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Journals / Hacettepe Sağlık İdaresi Dergisi / 2026 / Cilt: 29 Sayı: 2

INSTITUTIONALIZING SUSTAINABILITY: AN ANALYSIS ON THE STRATEGIC NARRATIVES OF PRIVATE HOSPITALS

SÜRDÜRÜLEBİLİRLİĞİN KURUMSALLAŞMASI: ÖZEL HASTANELERİN STRATEJİK SÖYLEMLERİ ÜZERİNE BİR ANALİZ

İbrahim Türkmen(UŞAK ÜNİVERSİTESİ)0000-0002-1558-0736
Ramazan Rüçhan Kaya(UŞAK ÜNİVERSİTESİ)0000-0001-6520-1848
Pages
431–446
Publication Date
2026-06-22
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Hospitals need to address the three dimensions of sustainability in a more balanced and holistic way in their mission, vision and core values.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:The purpose of this research is to examine how private hospitals strategically incorporate sustainability activities into their mission, vision, and core value statements.
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Key Findings & Data:The research population consists of 52 private hospitals operating in the Aegean Region of Turkey.
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Conclusion & Impact:Hospitals need to address the three dimensions of sustainability in a more balanced and holistic way in their mission, vision and core values.
🔬Design:Araştırma Makalesi
📍Scope:Comprehensive Sample
⚙️Variables:Özel hastaneler · sürdürülebilirlik · misyon

Abstract

The purpose of this research is to examine how private hospitals strategically incorporate sustainability activities into their mission, vision, and core value statements. The research population consists of 52 private hospitals operating in the Aegean Region of Turkey. The research aimed to reach all private hospitals in the region without selecting a specific sample. The researchers content-analyzed the mission, vision, and core value statements on the hospitals' websites within the scope of the "economic, social, and environmental" dimensions of sustainability. Generally, private hospitals emphasized social sustainability the most (596), followed by economic sustainability (299), and environmental sustainability the least (24). While social sustainability is predominant in their mission statements, their vision statements emphasized economic sustainability more, and their core values emphasized environmental sustainability. Another striking finding is that private hospitals did not address environmental sustainability at all in their mission and vision statements. Consequently, while private hospitals appear to include the social, economic, and environmental dimensions of sustainability in their strategic texts, this emphasis is not balanced. Hospitals need to address the three dimensions of sustainability in a more balanced and holistic way in their mission, vision and core values.

Özet

Bu araştırmanın amacı özel hastanelerin sürdürülebilirlik faaliyetlerini stratejik düzeyde misyon, vizyon ve temel değer ifadelerinde nasıl yer verdiklerinin incelenmesidir. Araştırmanın evrenini Türkiye’nin Ege Bölgesi’nde faaliyet gösteren 52 özel hastane oluşturmaktadır. Araştırmada belirli bir örneklem seçilmeden bölgedeki tüm özel hastanelere ulaşılması hedeflenmiştir. Hastanelerin web sayfalarındaki misyon, vizyon ve temel değer ifadeleri araştırmacılar tarafından; sürdürülebilirliğin “ekonomik, sosyal ve çevre” boyutları kapsamında içerik analizine tabii tutulmuştur. Genel olarak özel hastaneler tarafından en fazla sosyal sürdürülebilirlik (596), ardından ekonomik sürdürülebilirlik (299) ve en az çevresel sürdürülebilirlik (24) vurgulanmıştır. Misyon ifadelerinde ağırlıklı olarak sosyal sürdürülebilirlik öne çıkarken, vizyon ifadelerinde daha çok ekonomik sürdürülebilirliğe, temel değerlerde ise çevresel sürdürülebilirliğe vurgu yapılmıştır. Dikkat çeken bir diğer bulgu, özel hastanelerin misyon ve vizyon ifadelerinde çevresel sürdürülebilirliği hiç ele almamış olmalarıdır. Sonuç olarak, özel hastanelerin sürdürülebilirliğin sosyal, ekonomik ve çevresel boyutlarına stratejik metinlerinde yer verdikleri görülmekle birlikte bu vurgu dengeli bir dağılım olmadığı görülmektedir. Hastanelerin sürdürülebilirliğin üç boyutunu misyon, vizyon ve temel değerlerinde daha dengeli ve bütüncül bir şekilde ele almaları gerekmektedir.

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Cite This Article

Türkmen, İ., Kaya, R. R. (2026). INSTITUTIONALIZING SUSTAINABILITY: AN ANALYSIS ON THE STRATEGIC NARRATIVES OF PRIVATE HOSPITALS. Hacettepe Sağlık İdaresi Dergisi, Cilt: 29 Sayı: 2, 431–446. https://doi.org/10.61859/hacettepesid.1806111

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References (48)

  1. Allen, K.A., Kern, M. L., Vella-Brodrick, D., & Waters, L. (2018). Understanding the priorities of Australian secondary schools through an analysis of their mission and vision statements. Educational Administration Quarterly, 54(2), 249-274. https://doi.org/10.1177/0013161X18758655.
  2. Altunışık, R., Coşkun, R., Bayraktaroğlu, S., & Yıldırım, E. (2012). Sosyal Bilimlerde Araştırma Yöntemleri. Sakarya: Sakarya Yayıncılık.
  3. Blass, A. P., Gouvêa da Costa, S. E., de Lima, E. P., & Borges, L. A. (2017). Measuring environmental performance in hospitals: A practical approach. Journal of Cleaner Production, 142(1), 279-289. https://doi.org/10.1016/j.jclepro.2016.07.213.
  4. Bobini, M., Cicchetti, A. (2025). Chasing environmental sustainability in healthcare organizations: insights from the Italian experience. BMC Health Serv Res 25, 978. https://doi.org/10.1186/s12913-025-13158-x.
  5. Borges de Oliveira, K., & de Oliveira, O. J. (2022). Making hospitals sustainable: Towards greener, fairer and more prosperous services. Sustainability, 14(15), 9730. https://doi.org/10.3390/su14159730.
  6. Bowen, S. A. (2018). Mission and vision. In R. L. Heath & W. Johansen (Eds.), The international encyclopedia of strategic communication. John Wiley & Sons. https://doi.org/10.1002/9781119010722.iesc0111.
  7. Brandão, C., Rego, G., Duarte, I., & Nunes, R. (2012). Social responsibility: A new paradigm of hospital governance? Health Care Analysis, 21(4), 390-402. https://doi.org/10.1007/s10728-012-0206-3.
  8. Campbell, A. (1989). Does your organization need a mission? Leadership & Organization Development Journal, 10(3), 3-9. https://doi.org/10.1108/EUM0000000001134.
  9. Carnero, M. C. (2015). Assessment of environmental sustainability in health care organizations. Sustainability, 7(7), 8270-8291. https://doi.org/10.3390/su7078270.
  10. Cortés-Sánchez, J. (2017). Mission and vision statements of universities worldwide: A content analysis. Documentos De Investigación, Facultad de Administración, (152), 2463-1892. https://doi.org/10.48713/10336_13807.
  11. Dolcini, M., Ferrè, F., Brambilla, A., & Capolongo, S. (2025). Integrating environmental sustainability into hospitals performance management systems: A scoping review. BMC Health Services Research, 25, 764. https://doi.org/10.1186/s12913-025-12928-x.
  12. DuFour, R., DuFour, R., & Eaker, R. (2008). Revisiting professional learning communities at work: New insights for improving schools. Bloomington: Solution Tree Press.
  13. Eckelman, M. J., & Sherman, J. (2016). Environmental impacts of the US health care system and effects on public health. PloS One, 11(6), e0157014. https://doi.org/10.1371/journal.pone.0157014.
  14. Elkington, J. (1998). Cannibals with forks: The triple bottom line of 21st century business. Gabriola Island, Stony Creek: New Society Publishers.
  15. Galvão, D. M., Cezar-Vaz, M. R., Xavier, D. M., Penha, J. G. M., & Lourenção, L. G. (2023). Hospital sustainability indicators and reduction of socio-environmental impacts: A scoping review. Revista da Escola de Enfermagem da USP, 57(9), e20220364. https://doi.org/10.1590/1980-220X-REEUSP-2022-0364en.
  16. Hall, J. K., Daneke, G. A., & Lenox, M. J. (2010). Sustainable development and entrepreneurship: Past contributions and future directions. Journal of Business Venturing, 25(5), 439-448. https://doi.org/10.1016/j.jbusvent.2010.01.002.
  17. Han, S., Jeong, Y., Lee, K., & In, J. (2024). Environmental sustainability in health care: An empirical investigation of US hospitals. Business Strategy and the Environment, 33(6), 6045-6065. https://doi.org/10.1002/bse.3790.
  18. Health Care Without Harm, & Arup. (2019). Health care's climate footprint: How the health sector contributes to the global climate crisis and opportunities for action. Health Care Without Harm. https://global.noharm.org/resources/health-care-climate-footprint-report
  19. Ibrahim, M., Ghofar, A., Purwanti, L., & Iqbal, S. (2025). Sustainability practices in hospitals: A systematic literature review and research agenda. Sage Open, 15(3), 1-20. https://doi.org/10.1177/21582440251357033.
  20. Karliner, J., Slotterback, S., Boyd, R., Ashby, B., & Steele, K. (2019). Health care’s climate footprint: How the health sector contributes to the global climate crisis and opportunities for action. Health Care Without Harm. https://noharm-global.org/sites/default/files/documents-files/5961/HealthCaresClimateFootprint_092319.pdf.
  21. Kimuli, S. N., Orobia, L., Sabi, H. M., & Tsuma, C. K. (2020). Sustainability intention: Mediator of sustainability behavioral control and sustainable entrepreneurship. World Journal of Entrepreneurship, Management and Sustainable Development, 16(2), 81-95. https://doi.org/10.1108/WJEMSD-12-2019-0096.
  22. Kopaneva, I., & Sias, P. M. (2015). Lost in translation: Employee and organizational constructions of mission and vision. Management Communication Quarterly, 29(3), 358-384. https://doi.org/10.1177/0893318915581648.
  23. Kumar, C., & Chaudhary, R. (2021). Environmental sustainability practices in hospitals of Bihar. Current Research in Environmental Sustainability, 3, 100106. https://doi.org/10.1016/j.crsust.2021.100106.
  24. Lenzen, M., Malik, A., Li, M., Fry, J., Weisz, H., Pichler, P. P.,. & Pencheon, D. (2020). The environmental footprint of health care: a global assessment. The Lancet Planetary Health, 4(7), e271-e279. https://doi.org/10.1016/S2542-5196(20)30121-2.
  25. Lopes, C. M., Scavarda, A. J., de Carvalho, M. N., Vaccaro, G., & Korzenowski, A. L. (2019). Analysis of Sustainability in Hospital Laundry: The Social, Environmental, and Economic (Cost) Risks. Resources, 8(1), 37. https://doi.org/10.3390/resources8010037.
  26. Machado, C. M., Scavarda, A., Vaccaro, G., Korzenowski, A. L., & Batista, E. (2015). Analysis of hospital’s sustainability: Economical, environmental, and social lenses. Proceedings of the 2015 Industrial and Systems Engineering Research Conference, (pp. 2361-2369). Nashville, TN, USA.
  27. McGain, F., & Naylor, C. (2014). Environmental sustainability in hospitals - a systematic review and research agenda. Journal of Health Services Research & Policy, 19(4), 245-252. https://doi.org/10.1177/1355819614534836.
  28. Neira, M., Bertollini, R., Campbell-Lendrum, D., & Heymann, D. L. (2008). The year 2008: A breakthrough year for health protection from climate change? American Journal of Preventive Medicine, 35(5), 424-425. https://doi.org/10.1016/j.amepre.2008.08.011.
  29. Punnakitikashem, P., & Hallinger, P. (2020). Bibliometric review of the knowledge base on healthcare management for sustainability, 1994–2018. Sustainability, 12(1), 205. https://doi.org/10.3390/su12010205.
  30. Qin, X., Wang, B. L., Zhao, J., Wu, P., & Liu, T. (2023). Learn from the best hospitals: A comparison of the mission, vision and values. BMC Health Services Research, 23, 792. https://doi.org/10.1186/s12913-023-09699-8.
  31. Rego, A., Araújo, B., & Serrão, D. (2016). The mission, vision and values in hospital management. Journal of Hospital Administration, 5(1), 62-72. https://doi.org/10.5430/jha.v5n1p62.
  32. Ryan-Fogarty, Y., O'Regan, B., & Moles, R. (2016). Greening healthcare: systematic implementation of environmental programmes in a university teaching hospital. Journal of Cleaner Production, 126, 248-259. https://doi.org/10.1016/j.jclepro.2016.03.079.
  33. Sağlık Bakanlığı. (2024). Sağlık İstatistikleri Yıllığı 2024 Haber Bülteni. Access Date: 01.09.2025, Access Address: https://www.saglik.gov.tr/TR-111038/haber-bulteni-2024.html.
  34. Sahamir, S. R., & Zakaria, R. (2014). Green assessment criteria for public hospital building development in Malaysia. Procedia Environmental Sciences, 20, 106-115. https://doi.org/10.1016/j.proenv.2014.03.015.
  35. Severino-González, P., Solano-Solano, J., Acuña-Moraga, O., Montoya-Cáceres, P., Romero-Argueta, J., Sarmiento-Peralta, G.,. Rebolledo-Aburto, G. (2024). Corporate social responsibility: hospital management and health administration - perception scale of students from higher education institutions. Interciencia, 49(7), 443-440.
  36. Soares, A. L., Buttigieg, S. C., Bak, B., McFadden, S., Hughes, C., McClure, P.,. Bravo, I. (2023). A review of the applicability of current green practices in healthcare facilities. International Journal of Health Policy and Management, 12, 6947. https://doi.org/10.34172/ijhpm.2023.6947.
  37. Taiwo, A. A., Lawal, F. A., & Agwu, M. E. (2016). Vision and mission in organization: Myth or heuristic device?. The International Journal of Business & Management, 4(3), 127-134.
  38. WCED. (1987). Our common future. Oxford: Oxford University Press.
  39. WHO. (2009). Healthy hospitals healthy planet healthy people: Addressing climate change in health care setting. World Health Organization. Access Date: 03.09.2025, Access address: https://www.uncclearn.org/wp-content/uploads/library/healthy_hospitals.pdf
  40. WHO. (2014). Safe management of wastes from health-care activities, second edition. Switzerland, Geneva: World Health Organization.
  41. WHO. (2020). WHO guidance for climate-resilient and environmentally sustainable health care facilities. World Health Organization. Access Date: 03.09.2025, Access address https://www.who.int/publications/i/item/9789240012226.
  42. WHO Regional Office for Europe. (2008). The tallinn charter: Health systems for health and wealth. Copenhagen: WHO Regional Office for Europe.
  43. WHO Regional Office for Europe. (2017). Environmentally sustainable health systems: A strategic document. Copenhagen, Denmark: World Health Organization.
  44. Zoboli, E., & Fracolli, L. (2006). A incorporação de valores na gestão das unidades de saúde: chave para o acolhimento. São Paulo, 30(2), 312-317.
  45. Lenzen, M., Malik, A., Li, M., Fry, J., Weisz, H., Pichler, P. P.,. & Pencheon, D. (2020). The environmental footprint of health care: a global assessment. The Lancet Planetary Health, 4(7), e271-e279. https://doi.org/10.1016/S2542-5196(20)30121-2.
  46. Severino-González, P., Solano-Solano, J., Acuña-Moraga, O., Montoya-Cáceres, P., Romero-Argueta, J., Sarmiento-Peralta, G.,. Rebolledo-Aburto, G. (2024). Corporate social responsibility: hospital management and health administration - perception scale of students from higher education institutions. Interciencia, 49(7), 443-440.
  47. Soares, A. L., Buttigieg, S. C., Bak, B., McFadden, S., Hughes, C., McClure, P.,. Bravo, I. (2023). A review of the applicability of current green practices in healthcare facilities. International Journal of Health Policy and Management, 12, 6947. https://doi.org/10.34172/ijhpm.2023.6947.
  48. Taiwo, A. A., Lawal, F. A., & Agwu, M. E. (2016). Vision and mission in organization: Myth or heuristic device?. The International Journal of Business & Management, 4(3), 127-134.