Redesigning Healthcare through Circular Supply Chains: A Comprehensive Review of Reusability, Safety, Sustainability, and Strategic Implementation
Sufaya Dilawar Dilawar
Paper Contents
Abstract
The healthcare sectors traditionally linear supply chain model has led to significant environmental degradation, cost inflation, and system inefficiencies. This comprehensive review synthesizes 24 studies published between 2011 and 2024 to establish a strategic framework for implementing circular supply chains (CSCs) in healthcare. Using a mixed-methods approach combining systematic literature review, material flow analysis, and case-based evaluation, the study analyzes leading circular initiatives across the UK NHS, Dutch healthcare networks, and Indian public hospitals. Findings reveal that reuse, refurbishment, and reprocessing of medical devices can reduce procurement costs by 2040% without compromising safety, provided strict sterilization protocols are followed. A five-phase implementation roadmap is proposedencompassing regulatory alignment, stakeholder engagement, infrastructure development, economic scaling, and continuous improvementsupported by real-world examples such as Kaiser Permanentes $11 million annual savings and the UK NHSs 8% carbon emission reduction. The review identifies persistent barriers including regulatory fragmentation, infrastructural deficits, and cultural resistance, while offering targeted solutions to facilitate CSC adoption globally. The proposed framework serves as a policy and operational guide for stakeholders committed to integrating sustainability into healthcare delivery.
Copyright
Copyright © 2025 Sufaya Dilawar. This is an open access article distributed under the Creative Commons Attribution License.