The Future of Green Hospitals: Sustainable Business Models and Adoption Prospects in Indonesia and Malaysia

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Fajar Gustiawaty Dewi, Yuliansyah, Retno Ariza Soeprihatini, Jamaliah Said, Andhyka Muttaqin, Arfendo Propheto

2025 International Journal of Sustainable Development and Planning Vol. 20 Issue 8 Article Cited by 1 Quartile

Abstract

The concept of a green hospital represents the future direction of sustainable healthcare development, necessitating empirical studies to support the design of a sustainable business model. This research aims to explore the practical implications of green hospital adoption in Malaysia and Indonesia, providing valuable insights into enhancing patient care and fostering environmental sustainability. Employing a qualitative approach, the study investigates community preferences when choosing hospitals, the existence of eco-friendly care departments, the implementation of environmentally friendly activities, and management efforts toward green hospital adoption. Data collection involved interviews with hospital patients and management, supported by secondary data from Malaysia, with qualitative data analyzed using NVIVO software. The findings reveal significant progress in adopting green hospital practices, including waste and energy reduction, minimized use of PVC, and procurement of eco-friendly products and low-carbon foods. Malaysia’s implementation rates of green hospital principles averaged 96.87% in services and 96.78% in management. These results highlight the feasibility of adopting sustainable green hospital practices, driven by high community demand and positive management responses. However, gaps in management’s understanding of the green hospital concept emphasize the need for literacy and capacity-building initiatives. This research serves as a pioneering step toward designing a sustainable green hospital business model, laying the foundation for integrating sustainability into healthcare management and promoting environmentally responsible practices. © 2025 The authors. This article is published by IIETA and is licensed under the CC BY 4.0 license (http://creativecommons.org/licenses/by/4.0/).

Affiliations

Accounting Department, Lampung University, Lampung, 35141, Indonesia; Accounting Research Institute, MARA University of Technology, Selangor, 14450, Malaysia; Public Administration Department, Universitas Brawijaya, Malang, 65145, Indonesia; Business Creation, BINUS Business School, Bina Nusantara University, Jakarta, 11480, Indonesia