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FrancoAngeli Journals

Saggi

No. 131 (2024)

Medical devices between quality and circularity: State of the art and future opportunities

DOI
https://doi.org/10.3280/mesa2024-131oa20240
Submitted
maggio 23, 2025
Published
2025-07-03

Abstract

This article aims to investigate the status of the scientific literature on the study of quality, sustainability, and circularity of medical devices and to identify the main research topics. A bibliometric analysis of the literature was carried out to achieve this objective, and 927 papers were extracted from the Scopus database and included in the survey. The data were examined through descriptive, performance and co-occurrence analysis performed on the keywords provided by the authors in the articles. The research made it possible to identify the journals, countries, and institutions that most frequently published studies related to the phenomenon under investigation and to identify five clusters representing the topics of most significant interest to researchers.

References

  1. Aria M. & Cuccurullo C., 2017. Bibliometrix: An R-tool for comprehensive science mapping analysis. Journal of Informetrics, 11(4): 959-975. DOI: 10.1016/j.joi.2017.08.007.
  2. Baker H. K., Pandey N., Kumar S., & Haldar A. (2020). A bibliometric analysis of board diversity: Current status, development, and future research directions. Journal of Business Research, 108: 232-246. DOI: 10.1016/j.jbusres.2019.11.025.
  3. Barbieri G., Canigiani F., & Cassi L. (2003). Geografia e cambiamento globale. Le sfide del XXI secolo (pp. 1-367). UTET libreria.
  4. Bartol T., Budimir G., Dekleva-Smrekar D., Pusnik M., & Juznic P. (2014). Assessment of research fields in Scopus and Web of Science in the view of national research evaluation in Slovenia. Scientometrics, 98: 1491-1504. DOI: 10.1007/s11192-013-1148-8.
  5. Benedettini O. (2022). Green servitization in the single-use medical device industry: how device OEMs create supply chain circularity through reprocessing. Sustainability, 14(19), 12670. DOI: 10.3390/su141912670.
  6. Berry L. L. & Bendapudi N. (2007). Health care: a fertile field for service research. Journal of service research, 10(2): 111-122. DOI: 10.1177/1094670507306682.
  7. Borrelli G. et al. (2017). L’impronta ecologica dei sistemi sanitari nazionali: ridurla conviene. Altraeconomia, – in https://altreconomia.it/sostenibilita-salute/.
  8. Boone T. (2012). Creating a Culture of Sustainability. Chicago, IL, USA: UIC Medical Center.
  9. Braithwaite J., Zurynski Y., Ludlow K., Holt J., Augustsson H., & Campbell M. (2019). Towards sustainable healthcare system performance in the 21st century in high-income countries: a protocol for a systematic review of the grey literature. BMJ open, 9(1), e025892. DOI: 10.1136/bmjopen-2018-025892.
  10. Buffoli M., Capolongo S., Bottero M., Cavagliato E., Speranza S., & Volpatti L. (2013). Sustainable Healthcare: how to assess and improve healthcare structures’ sustainability. Ann Ig, 25(5): 411-8. DOI: 10.7416/ai.2013.1942.
  11. Cavalcante W. Q. D. F., Coelho A., & Bairrada C. M. (2021). Sustainability and tourism marketing: A bibliometric analysis of publications between 1997 and 2020 using vosviewer software. Sustainability, 13(9), 4987. DOI: 10.3390/su13094987.
  12. Cimprich A., Santillan-Saldivar J., Thiel C.L., Sonnemann G., Young S.B. (2019). Potential for industrial ecology to support healthcare sustainability: Scoping review of a fragmented literature and conceptual framework for future research. J. Ind. Ecol, 23: 1344-1352. DOI: 10.1111/jiec.12921.
  13. Cobo M. J., Lopez-Herrera A. G., Herrera-Viedma E., & Herrera F. (2011). An approach for detecting, quantifying, and visualizing the evolution of a research field: A practical application to the Fuzzy Sets Theory field. Journal of Informetrics, 5(1): 146-166. DOI: 10.1016/j.joi.2010.10.002.
  14. Confindustria Dispositivi Medici (2023). Il settore in numeri. – Testo disponibile al sito https://www.confindustriadm.it/il-settore-in-numeri-2023/.
  15. Donthu N., Kumar S., Mukherjee D., Pandey N., & Lim W. M. (2021). How to conduct a bibliometric analysis: An overview and guidelines. Journal of Business Research, 133: 285-296. DOI: 10.1016/j.jbusres.2021.04.070.
  16. Emich K. J., Kumar S., Lu L., Norder K., & Pandey N. (2020). Mapping 50 years of Small Group Research through small group research. Small Group Research, 51(6): 659-699. DOI: 10.1177/1046496420934541.
  17. Eiriz V., & Figueiredo J. A. (2005). Quality evaluation in health care services based on customer‐provider relationships. International journal of health care quality assurance. DOI: 10.1108/09526860510619408.
  18. Fargnoli M., Costantino F., Di Gravio G., Tronci M. (2018). Product service-systems implementation: a customized framework to enhance sustainability and customer satisfaction. J Clean Prod, 188: 387-401. DOI: 10.1016/j.jclepro.2018.03.315.
  19. Fischer M. (2014). Fit for the Future? A new approach in the debate about what makes healthcare systems really sustainable. Sustainability, 7(1): 294-312. DOI: 10.3390/su7010294.
  20. Ghadimi P., Toosi F. G., & Heavy C. (2018). A multi-agent systems approach for sustainable supplier selection and order allocation in a partnership supply chain. European Journal of Operational Research, 269(1): 286-301. DOI: 10.1016/j.ejor.2017.07.014.
  21. Guzzo D., Carvalho M.M., Balkenende R., Mascarenhas J. (2020). Circular business models in the medical device industry: paths towards sustainable healthcare. Resour Conserv Recycling, 160, 104904. DOI: 10.1016/j.resconrec.2020.104904.
  22. Health Care without Harm (2019). Health Care’s Climate Footprint. – Testo disponibile al sito https://noharm-global.org/sites/default/files/documents-files/5961/HealthCaresClimateFootprint_092319.pdf.
  23. Kane G.M., Bakker C.A., Balkenende A.R. (2018). Towards design strategies for circular medical products. Resour. Conserv. Recycl. 135: 38-47. DOI: 10.1016/j.resconrec.2017.07.030.
  24. Kumbani L. C., Chirwa E., Odland J. Ø., & Bjune G. (2012). Do Malawian women critically assess the quality of care? A qualitative study on women’s perceptions of perinatal care at a district hospital in Malawi. Reproductive health, 9(1): 1-14. DOI: 10.1186/1742-4755-9-30.
  25. Kwakye G., Pronovost P.J., Makary M.A. (2010). Commentary: A Call to Go Green in Health Care by Reprocessing Medical Equipment. Acad. Med, 85: 398-400. DOI: 10.1097/ACM.0b013e3181cd5a71.
  26. Liu X., Zhan F.B., Hong S., Niu B., Liu Y. (2012). A bibliometric study of earthquake research: 1900-2010. Scientometrics, 92(3): 747-765. DOI: 10.1007/s11192-011-0599-z.
  27. Luo F., Li R.Y.M., Crabbe M.J.C., Pu R. (2022). Economic development and construction safety research: a bibliometrics approach. Saf. Sci., 145,105519. DOI: 10.1016/j.ssci.2021.105519.
  28. Macke J. and Genari D. (2019). Systematic literature review on sustainable human resource management. Journal of Cleaner Production, 208: 806-815. DOI: 10.1016/j.jclepro.2018.10.091.
  29. MacNeill A.J., Hopf H., Khanuja A., Alizamir S., Bilec M., Eckelman M.J., Hernandez L., McGain F., Simonsen K., Thiel C. et al. (2020). Transforming the Medical Device Industry: Road Map to a Circular Economy. Health Aff, 39: 2088-2097. DOI: 10.1377/hlthaff.2020.01118.
  30. Migliavacca A. (2020). La gestione dell’aspetto socio-ambientale delle aziende: Un approccio di amministrazione razionale alla luce della crisi ambientale e sanitaria del XXI secolo. G. Giappichelli Editore.
  31. Ministero della Salute (2023). Dispositivi medici. -- Testo disponibile al sito https://www.salute.gov.it/portale/dispositiviMedici/dettaglioContenutiDispositiviMedici.jsp?lingua=italiano&id=5918&area=dispositivi-medici&menu=settoredm.
  32. Moultrie J., Sutcliffe L., Maier A. (2015). Exploratory study of the state of environmentally conscious design in the medical device industry. J. Clean. Prod, 108: 363-376. DOI: 10.1016/j.jclepro.2015.06.014.
  33. Nayeri S., Sazvar Z., & Heydari J. (2022). A global-responsive supply chain considering sustainability and resiliency: application in the medical devices industry. Socio-Economic Planning Sciences, 82, 101303. DOI: 10.1016/j.seps.2022.101303.
  34. Norris M. & Oppenheim C. (2007). Comparing alternatives to the Web of Science for coverage of the social sciences’ literature. Journal of informetrics, 1(2): 161-169. DOI: 10.1016/j.joi.2006.12.001.
  35. Ostrom A.L., Parasuraman A., Bowen D. E., Patrício L., & Voss C. A. (2015). Service research priorities in a rapidly changing context. Journal of service research, 18(2): 127-159. DOI: 10.1177/1094670515576315.
  36. Pereno A., & Eriksson D. (2020). A multi-stakeholder perspective on sustainable healthcare: From 2030 onwards. Futures, 122, 102605. DOI: 10.1016/j.futures.2020.102605.
  37. Ramos-Rodrígue A. R., & Ruíz-Navarro J. (2004). Changes in the intellectual structure of strategic management research: A bibliometric study of the Strategic Management Journal, 1980-2000. Strategic Management Journal, 25(10): 981-1004. DOI: 10.1002/smj.397.
  38. Sharifi A., Simangan D., Kaneko S. (2021). Three decades of research on climate change and peace: a bibliometrics analysis. Sustain. Sci., 16(4): 1079-1095. DOI: 10.1007/s11625-020-00853-3.
  39. Smith D.R. (2007). Historical development of the journal impact factor and its relevance for occupational health. Ind. Health, 45(6): 730-742. DOI: 10.2486/indhealth.45.730.
  40. Unger S., & Landis A. (2016). Assessing the environmental, human health, and economic impacts of reprocessed medical devices in a Phoenix hospital’s supply chain. Journal of Cleaner Production, 112: 1995-2003. DOI: 10.1016/j.jclepro.2015.07.144.
  41. United Nations (2017). United Nations – Department of Economic and Social Affairs. New York. World population ageing 2017.
  42. Van Boerdonk P.J.M., Krikke H.R., Lambrechts W. (2021). New business models in circular economy: A multiple case study into touch points creating customer values in health care. J. Clean. Prod, 282, 125375. DOI: 10.1016/j.jclepro.2020.125375.
  43. Van Leeuwen T. (2004). Descriptive versus evaluative bibliometrics. In: Handbook of Quantitative Science and Technology Research. DOI: 10.1007/1-4020-2755-9_32.
  44. Van Nunen K., Li J., Reniers G., Ponnet K. (2018). Bibliometric analysis of safety culture research. Saf. Sci., 108: 248-258. DOI: 10.1016/j.ssci.2017.08.011.
  45. Viani C., Vaccari M., Tudor T. (2016). Recovering value from used medical instruments: A case study of laryngoscopes in England and Italy. Resour. Conserv. Recycl, 111: 1-9. DOI: 10.1016/j.resconrec.2016.03.025.
  46. Wang Y., Han J.H. and Beynon-Davies P. (2019). Understanding blockchain technology for future supply chains: a systematic literature review and research agenda. Supply Chain Management: An International Journal, 24(1): 62-84. DOI: 10.1108/SCM-03-2018-0148.
  47. Walter G., Bloch S., Hunt G., Fisher K. (2003). Counting on citations: a flawed way to measure quality. Med. J. Aust., 178(6): 280-281.
  48. Warmelink H., Koivisto J., Mayer I., Vesa M. and Hamari J. (2020). Gamification of production and logistics operations: status quo and future directions. Journal of Business Research, 106: 331-340. DOI: 10.1016/j.jbusres.2018.09.011.
  49. Yang E.C.L., Khoo-Lattimore C. and Arcodia C. (2017). A systematic literature review of risk and gender research in tourism. Tourism Management, 58: 89-100. DOI: 10.1016/j.tourman.2016.10.011.
  50. Zou X., Yue W.L., & Le Vu H. (2018). Visualization and analysis of mapping knowledge domain of road safety studies. Accident Analysis & Prevention, 118: 131-145. DOI: 10.1016/j.aap.2018.06.010.

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