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ORIGINAL RESEARCH article

Front. Public Health

Sec. Health Economics

Volume 13 - 2025 | doi: 10.3389/fpubh.2025.1565703

This article is part of the Research Topic Public Health Outcomes: The Role of Social Security Systems in Improving Residents' Health Welfare View all 8 articles

Greenwashing and financial performance in public health firms: The mechanism of organizational legitimacy erosion

Provisionally accepted
Yaru Liang Yaru Liang 1Xiang Gao Xiang Gao 2*
  • 1 Tianhua College, Shanghai Normal University, Shanghai, Shanghai, China
  • 2 Shanghai Business School, Shanghai, China

The final, formatted version of the article will be published soon.

    Amid China's pursuit of its "dual carbon" objectives and the escalating emphasis on Environmental, Social, and Governance (ESG) disclosure, corporate environmental responsibility has emerged as a critical regulatory and market concern. However, mounting institutional and stakeholder pressures have incentivized some firms to engage in greenwashing-strategically overstating or misrepresenting their environmental commitments-to sustain legitimacy and competitive positioning. This study empirically investigates the impact of greenwashing on corporate financial performance, with a particular focus on the mediating mechanism of organizational legitimacy. Leveraging panel data from 157 publicly listed Chinese public health firms (2020-2022), the findings demonstrate that greenwashing significantly erodes organizational legitimacy, triggering negative financial repercussions. By elucidating the indirect pathways through which greenwashing influences firm performance, this research advances theoretical discourse on corporate environmental accountability and legitimacy-based performance dynamics. Furthermore, the study offers actionable insights for public health enterprises, emphasizing the necessity of transparent and verifiable environmental communication to mitigate reputational risks and ensure sustainable financial outcomes. Additionally, it provides empirical evidence to inform policymakers in refining regulatory frameworks that enhance transparency in environmental reporting and foster substantive sustainability practices.

    Keywords: Greenwashing, Corporate financial performance, Organizational legitimacy, Public health services, Chinese firms

    Received: 23 Jan 2025; Accepted: 12 Mar 2025.

    Copyright: © 2025 Liang and Gao. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Xiang Gao, Shanghai Business School, Shanghai, China

    Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

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