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  3. Towards sustainable healthcare in otorhinolaryngology: assessing knowledge, engagement, and opportunities for change.

Towards sustainable healthcare in otorhinolaryngology: assessing knowledge, engagement, and opportunities for change.

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DOI
10.48620/99931
Publisher DOI
10.3389/frhs.2026.1867484
PubMed ID
42539609
Abstract
Introduction
Healthcare systems contribute up to 5% of global greenhouse gas emissions, with impacts varying across medical specialties. Otorhinolaryngology (ORL) and hearing care must address their specific environmental footprint to meet emerging sustainability goals. This study assessed ORL professionals' awareness, engagement, and perceived opportunities for implementing sustainable practices.Methods
A 17-item survey was conducted from May 31 to July 25, 2024, among members of the HEARRING group, an international association of ORL experts.Results
37 responses from 26 hospitals across 16 countries were collected. While 89.2% of participants expressed interest in sustainability, only 29.7% felt confident explaining sustainable development. Key opportunities included waste reduction (70%), policy development (25%), transportation improvements (20%), and energy efficiency (15%). Major barriers were lack of collective action (59.5%), uncertainty (35.1%), and insufficient workplace support (35.1%). Hospitals commonly engaged in recycling (83.3%), waste reduction (80.6%), and energy conservation (74.3%), but green purchasing and toxic-waste reduction were limited. Awareness of Green Teams was low (30.6%), though those familiar recognized their value.Discussion
Despite strong interest, gaps in knowledge and systemic barriers persist in ORL care. Targeted education, leadership support, and adoption of Green Teams could accelerate sustainable practices and reduce environmental impact.
Date Issued
2026
Publication Type
Article
Subjects
cochlear implants
•
green teams
•
healthcare sustainability
•
hearing care
•
otorhinolaryngology (ORL)
Language(s)
en
Author(s)
Anderson, Ilona
Acharya, Aanand
Baumann, Uwe
Brown, Kevin D
Calvino, Miryam
Caversaccio, Marco  
Clinic of Ear, Nose and Throat Disorders (ENT)  
Gavilán, Javier
Ghiselli, Sara
Godey, Benoit
Hagen, Rudolf
Hagr, Abdulrahman
Heuninck, Emilie
Kameswaran, Mohan
Kurz, Anja
Lammers, Marc
Li, Yongxin
Mertens, Griet
Mlynski, Robert
O'Driscoll, Martin
Pulibalathingal, Sasidharan
Raine, Christopher H
Rajeswaran, Ranjith
Rak, Kristen
Schmutzhard, Joachim
Seebacher, Josef
Skarzynski, Piotr H
Smilsky, Kari
Sprinzl, Georg M
Staecker, Hinrich
Stöver, Timo
Strachan, David
Sugarova, Serafima
Van de Heyning, Paul
Van Rompaey, Vincent
Völter, Christiane
Youssef, Medhat
Zernotti, Mario E
Zimmerman, Kim
Kyvelidou, Christiana
Additional Credits
Clinic of Ear, Nose and Throat Disorders (ENT)  
Journal
Frontiers in Health Services
Publisher
Frontiers Media
ISSN
2813-0146
Access(Rights)
open.access
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