This study examines the initial patterns of sustainable construction management implementation in regional infrastructure projects through a qualitative structured literature review. The analysis positions construction management as a strategic nexus linking environmental, economic, and social dimensions within public infrastructure development. The findings reveal that current practices remain largely dominated by conventional management paradigms emphasizing short-term cost efficiency and project completion, while sustainability principles are often reduced to administrative compliance. Environmental considerations are primarily treated as regulatory obligations, economic aspects focus on initial construction costs, and social dimensions are limited to operational safety measures. Institutional capacity constraints, limited human resource competencies, and procurement mechanisms oriented toward lowest-price selection emerge as major barriers to holistic sustainability integration. Although regulatory pressures and technological advancements provide potential enabling conditions, their effectiveness is constrained by fragmented governance structures and weak organizational learning mechanisms. This study contributes conceptually by offering an integrative framework that clarifies the structural gaps between sustainability discourse and managerial practice in regional infrastructure projects.
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