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Climate Change, Healthcare, and Surgery: An Investigation of the Technology Acceptance Dynamics Among European Surgeons

Author

Listed:
  • Francesca Dal Mas
  • Maurizio Massaro

Abstract

The relationship between climate change (CC) and healthcare is twofold. On one hand, the effects of CC impact the rise and worsening of several diseases and the need for medical and surgical interventions, especially when extreme weather events occur. On the other hand, the healthcare ecosystem contributes to increasing CC due to the high carbon footprint of its operations, especially in the operating theater. New technologies offer promising pathways for creating sound solutions to improve eco‐friendly surgical practices. However, realizing their potential depends on surgeons' willingness to adopt these innovations and on healthcare institutions' ability to integrate them into clinical routines. This study presents a survey conducted among 263 surgeons working in 18 countries in the European Union, following the technology acceptance model framework. Results reveal the relevance of the perceived usefulness and ease of use in implementing the willingness to adopt and, lastly, the effective use of new eco‐friendly surgical solutions. New paradigms on the concept of performance and the required competencies and guidelines arise, along with the role of female surgical leaders in adopting new greener surgical solutions aimed at reducing CC.

Suggested Citation

  • Francesca Dal Mas & Maurizio Massaro, 2026. "Climate Change, Healthcare, and Surgery: An Investigation of the Technology Acceptance Dynamics Among European Surgeons," Business Strategy and the Environment, Wiley Blackwell, vol. 35(3), pages 3233-3246, March.
    • Handle: RePEc:bla:bstrat:v:35:y:2026:i:3:p:3233-3246
    DOI: 10.1002/bse.70335
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    References listed on IDEAS

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    1. Dal Mas, Francesca & Massaro, Maurizio & Rippa, Pierluigi & Secundo, Giustina, 2023. "The challenges of digital transformation in healthcare: An interdisciplinary literature review, framework, and future research agenda," Technovation, Elsevier, vol. 123(C).
    2. Francesca Manes‐Rossi & Giuseppe Nicolo', 2022. "Exploring sustainable development goals reporting practices: From symbolic to substantive approaches—Evidence from the energy sector," Corporate Social Responsibility and Environmental Management, John Wiley & Sons, vol. 29(5), pages 1799-1815, September.
    3. Laxmi Pandit Vishwakarma & Rajesh Kr Singh & Ruchi Mishra & Archana Kumari, 2025. "Application of artificial intelligence for resilient and sustainable healthcare system: systematic literature review and future research directions," International Journal of Production Research, Taylor & Francis Journals, vol. 63(2), pages 822-844, January.
    4. E. Natasha Stavros & Donald McKenzie & Narasimhan Larkin, 2014. "The climate–wildfire–air quality system: interactions and feedbacks across spatial and temporal scales," Wiley Interdisciplinary Reviews: Climate Change, John Wiley & Sons, vol. 5(6), pages 719-733, November.
    5. Rosseel, Yves, 2012. "lavaan: An R Package for Structural Equation Modeling," Journal of Statistical Software, Foundation for Open Access Statistics, vol. 48(i02).
    6. Matthew J Eckelman & Jodi D Sherman & Andrea J MacNeill, 2018. "Life cycle environmental emissions and health damages from the Canadian healthcare system: An economic-environmental-epidemiological analysis," PLOS Medicine, Public Library of Science, vol. 15(7), pages 1-16, July.
    7. Raimo, Nicola & De Turi, Ivano & Albergo, Francesco & Vitolla, Filippo, 2023. "The drivers of the digital transformation in the healthcare industry: An empirical analysis in Italian hospitals," Technovation, Elsevier, vol. 121(C).
    8. Vikas Thakur & Sachin Kumar Mangla & Binita Tiwari, 2021. "Managing healthcare waste for sustainable environmental development: A hybrid decision approach," Business Strategy and the Environment, Wiley Blackwell, vol. 30(1), pages 357-373, January.
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