Building Sustainable Hospital Waste Management through Financial Integration: A Multi-Level Approach at RSUD Arosuka, West Sumatra, Indonesia

Abstract

Hospital waste management performance has increasingly drawn public attention due to the generation of hazardous medical waste that can pollute the environment and endanger public health. However, previous studies in this area have rarely integrated the financial factor as a mediating variable linking the micro level (individual social responsibility), meso level (learning and growth), and macro level (audit) in hospital waste management performance. Finance serves as the foundation for providing infrastructure, facilities, and staff training. This study employs a quantitative approach using path analysis with the Partial Least Squares (PLS) method. The sample consists of 190 respondents selected purposively from a total population of 359 employees at RSUD Arosuka, based on their direct involvement in hospital waste management. The findings reveal that all variables have a positive and significant effect on waste management performance, both directly and through financial mediation. The study concludes that financial support strengthens the effectiveness of social responsibility, auditing, and learning processes in enhancing sustainable waste management. It recommends increasing environmental budget allocations, continuous staff training, and the regular implementation of both internal and external audits to achieve more efficient and sustainable hospital waste management systems.