A Structural Model of Key Performance Factors in Healthcare Organizations: An ISM Approach

This study investigates the factors influencing organizational performance within the healthcare industry, emphasizing sustainable practices such as green product development, green innovation, and sustainable strategies. The primary objectives are to explore the key factors contributing to organizational performance and examine their interrelationships. By employing the Interpretive Structural Modelling (ISM) approach, the research identifies eleven essential factors, which are categorized into five levels. The ISM model highlights both the driving and dependent forces within the system, providing a comprehensive understanding of the relationships among these factors. Key findings indicate that "Green supply chain" and "Green culture" are the most significant driving forces for enhancing organizational performance. Other factors, such as "Green Distribution" and "Sustainable Practices," are dependent on these core drivers and are positioned higher in the hierarchy with a driving power of 8,7 and a dependence power of 11,11, respectively. The ISM model allows for a clearer interpretation of the direct and indirect relationships among these factors, offering healthcare organizations a practical framework for decision-making and policy formulation. The study’s findings have practical implications for healthcare organizations aiming to balance performance optimization with environmental responsibility. Additionally, the research contributes to the academic literature by offering a more concrete theoretical framework for understanding organizational performance in healthcare.