Matching reuse models to hospitals
Reframing value-chains for reusable medical products
DOI:
https://doi.org/10.54337/plate2025-10285Keywords:
Reuse in healthcare; Medical products; Value-chain; Reprocessing; Circular economy., Reuse in healtcare, Medical products, Value-chain, Reprocessing, Circular economyAbstract
In the transition towards a circular economy, also critical sectors such as the healthcare sector need to be reviewed. A large portion of hospital waste consists of low-value, disposable consumables. Currently, the circular design strategies of reuse, maintenance, and repair in healthcare are predominantly applied to high-value products. This study proposes four reuse value-chain models specifically for small, low-cost medical consumables. Reuse models are distinguished on reprocessing location (internal or external) and product usage (shared or personal). Business model evaluation and value propositioning are used to gain understanding of the models and a co-creation session with a MedTech company verified these understandings. Our research sought to support manufacturers of reusable medical products by addressing the importance of the fit between the reuse model and the hospital’s context (location, infrastructure, staffing, organisational structure, product volume and type). These context features, as well as the hospital’s interest in reusable products should be documented in the tendering documents of the purchasing process. Internal reprocessing makes the hospital more self-sufficient but requires additional staffing for reprocessing and quality control. External reprocessing decreases the hospital’s workload, but requires the involvement of additional service partners. For all reuse models, continuous communication and collaboration (feedback, training and guidance) between the hospital and value-chain partners are vital.
References
Bressanelli, G., Perona, M., & Saccani, N. (2019). Challenges in supply chain redesign for the Circular Economy: a literature review and a multiple case study. International Journal of Production Research, 57(23), 7395–7422. https://doi.org/10.1080/00207543.2018.1542176
Chauvet, P., Enguix, A., Sautou, V., & Slim, K. (2024). A systematic review comparing the safety, cost and carbon footprint of disposable and reusable laparoscopic devices. Journal of Visceral Surgery, 161(2), 25–31. https://doi.org/10.1016/J.JVISCSURG.2023.10.006
Departement Zorg. (2024). Green deal: Duurzame zorg. https://www.vlaanderen.be/green-deal-duurzame-zorg
Drew, J., Christie, S. D., Rainham, D., & Rizan, C. (2022). HealthcareLCA: an open-access living database of health-care environmental impact assessments. Lancet Planet Health, 6, 1000–1012. www.thelancet.com/
Ellen MacArthur Foundation. (2015). Towards a Circular Economy: Business Rationale for an Accelerated Transition. https://www.ellenmacarthurfoundation.org/assets/downloads/TCE_Ellen-MacArthur-Foundation_9-Dec-2015.pdf
European Commission. (2010). Verslag van de Commissie aan het Europees Parlement en de Raad Verslag over het hergebruik van medische hulpmiddelen in de Europese Unie, overeenkomstig artikel 12 bis van Richtlijn 93/42/EEG. https://www.eumonitor.eu/9353000/1/j9vvik7m1c3gyxp/vj6ipmrzob48
European Commission. (2024). 2050 long-term strategy. https://climate.ec.europa.eu/eu-action/climate-strategies-targets/2050-long-term-strategy_en
European Union. (2017, April 5). Regulation (EU) 2017/745 of the European Parliament and of the Council of 5 April 2017 on medical devices (MDR). https://eur-lex.europa.eu/legal-content/EN/TXT/?uri=CELEX%3A02017R0745-20240709
Guzzo, D., Carvalho, M. M., Balkenende, R., & Mascarenhas, J. (2020). Circular business models in the medical device industry: paths towards sustainable healthcare. Resources, Conservation and Recycling, 160, 104904. https://doi.org/10.1016/J.RESCONREC.2020.104904
Hoveling, T., Svindland Nijdam, A., Monincx, M., Faludi, J., & Bakker, C. (2024). Circular economy for medical devices: Barriers, opportunities and best practices from a design perspective. Resources, Conservation and Recycling, 208, 107719. https://doi.org/10.1016/J.RESCONREC.2024.107719
Janik-Karpinska, E., Brancaleoni, R., Niemcewicz, M., Wojtas, W., Foco, M., Podogrocki, M., & Bijak, M. (2023). Healthcare Waste—A Serious Problem for Global Health. Healthcare, 11(2), 242. https://doi.org/10.3390/HEALTHCARE11020242
Jones, P., & Van Ael, K. (2022). Design Journeys though Complex Systems: Practice Tools for Systemic Design. BIS Publishers. https://www.systemicdesigntoolkit.org/book
Kane, G. M., Bakker, C. A., & Balkenende, A. R. (2018). Towards design strategies for circular medical products. Resources, Conservation and Recycling, 135, 38–47. https://doi.org/10.1016/J.RESCONREC.2017.07.030
Keil, M., Viere, T., Helms, K., & Rogowski, W. (2023). The impact of switching from single-use to reusable healthcare products: a transparency checklist and systematic review of life-cycle assessments. The European Journal of Public Health, 33(1), 56.https://doi.org/10.1093/EURPUB/CKAC174
López-Medina, I. M., Álvarez-García, C., Parra-Anguita, L., Sanz-Martos, S., & Álvarez-Nieto, C. (2022). Perceptions and concerns about sustainable healthcare of nursing students trained in sustainability and health: A cohort study. Nurse Education in Practice, 65, 103489. https://doi.org/10.1016/J.NEPR.2022.103489
Macneill, A. J., Hopf, H., Khanuja, A., Alizamir, S., Bilec, M., Eckelman, M. J., Hernandez, L., McGain, F., Simonsen, K., Thiel, C., Young, S., Lagasse, R., & Sherman, J. D. (2020). Transforming the medical device industry: Road map to a circular economy. Health Affairs, 39(12), 2088–2097. Doi. 10.1377/hlthaff.2020.01118
Mahmoudi, M., & Parviziomran, I. (2020). Reusable packaging in supply chains: A review of environmental and economic impacts, logistics system designs, and operations management. In International Journal of Production Economics (Vol. 228). Elsevier B.V. https://doi.org/10.1016/j.ijpe.2020.107730
Opstal, W. Van, & Borms, L. (2023). Work Integration Ambitions of Startups in the Circular Economy. Social Science Research Network. https://doi.org/10.2139/SSRN.4253705
Osterwalder, A., & Pigneur, Y. (2010). Business Model Generation (T. Clark, Ed.; 1ste ed.). Jhon Wiley & Sons Inc.
Ramos, T., Christensen, T. B., Oturai, N., & Syberg, K. (2023). Reducing plastic in the operating theatre: Towards a more circular economy for medical products and packaging. Journal of Cleaner Production, 383, 135379. https://doi.org/10.1016/J.JCLEPRO.2022.135379
Sattari, S., Wessman, A., & Borders, L. (2020). Business model innovation for sustainability: An investigation of consumers’ willingness to adopt product-service systems. Journal of Global Scholars of Marketing Science: Bridging Asia and the World, 30(3), 274–290. https://doi.org/10.1080/21639159.2020.1766369
Scholtysik, M., Rohde, M., Koldewey, C., & Dumitrescu, R. (2023). Designing Business Models for a Citcular Economy. Proceedings of the Design Society, 3, 1347–1356. https://doi.org/10.1017/PDS.2023.135
Switchrs. (2019). Circular Design Map . https://switchrs.com/tools/circular-design-map/
Tukker, A. (2015). Product services for a resource-efficient and circular economy – a review. Journal of Cleaner Production, 97, 76–91. https://doi.org/10.1016/J.JCLEPRO.2013.11.049
Vozzola, E., Overcash, M., & Griffing, E. (2018). Environmental considerations in the selection of isolation gowns: A life cycle assessment of reusable and disposable alternatives. American Journal of Infection Control, 46(8), 881–886. https://doi.org/10.1016/J.AJIC.2018.02.002
Yap, A., Wang, K., Chen, E., Melhado, C., Ahmad, T., O’Sullivan, P., & Gandhi, S. (2023). A mixed-methods study on end-user perceptions of transitioning to reusable surgical gowns. Surgery Open Science, 11, 33–39. https://doi.org/10.1016/J.SOPEN.2022.10.003