A Systematic Literature Review of Sustainable Governance and Hospital Digital Transformation Capability for Hospital Organizational Capability
DOI:
https://doi.org/10.38035/dijefa.v7i5.7499Keywords:
Sustainable Governance, Hospital Digital Transformation Capabilities, Hospital Organizational Capabilities, Hospital Sustainability, Sustainable Competitive AdvantageAbstract
Hospitals are facing increasing pressure to achieve sustainability amid technological developments, changing patient expectations, regulatory dynamics, and intensifying competition. Although sustainable governance, digital transformation, and organizational capability have received growing research attention, their integrated contributions to hospital sustainability performance and competitive advantage have not yet been adequately synthesized. This study aims to examine and integrate findings from previous studies on sustainable governance, hospital digital transformation capability, and hospital organizational capability. The study employs a systematic literature review of publications published between 2020 and 2026 and identified through various academic databases. The selected articles are analyzed using thematic content analysis to identify key concepts, relationships among constructs, and research gaps. The synthesis indicates that sustainable governance supports accountability, transparency, and stakeholder engagement; hospital digital transformation capability facilitates technology integration, data-driven decision-making, and service innovation; while hospital organizational capability enables resource integration and the development of adaptive capabilities. The novelty of this study lies in the development of an integrated conceptual framework that explains the complementary roles of these three strategic dimensions in strengthening hospital sustainability and competitive positioning.
References
Al-Amin, M., Sullivan, E., & Szalay, N. E. (2024). An exploratory study of dynamic capabilities and performance improvement in hospitals. Journal of Healthcare Management, 69(5), 335–349. https://doi.org/10.1097/JHM-D-23-00144
Barney, J. (1991). Firm resources and sustained competitive advantage. Journal of Management, 17(1), 99–120. https://doi.org/10.1177/014920639101700108
Bosco, F., Di Gerio, C., Fiorani, G., & Stola, G. (2024). How to manage sustainability in healthcare organizations? A processing map to include the ESG strategy. Journal of Public Budgeting, Accounting & Financial Management, 36(5), 636–659. https://doi.org/10.1108/JPBAFM-04-2023-0065
Binsar, F., Mursitama, T. N., Hamsal, M., & Rahim, R. K. (2025). The role of digital adoption capability on hospital performance in Indonesia moderated by environmental dynamism. Journal of Health Organization and Management, 39(1), 1–21. https://doi.org/10.1108/JHOM-04-2024-0130
Cresswell, K., et al. (2025). Assessing digital maturity of hospitals: Viewpoint comparing national approaches in five countries. Journal of Medical Internet Research. https://www.jmir.org/2025/1/e57858/
De Regge, M., & Eeckloo, K. (2020). Balancing hospital governance: A systematic review of 15 years of empirical research. Social Science & Medicine, 262, Article 113252. https://doi.org/10.1016/j.socscimed.2020.113252
Duncan, R., Eden, R., Woods, L., Wong, I., & Sullivan, C. (2022). Synthesizing dimensions of digital maturity in hospitals: Systematic review. Journal of Medical Internet Research, 24(3), Article e32994. https://doi.org/10.2196/32994
Geissler, A., Hollenbach, J., Haring, M., Amelung, V. E., Thun, S., & Haering, A. (2024). A nationwide digital maturity assessment of hospitals—Results from the German DigitalRadar. Health Policy and Technology, 13(4), Article 100904. https://doi.org/10.1016/j.hlpt.2024.100904
Gifford, R., Fleuren, B., van de Baan, F., Ruwaard, D., Poesen, L., Zijlstra, F., & Westra, D. (2022). To uncertainty and beyond: Identifying the capabilities needed by hospitals to function in dynamic environments. Medical Care Research and Review, 79(4), 549–561. https://doi.org/10.1177/10775587211057416
Messmann, L., Köhler, S., Antimisaris, K., Fieber, R., Thorenz, A., & Tuma, A. (2024). Indicator-based environmental and social sustainability assessment of hospitals: A literature review. Journal of Cleaner Production, 466, Article 142721. https://doi.org/10.1016/j.jclepro.2024.142721
Ibrahim, M., Ghofar, A., Purwanti, L., & Iqbal, S. (2025). Sustainability practices in hospitals: A systematic literature review and research agenda. SAGE Open, 15(3). https://doi.org/10.1177/21582440251357033
Raghavendra, A. N., Vijayakumar, G., & Adarsha, K. (2022). Operationalizing organizational capacity assessment for identifying capability gaps in the Indian hospital sector. Business Perspectives and Research. https://doi.org/10.1177/22785337221077397
Shi, J., Sun, X., & Meng, K. (2021). Identifying organisational capability of hospitals amid the new healthcare reform in China: A Delphi study. BMJ Open, 11(1), Article e042447. https://doi.org/10.1136/bmjopen-2020-042447
Tenggono, E., Soetjipto, B. W., & Sudhartio, L. (2025). Dynamic managerial capabilities in action: Advancing strategic agility and digital readiness in healthcare organizations. Journal of Organizational Change Management, 38(3), 548–568. https://doi.org/10.1108/JOCM-12-2024-0772
Teece, D. J., Pisano, G., & Shuen, A. (1997). Dynamic capabilities and strategic management. Strategic Management Journal, 18(7), 509–533. https://doi.org/10.1002/(SICI)1097-0266(199708)18:7%3C509::AID-SMJ882%3E3.0.CO;2-Z
van Schie, V. (2024). Governance related factors influencing the implementation of sustainability in hospitals: A systematic literature review. Health Policy, 146, Article 105115. https://doi.org/10.1016/j.healthpol.2024.105115
Woods, L., Dendere, R., Eden, R., Grantham, B., Krivit, J., Pearce, A., McNeil, K., Green, D., & Sullivan, C. (2023). Perceived impact of digital health maturity on patient experience, population health, health care costs, and provider experience: Mixed methods case study. Journal of Medical Internet Research, 25, Article e45868. https://doi.org/10.2196/45868
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Copyright (c) 2026 Waluyo Dwi Cahyono, Ni Nyoman Sawitri, Sumarno Manrejo
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