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.

Purpose: The COVID-19 crisis has brought to the forefront the importance of rural health enterprises (RHEs), the peculiarity, in these terms, of rural areas, and the impact of rurality on health entrepreneurial activities. This paper aims to undertake a literature review regarding RHEs in the EU, identify research gaps and set future research directions. Design/methodology/approach: A systematic literature review was conducted and the key aspects coded across four thematic areas – after examining 68 papers. Findings: The findings reveal that more intense research should be conducted across four area which emerged; rural health providers vs urban health providers; RHEs and rural development; RHEs and quality of life; and social RHEs. Research limitations/implications: Future research avenues were identified and suggestions for further research on RHEs were provided. Practical implications: The paper provides insights into how rural areas can attract health enterprises and how health enterprises can operate in rural areas. Originality/value: This research expands on the limited existing knowledge of RHEs and sets the foundations for further research.

This article deals with the under-researched phenomenon of rural health entrepreneurship and its major characteristics. The purpose of this study is to explicate the process of providing health services in rural areas of a developing country and their relation to SDGs. The paper is based on six semi-structured interviews conducted with Serbian health entrepreneurs in rural areas (two private practices, two policlinics, and two dental practices), a review of laws and strategies relevant to the field, and three sessions of discussions with eight experts (four authors and four additional experts). The research methodology follows an empirical, mixed-method case study research procedure. The results are presented in relation to the aspects of frugality, family orientation, and sustainability-oriented innovation. The timeline of the six case studies demonstrates the increasing importance of health entrepreneurs in rural areas due to the aging population and, therefore, increased needs for quality healthcare in these areas. The financing instruments have also become more formal and substantial in recent years, enabling the growth of healthcare businesses in rural areas. However, a major obstacle to further sustainable development remains the non-refundability of services before the state-owned, obligatory health fund, creating major social inequalities, especially in rural areas.

This study seeks to shed light on the changes currently occurring in Greece, Cyprus and Bulgaria on the energy transition process by examining the relevant consequences for power plant workers in the green energy market. The main aim of this paper is to explore the impacts of the implemented policies on the labour force of electricity generation stations and to identify learning needs for new skills and competences. Thus, it explores the possibility to achieve a just transition by employing workers from the high-carbon energy sector to the renewable energy sector. Qualitative research was carried out to explore the views and expectancies of the above-mentioned people as well as to trace the perceptions of the stakeholders of the green energy industry. A total of 30 semi-structured interviews were conducted in the previously mentioned three countries, which also investigated relevant training and upskilling programmes. The findings revealed various types of educational needs and techniques that can be applied by training providers in accordance to the power plant worker’s views as well as the disciplines and specialities of the workforce that are suitable to receive the further fit for attending such programmes. Workers in Greece and Cyprus appeared more optimistic for this possibility compared to Bulgarian workers. Green entrepreneurs were also optimistic but worried for the rate of investments in the green sector. The current findings describe the backdrop that challenges future retraining programmes with regard to achieving just transition policies for this workforce.