“…Various sustainability performance assessment frameworks have been developed in numerous studies; however, little attention has been paid to the healthcare industry and to hospitals in particular (Hussain et al, 2018). The evaluation of sustainability performance in hospitals is still in its infancy, and the majority of the research carried out in this field focuses on specific areas, such as environmental performance, service quality, patient satisfaction, cost management, productivity and efficiency (Ansari et al, 2019;Blass et al, 2017;Miszczynska and Miszczy nski, 2022;Pasqualini et al, 2016;Sumaedi et al, 2016a, b). For example, Pink et al (2001) have considered hospital performance evaluation from four perspectives: patient satisfaction, clinical utilization and outcomes, financial performance, and system integration and change.…”