Reason	Excluded at title/abstract screening (N)	Excluded at full text review (N)
Disaster or emergency	199	3
Foreign aid, equity or community healthcare	598	20
Occupational health and safety	69	2
Environmental sustainability	89	5
Not relevant to Australia, for example, low-resource setting	730	82
Not about systems, for example, single disease or programme	1291	109
Preventative, for example, regarding vaccination or nutrition	277	18
Not relating to healthcare delivery, for example, regarding animal care or food safety	46	0
Regarding physiology/pharmacology	44	0
Does not in another way define, measure, identify challenges, opportunities for improvement or scale up of sustainability in the healthcare system	398	166
Other, for example, article not written in English, full text not available	4	95