Journals / Journal of International Health Sciences and Management / 2026 / Volume: 12

Sustainability communication among accredited hospitals in Türkiye: A website-based ESG content analysis

Türkiye'deki Akredite Hastanelerde Sürdürülebilirlik İletişimi: Web Sitesi Tabanlı ESG İçerik Analizi

Yonca Özatkan(ANKARA ÜNİVERSİTESİ, SAĞLIK HİZMETLERİ YÜKSEKOKULU)0000-0002-1388-1148
Pages
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Publication Date
2026-08-27
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AI Summary & Key Takeaways

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

Environmental topics were less visible overall, and sustainable procurement, transport, food systems, climate change, and carbon-related practices were rarely communicated.

📌 3 Key Takeaways

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Objective & Hypothesis:Sustainability has become an important healthcare management issue because it is closely related to quality, organizational accountability, efficient resource use, and the long-term continuity of healthcare services.
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Key Findings & Data:This study aimed to identify sustainability-related themes presented on the official websites of accredited hospitals in Türkiye and to assess the extent to which these themes reflect integrated institutional communication.
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Conclusion & Impact:Environmental topics were less visible overall, and sustainable procurement, transport, food systems, climate change, and carbon-related practices were rarely communicated.
🔬Design:Review & Systematic Survey
📍Scope:2026 Verileri
⚙️Variables:accreditation · content analysis · hospitals

Abstract

Sustainability has become an important healthcare management issue because it is closely related to quality, organizational accountability, efficient resource use, and the long-term continuity of healthcare services. However, little is known about how accredited hospitals communicate sustainability to stakeholders. This study aimed to identify sustainability-related themes presented on the official websites of accredited hospitals in Türkiye and to assess the extent to which these themes reflect integrated institutional communication. A descriptive cross-sectional website content analysis was conducted. The official websites of 56 accredited hospitals, including 39 accredited by Joint Commission International and 17 accredited by the Turkish Healthcare Quality and Accreditation Institute, were systematically reviewed between 1 and 20 April 2026. Publicly available content was coded using predefined environmental, social, and governance indicators. Sustainability communication was most visible in the social dimension, particularly in relation to patients, employees, health and safety, and stakeholder engagement. Governance-related communication was strongest for accreditation and certification, whereas information on organizational structures was less consistent. Environmental topics were less visible overall, and sustainable procurement, transport, food systems, climate change, and carbon-related practices were rarely communicated. Differences between accreditation groups were observed for selected indicators, but these findings reflect variations in public disclosure rather than institutional performance. Overall, sustainability communication remained uneven and largely operational rather than strategically integrated. The study provides a national reference point for understanding how accredited hospitals position sustainability within quality, governance, and accreditation.

Özet

Sürdürülebilirlik; hizmet kalitesi, kurumsal hesap verebilirlik, kaynakların etkin kullanımı ve sağlık hizmetlerinin uzun vadeli devamlılığı ile yakından ilişkili olması nedeniyle sağlık yönetiminin önemli gündemlerinden biri hâline gelmiştir. Buna karşın, akredite hastanelerin sürdürülebilirliği paydaşlarına nasıl aktardığına ilişkin bilgi sınırlıdır. Bu çalışmada, Türkiye’deki akredite hastanelerin resmî web sitelerinde yer alan sürdürülebilirlik temalarının belirlenmesi ve bu temaların kurumsal iletişime ne ölçüde bütüncül biçimde yansıtıldığının değerlendirilmesi amaçlanmıştır. Tanımlayıcı ve kesitsel nitelikteki web sitesi içerik analizinde, Joint Commission International tarafından akredite edilen 39 ve Türkiye Sağlık Hizmetleri Kalite ve Akreditasyon Enstitüsü tarafından akredite edilen 17 hastane olmak üzere toplam 56 hastanenin resmî web sitesi 1–20 Nisan 2026 tarihleri arasında sistematik olarak incelenmiştir. Kamuya açık içerikler, önceden belirlenen çevresel, sosyal ve yönetişim göstergelerine göre kodlanmıştır. Sürdürülebilirlik iletişiminde en görünür alanın sosyal boyut olduğu; hasta ve çalışanlara yönelik uygulamalar, sağlık ve güvenlik ile paydaş katılımının öne çıktığı belirlenmiştir. Yönetişim boyutunda akreditasyon ve belgelendirmeye ilişkin içerikler yaygın olmakla birlikte, kurumsal yapılanmaya ilişkin bilgiler daha sınırlı ve değişken bulunmuştur. Çevresel konuların genel olarak daha az görünür olduğu; sürdürülebilir satın alma, ulaşım, gıda sistemleri, iklim değişikliği ve karbonla ilişkili uygulamaların nadiren paylaşıldığı görülmüştür. Akreditasyon grupları arasında bazı göstergeler açısından farklılıklar bulunmakla birlikte, bu sonuçlar kurumsal performanstan çok kamusal açıklama farklılıklarını yansıtmaktadır. Genel olarak sürdürülebilirlik iletişiminin dengeli olmadığı ve stratejik bütünleşmeden çok operasyonel düzeyde kaldığı değerlendirilmiştir. Çalışma, akredite hastanelerin sürdürülebilirliği kalite, yönetişim ve akreditasyon çerçevesinde nasıl konumlandırdığını ortaya koyan ulusal bir başvuru noktası sunmaktadır.

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Cite This Article

Özatkan, Y., Tekin, P. Ş. (2026). Sustainability communication among accredited hospitals in Türkiye: A website-based ESG content analysis. Journal of International Health Sciences and Management, Volume: 12. https://doi.org/10.48121/jihsam.2004499

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References (39)

  1. Abuzeinab, A., Muhammad, A. H., Awuzie, B., Letten, K. and Zairi, A. (2025). Sustainability communication: A content analysis of websites of higher education institutions in the UK. International Journal of Sustainability in Higher Education, 26(7), 1533–1550. doi:10.1108/IJSHE-04-2023-0140
  2. Aldoğan, E. U. and Özler, G. (2021). Content analysis of hospital websites: Sample of Ankara province. Third Sector Social Economic Review, 56(3), 1614–1627. doi:10.15659/3.sektor-sosyal-ekonomi.21.08.1638
  3. Alpert, J. M. (2022). Content analysis. In E. Y. Ho, C. L. Bylund, J. C. M. van Weert, I. Basnyat, N. Bol and M. Dean (Eds.), The international encyclopedia of health communication. Hoboken, NJ: Wiley Blackwell. doi:10.1002/9781119678816
  4. Bauer, P., Greiling, D., Celik, H. and Kienast, L. (2026). Toward sustainable healthcare: Examining ESG-readiness in Austrian regional state-owned hospitals. Sustainable Development. Advance online publication. doi:10.1002/sd.70656
  5. Bradley, E. H., Curry, L. A. and Devers, K. J. (2007). Qualitative data analysis for health services research: Developing taxonomy, themes, and theory. Health Services Research, 42(4), 1758–1772. doi:10.1111/j.1475-6773.2006.00684.x
  6. Brandão, D., Gomes, F., Pal, K., Bezerra, G., Nascimento, T. and Delfino, C. (2026). Green energy innovation of environmental remediation and safety health care. In Nanotechtonics: Design, synthesis, and applications (pp. 323–346). Cham, Switzerland: Springer. ISBN 978-981-95-4216-1 (eBook). doi:10.1007/978-981-95-4216-1
  7. Cowie, J., Nicoll, A., Dimova, E. D., Campbell, P. and Duncan, E. A. (2020). The barriers and facilitators influencing the sustainability of hospital-based interventions: A systematic review. BMC Health Services Research, 20(1), 588. doi:10.1186/s12913-020-05434-9
  8. Demir, B. and Avcı, K. (2026). Structural, normative and clinical positioning of healthcare quality management systems: A comparative analysis of ISO, EFQM, JCI, and TÜSKA. Journal of Basic and Clinical Health Sciences, 10(2), 264–275. doi:10.30621/jbachs.1906980
  9. Demirci, K. (2022). Sürdürülebilirlik iletişimi ve sürdürülebilirlik kavramı: Türkiye bankacılık sektörü web sitesi ve sürdürülebilirlik raporları örneğinde bir analiz. Türkiye İletişim Araştırmaları Dergisi, Özel Sayı, e5–e22. doi:10.17829/turcom.1017774
  10. Dharmagunawardene, D., Bowman, P., Avery, M., Greenfield, D. and Hinchcliff, R. (2025). Factors influencing the establishment of hospital accreditation programs in low- and middle-income countries: A scoping review. Health Policy and Planning, 40(4), 496–517. doi:10.1093/heapol/czaf011
  11. Dowling, M. (2023). Aligning healthcare’s mission with corporate social responsibility action. Frontiers of Health Services Management, 39(3), 12–19. doi:10.1097/HAP.0000000000000161
  12. Ehsan, S. and Singh, H. (2026). Quality as a catalyst to achieve environmentally sustainable healthcare. BMJ Quality & Safety, 35(4), 219–223. doi:10.1136/bmjqs-2025-019591
  13. Erkurt Göksel, N. and Özcan, S. (2025). An investigation of sustainability perception among healthcare workers: The case of Yalova. Journal of International Health Sciences and Management, 11(22), 105–118. doi:10.48121/jihsam.1753861
  14. Garzoni, A., L’Abate, V., Raimo, N. and Vitolla, F. (2024). Exploring online sustainability disclosure in the healthcare industry: Evidence from best international hospitals. Business Strategy and the Environment, 33(4), 2669–2682. doi:10.1002/bse.3625
  15. Greenfield, D. and Braithwaite, J. (2008). Health sector accreditation research: A systematic review. International Journal for Quality in Health Care, 20(3), 172–183. doi:10.1093/intqhc/mzn005
  16. Hussein, M., Pavlova, M. and Groot, W. (2025). The sustainability of hospital accreditation models: A cross-sectional study. International Journal for Quality in Health Care, 37(1), mzaf017. doi:10.1093/intqhc/mzaf017
  17. Ibrahim, M., Ghofar, A., Purwanti, L. and Iqbal, S. (2025). Sustainability practices in hospitals: A systematic literature review and research agenda. SAGE Open, 15(3), 21582440251357033. doi:10.1177/21582440251357033
  18. International Society for Quality in Health Care. ISQua. (2025). Guidelines and principles for the development of health and social care standards (6th ed.). Dublin, Ireland: ISQua External Evaluation Association. Retrieved February 6, 2026, from https://ieea.ch/wp-content/uploads/2024/09/ISQua-EEA-Guidelines-and-Principles-for-the-Development-of-Health-and-Social-Care-Standards-6th-Edition-1.pdf
  19. Joint Commission International. JCI. (2024). Joint Commission International accreditation standards for hospitals (8th ed.). Oakbrook Terrace, IL: Author. Retrieved February 6, 2026, from https://www.jointcommission.org/en/products/jcih24p
  20. Joint Commission International (JCI) and International Hospital Federation (IHF) Geneva Sustainability Centre. (2024). Healthcare sustainability certification program. Retrieved February 6, 2026, from https://www.jointcommission.org/en/certification/healthcare-sustainability
  21. Kehinde, S. and Ishola, R. (2023). Value relevance of ESG accounting disclosure: Evidence from Sub-Saharan Africa public health companies. International Journal of Scientific and Management Research, 6(4), 55–72. doi:10.37502/ijsmr.2023.6405
  22. Kılıç, Z., Güleç, K. and Yanardağ, C. H. (2026). International publication trends and research focuses on green approaches in healthcare: A bibliometric study. Journal of International Health Sciences and Management, 12, 1–9. doi:10.48121/jihsam.1924894
  23. Landis, J. R. and Koch, G. G. (1977). The measurement of observer agreement for categorical data. Biometrics, 33(1), 159–174. doi:10.2307/2529310
  24. Locke, S., Hadley, C., Sherman, J., Hantel, A. and Senay, E. (2025). Transparency in United States healthcare sustainability: A scoping review. Environmental Research: Health, 3(2), 022001. doi:10.1088/2752-5309/adb06d
  25. Marfu, A., Purwanto, A., Atmanto, D., Rahmayanti, H., Marini, A., Safitri, D.,. Atichasari, A. S. (2026). A multi-method framework for prioritizing circular economy drivers in sustainable hospitals. Circular Economy and Sustainability, 6(2), 74. doi:10.1007/s43615-026-00798-2
  26. McGain, F. and Naylor, C. (2014). Environmental sustainability in hospitals: A systematic review and research agenda. Journal of Health Services Research & Policy, 19(4), 245–252. doi:10.1177/1355819614534836
  27. Messmann, L., Köhler, S., Antimisaris, K., Fieber, R., Thorenz, A. and Tuma, A. (2024). Indicator-based environmental and social sustainability assessment of hospitals: A literature review. Journal of Cleaner Production, 466, 142721. doi:10.1016/j.jclepro.2024.142721
  28. National Health Service. NHS. (2022). Delivering a “net zero” National Health Service. Retrieved February 6, 2026, from https://www.england.nhs.uk/greenernhs/a-net-zero-nhs/
  29. Organisation for Economic Co-operation and Development. OECD. (2025). Health at a glance 2025: OECD indicators. Paris, France: OECD Publishing. Retrieved February 4, 2026, from https://www.oecd.org/en/publications/health-at-a-glance-2025_8f9e3f98-en/full-report/
  30. Rajagopalan, S., Pronovost, P. and Al-Kindi, S. (2023). Implementing a sustainability framework in healthcare: A three-lens framework. Healthcare, 11(13), 1867. doi:10.3390/healthcare11131867
  31. Sahib, A. M. and Somasundaram, R. (2026). Assessing the effect of hospital accreditation on patient satisfaction and healthcare quality outcomes. Quality & Quantity. Advance online publication. doi:10.1007/s11135-026-02590-8
  32. Thimm, H. and Rasmussen, K. (2023). A multi-perspective exploration of environmental website disclosure in global manufacturing. Business Strategy and the Environment, 32(4), 1719–1738. doi:10.1002/bse.3214
  33. Türkiye Sağlık Hizmetleri Kalite ve Akreditasyon Enstitüsü. TÜSKA. (2026). TÜSKA Sağlıkta Akreditasyon Standartları Hastane Seti–V4.0/2025. Retrieved July 16, 2026, from https://tuska.tuseb.gov.tr/haberler/tuska-sas-hastane-seti-v42025-yayinlandi-20260619
  34. van Schie, V. (2024). Governance-related factors influencing the implementation of sustainability in hospitals: A systematic literature review. Health Policy, 146, 105115. doi:10.1016/j.healthpol.2024.105115
  35. Wadhwani, E. (2022). The impact of environmental factors on credit ratings in healthcare. Frontiers of Health Services Management, 39(1), 26–32. doi:10.1097/HAP.0000000000000146
  36. White, M. D. and Marsh, E. E. (2006). Content analysis: A flexible methodology. Library Trends, 55(1), 22–45. doi:10.1353/lib.2006.0053
  37. World Health Organization. WHO. (2024). Climate change. In Compendium of WHO and other UN guidance in health and environment: 2024 update (Chap. 7). Geneva, Switzerland: Author. Retrieved February 4, 2026, from https://iris.who.int/handle/10665/378095
  38. Yan, C., Hu, P. and Wang, D. (2026). Need for transparency: Hospital sustainability disclosures. Management Decision. Advance online publication. doi:10.1108/MD-10-2024-2248
  39. Marfu, A., Purwanto, A., Atmanto, D., Rahmayanti, H., Marini, A., Safitri, D.,. Atichasari, A. S. (2026). A multi-method framework for prioritizing circular economy drivers in sustainable hospitals. Circular Economy and Sustainability, 6(2), 74. doi:10.1007/s43615-026-00798-2