An Investigation for Business Performance on Indonesia's Small and Medium Medical Companies Sustainability

The purpose of this study is to investigate how small and medium-sized medical (SMM) businesses might improve their performance and long-term viability by utilizing innovation, improvisation, and creativity. The research employed a purposive sample of 403 managers and owners of small- and medium-sized health clinics, medical equipment suppliers, and diagnostic laboratories across the country, using a quantitative approach. The data were analyzed using structural equation modeling with a multi-group analysis. The results indicate that spirituality significantly and positively moderates the relationships between creativity, improvisation, business performance, and innovation capability. Furthermore, creativity has a positive influence on business performance, improvisation, and innovation. Improvisational skills are shown to greatly affect both innovation capacity and business performance. Additionally, innovation competence in SMM businesses positively influences business performance, which in turn enhances sustainability. Since the data were gathered only in Indonesia, future studies are encouraged to replicate this research in other countries to validate the proposed theoretical model. These insights provide a fresh understanding of the connections between spirituality, creativity, improvisation, innovation, business performance, and sustainability, enriching existing literature and offering a foundation for future research on SMM enterprises.