Influence of Green Lean Six Sigma on healthcare performance: the role of service innovation, employee professional development, and dynamic environment

PURPOSE: Across the globe, healthcare facilities are struggling to achieve sustainability and operational excellence. To attain this goal, the healthcare industry needs to integrate/adopt the concept of Green Lean Six Sigma (GLSS), which can serve as a key tool to enhance performance and deliver the desired outcomes. This paper provides insight into the potential effects of implementing GLSS on the overall performance of healthcare facilities (PoH) from a dynamic capabilities theory perspective. DESIGN/METHODOLOGY/APPROACH: A quantitative research design has been adopted, with survey data being collected from healthcare professionals and administrators from different healthcare facilities. The hypothesised relationship was tested using PLS-SEM. FINDINGS: The results show that GLSS has a substantial impact on PoH, with healthcare services innovation (HSI) and improvement in employee professional growth (EPD) as the leading mediators. Further, the study concludes that the dynamic environment (DE) has a positive moderating effect on the nomological relationships. ORIGINALITY/VALUE: These results add value by providing an understanding of how healthcare facilities may utilise GLSS-related practices to both improve PoH, introduce new services, and develop the workforce.

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Publication Details

Journal
Journal of Health Organization and Management
Published
2026-05-11
DOI
https://doi.org/10.1108/jhom-08-2025-0480
Primary Topic
Quality and Supply Management
Type
article
Field-Weighted Citation Impact
0.00

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article

Influence of Green Lean Six Sigma on healthcare performance: the role of service innovation, employee professional development, and dynamic environment

L X Zhang, Arsalan Fayyaz, Yue Wang, Sidra Ramzan et al.
Journal of Health Organization and Management
Quality and Supply Management
article

Influence of Green Lean Six Sigma on healthcare performance: the role of service innovation, employee professional development, and dynamic environment

L X Zhang, Arsalan Fayyaz, Yue Wang, Sidra Ramzan, Fahad Ullah Khan
article en

Abstract

PURPOSE: Across the globe, healthcare facilities are struggling to achieve sustainability and operational excellence. To attain this goal, the healthcare industry needs to integrate/adopt the concept of Green Lean Six Sigma (GLSS), which can serve as a key tool to enhance performance and deliver the desired outcomes. This paper provides insight into the potential effects of implementing GLSS on the overall performance of healthcare facilities (PoH) from a dynamic capabilities theory perspective. DESIGN/METHODOLOGY/APPROACH: A quantitative research design has been adopted, with survey data being collected from healthcare professionals and administrators from different healthcare facilities. The hypothesised relationship was tested using PLS-SEM. FINDINGS: The results show that GLSS has a substantial impact on PoH, with healthcare services innovation (HSI) and improvement in employee professional growth (EPD) as the leading mediators. Further, the study concludes that the dynamic environment (DE) has a positive moderating effect on the nomological relationships. ORIGINALITY/VALUE: These results add value by providing an understanding of how healthcare facilities may utilise GLSS-related practices to both improve PoH, introduce new services, and develop the workforce.

Journal of Health Organization and Management
COMSATS University Islamabad (PK), Northwestern Polytechnical University (CN), Bahria University (PK), Northwestern Polytechnic University (US)
National Natural Science Foundation of China, China Postdoctoral Science Foundation
Industry, innovation and infrastructure
Openalex Percentile: Top 4%
Quality and Supply Management
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