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The aim of this study is to identify the critical factors of green supply chain (GSC) and to adapt these factors to the taxonomy of green practices in healthcare.

A qualitative multiple-case study approach was followed based on 60 interviews with nine French hospitals. An intra-case and a cross-case analysis were implemented.

The findings provide a taxonomy of healthcare GSC and show that regulation, cost reduction, top management commitment, employee training, information technology and measures of environmental performance are critical factors for GSC implementation. The study also underlines a few emergent critical factors including the purchasing group, environmental champion, building construction, combining safety and green approaches.

This study was conducted in France following a qualitative methodological approach. Future research can consider other national and cross-national investigations and other quantitative or mixed methods approaches.

The research provides managers and policy makers numerous invaluable suggestions for the implementation of GSC practices in healthcare facilities. To accelerate GSC implementation, managers can invest in the construction of new buildings, in information technology, and in the automation of flows.

To the authors’ knowledge, this is the first paper identifying the critical factors of GSC implementation in the healthcare sector. It is also the first attempt to provide a taxonomy of hospitals according to their green approaches (reactive, receptive, and proactive).