The effects of climate change, in combination with the recent energy crisis, have brought the energy efficiency issues of hospitals markedly to the fore. Hospitals are considered among the most energy-intensive buildings, which is why they have become a top priority for governments wishing to upgrade their energy efficiency. Given the critical nature of the work of hospitals and the model of healthcare provision (nursing cover 24 h per day, 7 days a week) it is very hard to achieve energy cuts. The international literature shows that the energy efficiency of hospitals is a complex process that requires further research. This need is covered by the present systematic literature review, which captures the existing knowledge on energy monitoring strategies, assessment, and upgrading through technology, resources-saving strategies, and the relationship between energy efficiency and the quality of the service provision, while also identifying future research considerations and the potential for supporting researchers’ work. Additionally, this study adds aggregated data to the literature, as far as the energy performance of buildings is concerned, and allows investors to have data exported from energy surveys at their disposal. At the same time, it suggests the further exploration of alternative energy technologies, based on all renewable energy sources rather than only solar power systems. This highlights the need for a comparative examination of hospitals with different climatic and socio-economic environments, to better determine what technologies effectively serve the energy needs of each region. Finally, this survey considers it necessary to connect the energy efficiency of hospital units with the awareness of the management and workforce in the saving of energy resources. Due to the fact that most studies are oriented toward the energy performance of very large-sized hospitals, it is suggested that in the future, the research lens should also be focused on the smaller private and public sectors’ health units.

The main lever for the development and promotion of rural tourism in Greece has been, and continues to be, through specific EU programmes. Rural tourism in Greece began with a long delay compared to other European countries. The development philosophy was (and still is) to increase rural incomes as a complement to agricultural and livestock production, not by degrading them. This theoretical paper presents previous research studies in rural tourism and EU development programmes and it describes how European financial tools intended for rural tourism were implemented in Greece. Furthermore, it describes the challenges faced by rural people involved in the development of rural tourism in seeking European funding through a multi-layer approach on the obstacles in the EU funds absorption capacity. The analysis shows that the legislation, design of the programmes, processes from local governments, bureaucracy and malpractices create constraints in the absorption of EU funds and the results in the rural tourism development are not the expected ones. It concludes that there is a need for reforms in the national institutional framework and structures along with a different philosophy in approaching the EU funding initiatives in rural areas.

In response to the increasing demand for environmentally friendly products and the parallel rise of deceptive green marketing practices, this study examines the impact of greenwashing awareness and green perceived benefits on consumers’ propensity to purchase green products, with a focus on the mediating role of green consumer confusion. Drawing upon data collected from 300 consumers in Greece through an online questionnaire, this study employed validated measurement scales and used multiple regression analyses to test its hypotheses. The findings reveal that both greenwashing awareness and green perceived benefits positively influence green purchase propensity. Additionally, green consumer confusion mediates the relationship between greenwashing awareness and green purchase propensity, indicating that the awareness of greenwashing reduces confusion and enhances consumers’ likelihood to choose genuinely green products. This study contributes to the literature by offering an integrated model that connects greenwashing awareness, green consumer confusion, and green perceived benefits in shaping green purchase propensity. Finally, the findings offer valuable insights for organizations to design clearer, more trustworthy green marketing strategies that minimize consumer confusion and foster informed green purchasing decisions.

Purpose: This paper aims to examine whether private healthcare entrepreneurship can flourish and overcome obstacles in cases of a free-access public health system and periods of strict public policies, such as the COVID-19 pandemic. Moreover, the paper aims to illuminate the wider social role of private healthcare entrepreneurship during the COVID-19 pandemic.Design/methodology/approach: This paper adopts a qualitative methodological strategy through 12 in-depth semi-structured interviews with the owners of diagnostic centres located in small Greek towns.Findings: Private healthcare entrepreneurship flourished and played a significantly positive social role in the context of a degraded public health sector, which lacked investments for more than ten years and was further depleted by its recent focus on COVID-19 incidents. This paper reveals that although public policies that aimed to deal with COVID-19 produced serious consequences, business activity adapted to the new circumstances.Research limitations/implications: Future research can combine the findings of this paper with the views of stakeholders, policymakers and social actors.Originality/value: This paper's value lies in its efforts to expand our current knowledge regarding the impact of COVID-19 public policies on entrepreneurship.

In the field of healthcare innovation, Greece ranks 26th in FREOPP’s World Index of Healthcare Innovation (WIHI) 2021 analysis. Such a standing illustrates low performance in the dimensions of quality, science and technology and fiscal sustainability. This article seeks to shed light on this backwardness and examine the obstacles and weaknesses in the development of innovative projects by Greek health entrepreneurs. Furthermore, this research aims to trace entrepreneurs’ views on innovation issues and assess the existence of innovative plans from four perspectives: at the level of service to citizens, in the functionality of health business structures, at the level of facilities and technology, and in a clinical setting. Qualitative research was conducted with the entrepreneurs of 12 health companies in the form of semi-structured interviews. This study has shown that healthcare entrepreneurs do not reject the development of innovative projects and that those who have implemented innovative practices have had positive results; however, various obstacles negatively impact the implementation of innovative ideas. A primary research contribution will capture the factors that negatively affect the development of innovative projects and represent a crucial element for Greece to remove barriers and improve its performance on innovation issues. The results of the research will provide support for not only innovation decision-making centres but also other health entrepreneurs.

The public policies implemented in order to contain the spread of COVID-19 in the community have created issues both in the internal and the external environments of the Greek rural healthcare enterprises. This study aimed to investigate the full extent of the issues (internal and external) caused by the public policies. Regarding the external factors, we examined the state, the local authorities, the financial institutions, the social stakeholders and the citizens. Regarding the internal factors, we focused on turnover, liquidity, working conditions, internal changes related to patient care and the implementation of protective measures. A qualitative research was conducted among twelve rural healthcare business owners in the form of semi-structured interviews. The research was conducted in the fall of 2020 during the second phase of COVID-19. The research showed that these enterprises were severely impacted by the government’s public policies. Local authorities were not involved due to lack of competence. The business owners were unwilling to support their enterprises via bank lending. During the first phase of COVID-19, citizens postponed nonessential medical examinations, causing a reduction in these enterprises’ turnover. As a result, in the following periods, these enterprises faced liquidity problems. However, they developed social objectives and implemented protective measures for their employees and patients. The present study contributes to the mapping of the factors affecting the internal and external environments of rural healthcare enterprises along with the public policies developed in times of prolonged crisis. These kinds of data are crucial to the business world and government officials voting on social policies. One cannot rule out the possibility of a new financial or health crisis; the findings of this study can prove to be a useful tool in the process of decision making.