Advancing Healthcare Sustainability Through Integrated Triple Bottom Line Implementation: A Comprehensive Framework for Economic Prosperity, Environmental Quality, and Social Equity

Healthcare systems worldwide face unprecedented challenges in balancing quality care delivery with environmental responsibility and economic viability. This article presents a comprehensive framework for sustainable healthcare implementation based on the triple bottom line approach, integrating economic prosperity, environmental quality, and social equity dimensions. Drawing from recent research and practical implementation strategies, particularly in Nordic healthcare contexts, this study examines innovative approaches including digital transformation, renewable energy adoption, green building standards, and community engagement initiatives. The framework demonstrates how healthcare institutions can achieve carbon neutrality while maintaining operational excellence and expanding access to underserved populations. Key findings indicate that integrated sustainability approaches can reduce operational costs by up to 30% while improving patient outcomes and staff satisfaction. This research contributes to the growing body of literature on sustainable healthcare practices and provides actionable insights for healthcare administrators, policymakers, and sustainability professionals.