https://doi.org/10.1016/j.crsus.2024.100054
-
Rizan, C., Reed, M., & Bhutta, M. F. (2021). The carbon footprint of waste streams in a UK hospital. Journal of the Royal Society of Medicine, 114(6), 295–301. https://doi.org/10.1177/0141076821991162
-
Rodrigues, S. P., van Eck, N. J., Waltman, L., & Jansen, F. W. (2014). Mapping patient safety: A large-scale literature review using bibliometric visualization techniques. BMJ Open, 4(3), e004468. https://doi.org/10.1136/bmjopen-2013-004468
-
Strange, M., Booth, A., Akiki, M., Wieringa, S., & Shaw, S. (2023). The role of virtual consulting in developing environmentally sustainable health care: Systematic literature review. Journal of Medical Internet Research, 25, e44823. https://doi.org/10.2196/44823
-
Tennison, I., Roschnik, S., Ashby, B., Boyd, R., Hamilton, I., Oreszczyn, T., Owen, A., Romanello, M., & Eckelman, M. (2021). Health care’s response to climate change: A carbon footprint assessment of the NHS in England. The Lancet Planetary Health, 5(2), e84–e92. https://doi.org/10.1016/S2542-5196(20)30271-0
-
Wu, R., Zhang, S., Yu, Y., & Huang, C. (2019). The carbon footprint of the Chinese health-care system: An environmentally extended input–output and structural path analysis study. Resources, Conservation and Recycling, 145, 482–489. https://doi.org/10.1016/j.resconrec.2019.02.031
-
Yang, L., Chen, Z., Liu, T., Gong, Z., Yu, Y., & Wang, J. (2013). Global trends of solid waste research from 1997 to 2011 by using bibliometric analysis. Scientometrics, 96(1), 133–146. https://doi.org/10.1007/s11192-012-0911-6