Abstract:
The study examined the relationship between isomorphic factors, ecoprocurement
practices, and downstream healthcare supply chain performance:
the flexibility orientation culture. The study relied on institutional isomorphism
and resource dependency theories to evaluate the relationships. An explanatory
research design and a quantitative research approach were used for data
collection and analysis. A simple random sampling technique was used to select
one respondent each from 231 private-for-profit healthcare facilities in the
Greater Accra Region. A self-reported questionnaire was the main instrument
used to gather primary data for the study. The IBM Statistical Package for Social
Sciences [version 26] was used to perform the descriptive statistical analysis
while a partial least squares structural equation modelling [version 4.0] was
employed to test the measurement and structural models respectively. The
results showed that isomorphic factors (particularly, coercive and mimetic) and
eco-procurement practices (specifically, eco-purchasing and eco-reverse
logistics), each have a positive and significant effect on the DHSCP of privatefor-
profit healthcare facilities. The result showed that flexibility orientation
culture has a positive but not statistically significant moderating effect on the
link between isomorphic factors and DHSCP. However, flexibility orientation
culture has a positive and statistically significant moderating effect on the link
between eco-procurement practices and DHSCP. The study, therefore
recommended that healthcare practitioners and policymakers should navigate
the regulatory requirements and complexities to create an organisational culture
that adapts to evolving industry dynamics including continuous improvement to
enhance the overall healthcare supply chain performance.
