Analyzing the Mediating Role of Green Performance in Healthcare Industry Sustainability: Evidence from Accredited Hospitals in Java, Indonesia
Keywords:
Green Human Resources, Technology Innovation, Environmental Regulation, Green Performance, Healthcare Sustainability.Abstract
The global COVID-19 pandemic has generated prolonged uncertainty and triggered a global economic slowdown, with Indonesia recording a deficit of -2.07%. Alongside economic contraction, the healthcare sector experienced a surge in medical waste production, highlighting the urgent need for sustainable practices. Promoting sustainability in the healthcare industry requires not only reducing medical waste but also strengthening social and managerial practices that support systemic change. This study examines the mediating role of green performance in enhancing healthcare industry sustainability through health resource management practices. A quantitative approach was employed, targeting 156 accredited Type B hospitals across Java Island, with 436 respondents selected using purposive sampling. Data were collected via structured questionnaires and analyzed through path analysis using the SEM-PLS technique. The findings indicate that environmental regulation does not exert a significant moderating effect between green performance and healthcare sustainability. However, green performance plays a crucial mediating role in the relationship between collaboration in supply chain networks, technological innovation, and healthcare inventory control systems with sustainability outcomes. These results emphasize that even without strong regulatory reinforcement, managerial and technological factors can substantially improve green performance, which in turn enhances the sustainability of the healthcare sector. Practical implications suggest the adoption of technology-driven inventory systems, such as big data analytics and blockchain, to improve predictive accuracy, optimize resources, and minimize waste. Conceptually, this study introduces a novel sustainability model grounded in the mediating role of green performance, contributing fresh insights to the Triple Bottom Line framework and expanding its application within healthcare management.
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