To address the pressing need for sustainability in healthcare and reduce plastic waste, this study assesses the environmental and economic impacts of plastic trocars in Stockholm's healthcare sector. Using life cycle assessment (LCA) and life cycle costing (LCC) across seven scenarios, the findings reveal that the Reusable-recycling scenario reduced environmental impacts—lowering the climate change potential (kg CO2-eq) by 91 %, resource use, fossil (MJ) by 62 %, and resource use, minerals, and metals (kg Sb-eq) by 64 %—compared to the current Single-use incineration scenario. Additionally, the reusable system proved to be the most cost-effective despite a higher purchase cost. This research contributes to the academic understanding of circular strategies in healthcare by providing insights into the economic and environmental performance of medical devices. The findings also inform policymakers, highlighting the need for investment in sterilization and recycling infrastructure to support reusable systems and advance sustainable healthcare practices aligned with a circular economy.

Policymakers in the EU are betting on a transition from a linear to a circular economy to ensure human activity remains within the planet's boundaries. Public procurement is vital in this context, e.g., accounting for 20% of Swedish GDP, with circular public procurement being critical to the transition. Although circular public procurement is garnering increasing interest, until now, the research focus in this area has been narrow, concentrating on, e.g., IT equipment or furniture. Plastic medical products have remained absent in the literature despite generating substantial environmental impact and offering a tremendous upside. To enable the application of circular economy strategies in this context, changes are required on two ends: the design of the products and the criteria under which the products are procured. Indicators are a central basis of any purchasing decision and are considered powerful enablers and drivers of the transition to a circular economy. This paper reviews circular economy indicators as a starting point toward guidelines for the circular design and procurement of plastic products in the healthcare sector. Thus, this review identifies critical factors for developing a comprehensive indicator for designing and procuring circular plastic medical products.

A critical shift is required to meet the challenges reflected in the sustainable development goals. Policymakers in the EU are betting on a transition from a linear to a circular economy to make this happen. Public procurement is vital in this context, e.g., accounting for 20% of Swedish GDP, with circular public procurement being critical to the transition. Until now, the research focus in this area has been narrower, concentrating on, e.g., IT equipment or furniture. However, plastic medical products have not been addressed despite generating substantial environmental impact and offering a tremendous upside. To enable the application of circular economy strategies in this context, changes are required on two ends: the design of the products and the criteria under which the products are procured. Indicators are the central basis of decision-making in any purchasing decision and are considered powerful enablers and drivers of the transition to a circular economy. This paper reviews circular indicators as a starting point toward guidelines for the circular design and procurement of plastic products in the healthcare sector. Based on this, critical factors for developing a comprehensive indicator for the design and procurement of circular plastic medical products are identified.

Food production and consumption significantly contribute to climate change. The public sector, which procures large quantities of food, has a crucial role in steering toward more sustainable food systems. More empirical studies involving practitioners are called for to understand the complexity of sustainable public food procurement. This study examines how actors interpret and implement sustainability in food procurement, as well as their influence on this process. A comprehensive analysis of multi-actor collaboration and stakeholder engagement involving interviews with key actors such as procurement officers, wholesalers, chefs, and food producers is presented. Findings highlight a consensus on the need for sustainability measures, such as purchasing local and organic products. The results showcase the potential transformation of power dynamics within the supply chain in response to modifications in procurement standards toward local produce and the overuse of product-specific criteria. However, assuming that local is invariably sustainable carries the risk of falling into the “local trap” when the consequence of procuring local varies and requires further investigation. The influence of system-level factors, including market dynamics and regulatory frameworks, plays a significant role in implementing sustainable procurement, as well as alignment and coordination in the supply chain.

Circular public procurement (CPP) is one way to increase sustainability and circularity in public spending. As previous research focuses primarily on procurement, more insight is needed on the latter stages CPP. Real-life examples of CPP implementation are also required to promote the concept to practitioners, improve governance, and add depth to the literature. This study, therefore, provides in-depth knowledge of CPP implementation and management by analyzing a case of circular furniture flows and its implications for the procuring organization. The focus on furniture is motivated by the large volumes sent to landfills every year despite its remanufacturing potential, as well as the large environmental impact for production, a potentially long lifetime, and an often-high purchasing price. The results show that strategic decisions to prioritize sustainability are necessary when resource efficiency and cost reductions do not align in a short-term perspective. A more centralized governance structure facilitates decisions on reuse, remanufacturing and disposal in an organization, e.g., coordination of products for remanufacturing, pooling products for reuse, and standardization of design choices. Follow-up and inventory systems are crucial tools for integrating previously installed products with CPP, keeping track of circular flows, and providing feedback to improve subsequent procurements. Crucial elements in the follow-up include adaptation to circularity in the economy system and accounting for the prolonged life and reuse of furniture. The study's results emphasize how an organization's prerequisites play an essential part in the implementation of CPP and that contextual solutions are needed for circular challenges. The study contributes to the fields of policy implementation, CPP, and the use of circular business models in a public context, as well as to the less explored field of procurement in a circular economy context. Suggestions for future research include studies on product categories with other environmental impact profiles, and on waste management regulations that can make or break circular systems.

Harvesting beach-cast can help mitigate marine eutrophication by closing land-marine nutrient loops and provide a blue biomass raw material for the bioeconomy. Cost–benefit analysis was applied to harvest activities during 2009–2018 on the island of Gotland in the Baltic Sea, highlighting benefits such as nutrient removal from the marine system and improved recreational opportunities as well as costs of using inputs necessary for harvest. The results indicate that the activities entailed a net gain to society, lending substance to continued funding for harvests on Gotland and assessments of upscaling of harvest activities to other areas in Sweden and elsewhere. The lessons learnt from the considerable harvest experience on Gotland should be utilized for developing concrete guidelines for carrying out sustainable harvest practice, paying due attention to local conditions but also to what can be generalized to a wider national and international context.

Innovation is often seen as essential for long-term development in the construction industry, but its actual outcomes and processes in construction projects require more attention. Many studies on procurement strategies and delivery systems have focussed on the public transport infrastructure sector, whereas most construction innovation scholars have addressed the innovation phenomenon in construction generally. Thus, the purpose of this study is to compare how two delivery systems, design-build (DB) and design-build-maintenance (DBM), influence project-level innovation. Findings are based on empirical data from a multiple case study of six infrastructure projects, three with DB contracts and three with DBM contracts, in which 12 innovations are identified, described, and compared. The findings show that various kinds of innovations in terms of outcomes and processes are implemented in infrastructure projects, and that the delivery system do effect both dimensions. Long maintenance responsibilities tend to spur contractors to engage in early exploration of sustainable solutions that could be of long-term benefit. The research contributes to procurement literature by exemplifying how delivery systems influence both the outcomes and processes of project-level innovations. It also increases our knowledge about construction innovation as a multi-dimensional phenomenon.

Public clients’ procurement strategies are central in facilitating innovation towards sustainability. In the infrastructure sector, the three main project activities—design, production, and maintenance—are traditionally not procured in an integrated way, which results in sub-optimizations and a lack of life cycle perspective. As project actors are accustomed to traditional, non-integrated forms of contract, implementing integrated contracts imposes fundamental changes to the interdependencies among actors, resources, and activities. This study analyzes the interfaces among key project actors and the related interdependencies across design, production, and maintenance in Design–Build–Maintain contracts, and initiates a discussion on how to manage these interdependencies when implementing integrated contracts. This study of circular public procurement (CPP) focused on three infrastructure projects using integrated contracting and applied the industrial network approach (INA) to analyze interdependencies in how they may influence innovation and sustainable development. The study found significant obstacles to clients obtaining the benefits of integrated contracting and concludes that understanding interdependencies is necessary to implement integrated contracts successfully. The study contributes to the construction management literature by adapting the INA to contracting, and to the CPP literature by providing empirical evidence of sustainability and circularity in infrastructure projects.

Carbon emissions emanating from infrastructure construction are substantial, and public infrastructure clients have begun to include carbon reduction goals in their procurement requirements. This is a new and complex field where practices vary and are still developing. Based on project documentation and interviews we map and analyze the design and implementation of carbon reduction requirements in projects by leading infrastructure clients in Australia, the Netherlands, Sweden, the US and the UK. Procurement requirements were influenced by concerns for tender competition, transaction costs and innovation, and further adapted to project delivery models, market maturity and client capabilities. Increasing awareness of practical and contextual constraints often led to modified strategies. This paper identifies factors that should be considered when designing carbon policies and requirements. This knowledge is important for clients and governments in order to develop more effective strategies for learning between contexts. Policies and future research should address client capabilities to drive long-term innovation.