Sustainable healthcare means providing affordable, quality medical care without causing undue environmental damage, which is critical for a world just emerging from a debilitating pandemic. This article contends that it is now an opportune time to map the existing knowledge to guide future sustainability research in healthcare. Therefore, this article aims to systematically review and comprehensively analyse the extant literature on sustainability practices in healthcare organizations and propose future research directions based on gaps in the literature. A corpus of 79 articles sourced from five databases and published between 1995 and 2022 was identified for an in-depth review. Following a framework-based systematic literature review, this article offers an organized, retrospective view of the performance using antecedents, decisions, and outcomes (ADO) and Theories–Contexts–Methods (TCM) integrated framework. These frameworks are used to evaluate and understand sustainability practices in the healthcare sector. Additionally, the article shows the thematic evolution of sustainability research in healthcare with the help of five clusters. While the systematic literature review results highlight the large theoretical base, it also reveals the lack of consensus on defining sustainability. The analysis of 79 articles yielded six valuable categories of antecedents with 27 constructs, five categories of decisions with 11 constructs, and two categories of outcomes with 15 constructs. Results also reveal a lack of consensus regarding the influence of sustainability practices on organizational performance across the three sustainability pillars (social, environmental, and economic dimensions). The present review has implications for healthcare service delivery systems and policymakers to help them redesign their services to promote sustainable development goals. Before concluding the article, knowledge gaps and future research directions are structured using the ADO-TCM framework through pertinent ideas for sustainability research in healthcare organizations.

中文翻译：

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绘制医疗保健行业的可持续发展实践：系统文献综述和未来研究议程

可持续医疗保健意味着在不造成过度环境破坏的情况下提供负担得起的优质医疗服务，这对于刚刚摆脱令人衰弱的流行病的世界至关重要。本文认为，现在是绘制现有知识以指导未来医疗保健可持续发展研究的最佳时机。因此，本文旨在系统回顾和全面分析医疗机构可​​持续实践的现有文献，并根据文献空白提出未来的研究方向。我们确定了来自 5 个数据库并在 1995 年至 2022 年间发表的 79 篇文章的语料库进行深入审查。在基于框架的系统文献综述之后，本文使用前因、决策和结果 (ADO) 和理论-背景-方法 (TCM) 综合框架对绩效进行了有组织的回顾性看法。这些框架用于评估和理解医疗保健行业的可持续性实践。此外，本文还展示了在五个集群的帮助下医疗保健可持续研究的主题演变。虽然系统的文献综述结果凸显了其庞大的理论基础，但也揭示了在定义可持续性方面缺乏共识。对 79 篇文章的分析产生了 6 类有价值的前因，具有 27 种结构，五类决策，具有 11 种结构，以及两类结果，具有 15 种结构。结果还表明，关于可持续发展实践对三个可持续发展支柱（社会、环境和经济维度）组织绩效的影响缺乏共识。本次审查对医疗保健服务提供系统和政策制定者具有重要意义，可帮助他们重新设计服务以促进可持续发展目标。在结束本文之前，使用 ADO-TCM 框架通过医疗保健组织可持续发展研究的相关想法来构建知识差距和未来的研究方向。