International Journal of Scientific Research and Engineering Development

This study undertakes a comprehensive, data-driven analysis of the systemic operational and infrastructural challenges hindering the efficiency and sustainability of public and private hospitals in Maharashtra. The research focuses on identifying specific non-clinical operational failures—namely poor scheduling, chronic staffing deficits, and critical equipment shortages—and examining their measurable impact on hospital performance.
Utilizing a Quantitative, Secondary Data-Based Approach with data sourced from high-credibility government reports (CAG, Maharashtra Pollution Control Board), the study confirms a pervasive environment of operational deficits. The empirical findings reveal critical shortages in both human resources and functional clinical equipment, particularly in high-throughput urban centers.
The primary contribution is the demonstration of a strong, plausible association between operational inefficiency (equipment shortages) and environmental burden (increased Biomedical Waste (BMW) generation). The analysis establishes that administrative failures—such as inadequate asset management and maintenance—force compensatory measures that rely on excessive single-use disposables, quantifying the environmental and economic cost of process failure. For example, hospitals with the highest reported equipment shortages also recorded the maximum measured BMW output (e.g., District Hospital, Pune: 85% shortage in labs aligning with 4,000 kg/day BMW).
The study concludes that addressing these fundamental operational constraints is the most viable strategy for simultaneous enhancement of patient safety, service quality, and long-term environmental sustainability. It proposes targeted policy recommendations, including mandatory ring-fencing of capital budgets for preventive maintenance, state-mandated electronic care coordination platforms, and elevating BMW reduction to a core hospital performance metric to drive efficiency and resource management standards across Maharashtra's healthcare system.

Arkaprabho Chatterjee, Saumya Maheshwari, "Challenges Faced by Hospitals in Maharashtra: A Comprehensive Study" International Journal of Scientific Research and Engineering Development, V8(6): Page(2560-2566) Nov-Dec 2025. ISSN: 2581-7175. www.ijsred.com. Published by Scientific and Academic Research Publishing.