Sustainability reporting by Dutch hospitals: important themes are addressed, but metrics are lacking

Vera Marchien Wilhelmina van Schie and Tjerk Budding

Journal of Public Budgeting, Accounting & Financial Management, 2026, vol. 38, issue 4, 572-590

Abstract: PurposeThe purpose of this paper is to give insight into the extent to which Dutch hospitals report on sustainability, what the purposes of reporting are and whether these align with reporting practices.Design/methodology/approachA mixed-methods approach was used. Annual reports of all 69 Dutch hospital organizations were analyzed on ESG reporting. Survey research was conducted to discover which ESG themes were considered relevant by hospitals. Focus group discussions were organized to deepen the understanding of the findings.FindingsHospitals report on many ESG themes that are considered important in the sector. Sustainability reporting seems to be related to institutional and accountability factors. However, performance indicators are used to a minor extent, while they are considered important.Practical implicationsHospitals are encouraged to use a learning perspective in sustainability reporting, in which information and indicators should be reported for that purpose. Aligning reporting themes with healthcare sector policy in consultation with stakeholders can benefit usefulness of sustainability reporting.Originality/valueThis paper highlights the current state of sustainability reporting by hospitals. It gives insight into relevant reporting themes for this sector.

Keywords: Sustainability reporting; ESG reporting; CSRD; Public sector; Hospitals (search for similar items in EconPapers)
Date: 2026
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Persistent link: https://EconPapers.repec.org/RePEc:eme:jpbafm:jpbafm-03-2025-0084

DOI: 10.1108/JPBAFM-03-2025-0084

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