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Background The implementation of decarbonisation actions in general practice is increasingly recognised as a critical step toward reducing the carbon footprint of healthcare. However, the existing literature on this topic remains fragmented.
Aim The aim of this systematic review and narrative synthesis was to summarise the existing literature on the implementation of decarbonisation actions in general practice.
Method This review was reported in accordance with the PRISMA framework. It uses a mixed-methods design and was performed in MEDLINE, Embase, CINAHL, Web of Science, and ProQuest (grey literature). Two reviewers independently extracted data and assessed the quality of the studies using a mixed methods appraisal tool. A narrative synthesis approach was used to analyse the findings.
Results A total of 15 studies were included in the review. General practices are adopting a variety of decarbonisation actions, such as resource reuse, improved waste management, energy efficient systems, and preventive care to mitigate over medication. Successful implementation appears to rely heavily on strong leadership and institutional support. However, barriers such as high costs, resource constraints, and limited awareness among GPs and patients underscore the need for improved communication, education, and structured promotion of initiatives like Green Social Prescribing to improve patient and community engagement.
Conclusion The evidence regarding the implementation of decarbonisation actions in general practise is limited. Several factors influence the extent of implementation, and addressing these challenges will be crucial for effectively promoting and scaling these actions in the healthcare sector.
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British Journal of General Practice
