The Behavioral Intention of Hospitals to Promote Sustainable Development of Green Healthcare from the Perspective of Organizational Stakeholders during the COVID-19 Epidemic: A Case Study of Hospitals in Taiwan

Round 1

Reviewer 1 Report

This study shows an interesting topic that uncover “the Behavioral Intention of Hospitals to Promote Sustainable Development of Green Healthcare from the Perspective of Organizational Stakeholders during the COVID-19 Epidemic: A Case Study of Hospitals in Taiwan”. I have following minor comments that should be addressed before the consideration:- The manuscript is subject to the following revisions:

1. Abstract: The abstract should be written in the following context: Background, objective(s), methods, results, conclusions, policy recommendations. See for example https://doi.org/10.1177/0958305X221109949

2. How you can compare your results with other studies of same geographical regions. It is pivotal to tie your results with other relevant literature. Also, the empirical literature on sustainable development is not present in the current version of the paper.

3. Discussion: The study discussion is fine but can be improved further. It is suggested to rearrange discussion based on study findings. Furthermore, the concept of sustainable development can be improved from following studies.

http://dx.doi.org/10.1016/j.scitotenv.2022.160181

https://doi.org/10.1002/sd.2423

4. Conclusions: Conclusions are very weak and miss several important dimensions. To strengthen the contents and quality of the study, conclusions must be revised for more clarity and for the ease of normal readers.

5. Policy recommendations: Specific policy recommendations should be put forward according to the empirical findings.

6. Study limitations should be provided along with future research directions for prospective scholars interested in the similar works.

7. The authors have used several old references to support their arguments. We are in 2022 and you are using such old references. In order to nurture the importance of study, references should be updated using recent and relevant studies.

8. There is an intermingle of capital and small letters. Please avoid this practice in scientific writing.

9. Finally, the manuscript can be benefited if the authors thoroughly proofread it in terms of English language mistakes and syntax structure.

Author Response

The authors would like to thank the reviewers for their valuable and insightful suggestions, which contributed to improving the quality of the manuscript. The following text summarizes the revision actions taken to fulfill those requirements and recommendations. All remarks and suggestions have been addressed.

Author Response File: Author Response.pdf

Reviewer 2 Report

The Behavioral Intention of Hospitals to Promote Sustainable 2 Development of Green Healthcare from the Perspective of Or-  organizational Stakeholders During the COVID-19 Epidemic: A 4 Case Study of Hospitals in Taiwan is very interesting. However there are some issues need to be addressed before the paper accepted for publication. The abstract is too long, the authors should precise is a little to make it easy for the reader. The abstract should give short background in two lines, the objectives in short, methods and results in short and a line recommendation. Support the methodology with references and explain it further that how this method is useful for such kind of study.

Highlight the future research direction and limitation of the study. The conclusion should be directly obtained from the results. There are long sentences in introduction without the support of references. Authors should cite recent wok in introduction to support the statements.

The  literature review heading should provide and add literature in order to show the gap in the existing work. A paper without literature is not enough to provide the research gap. Authors should add related study as well other studies which have use different factors in the literature.  I also suggest few articles links to be added in literature https://www.jescae.com/index.php/jescae/issue/view/6, https://www.jescae.com/index.php/jescae/issue/view/2, https://www.jescae.com/index.php/jtie/issue/view/12, https://www.jescae.com/index.php/gssr/issue/view/15, https://www.jescae.com/index.php/jtie/issue/view/9, and authors can download more paper to add to the literature

Author Response

The authors would like to thank the reviewers for their valuable and insightful suggestions, which contributed to improving the quality of the manuscript. The following text summarizes the revision actions taken to fulfill those requirements and recommendations. All remarks and suggestions have been addressed.

Author Response File: Author Response.pdf

Reviewer 3 Report

Amid the COVID- 19 epidemic, in this study, authors proposed a research method to explore the behavioral intention of hospitals to promote green medical care from the perspectives of different intra-organizational stakeholders with attitudes, subjective norms, perceived behavioral control, and behavioral intentions. A regional teaching hospital with 339 employees in Taiwan was selected, as case study; the aim was to obtain valid questionnaire data to implement the research method. Authors adopted the theory of planned behavior (TPB), widely used in decision-making science. The results confirmed  that the TPB model has good explanatory power.

Comments for author File: Comments.pdf

Author Response

The authors would like to thank the reviewers for their valuable and insightful suggestions, which contributed to improving the quality of the manuscript. The following text summarizes the revision actions taken to fulfill those requirements and recommendations. All remarks and suggestions have been addressed.

Author Response File: Author Response.pdf

Reviewer 4 Report

Dear authors

This paper presents green hospital in Taiwan to promote sustainable development considering some situation by TPB model. Explanations in manuscript are logical and clear. Particularly, this paper referred suitable previous studies and confirmed validation. The impression was very great.

I would like to some comment.

1)    About figure 1, if possible, please change the image at higher resolution.

2)    At the Introduction, “Moreover, the results of this study can be used … and other countries to promote green hospital indicators and hospital sustainable education policies”. I would like to know if this method are applied the other countries, what kind of the indicators or factors are influenced by the results.

3)    I recommend the detail of anonymous questionnaire are written in Supplementary information.

Please confirm above comments.

Best regards,

Comments for author File: Comments.pdf

Author Response

The authors would like to thank the reviewers for their valuable and insightful suggestions, which contributed to improving the quality of the manuscript. The following text summarizes the revision actions taken to fulfill those requirements and recommendations. All remarks and suggestions have been addressed.

Author Response File: Author Response.pdf