Isomorphic Factors, Eco-Procurement Practices, And Downstream Healthcare Supply Chain Performance: The Role Of Flexibility Orientation Culture

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.