Document Type : Original Article
Authors
1 Msc student, Industrial Management, Department of Management, Faculty of Administrative Sciences and Economics, Vali Asr University of Rafsanjan, Rafsanjan, Iran.
2 Associate Professor, Department of Management, Faculty of Administrative Sciences and Economics, Vali Asr University of Rafsanjan, Rafsanjan, Iranmber
3 Assistant Professor, Department of Management, Faculty of Administrative Sciences and Economics, Vali Asr University of Rafsanjan, Rafsanjan, Iran
Abstract
Introduction: Circular supply chains in hospitals aim to optimize resources and reduce waste as a novel approach. This study was conducted to design a circular supply chain model in the Aliebn abitaleb hospital of Rafsanjan city using grounded theory.
Methods: This qualitative study employed grounded theory. Data collection was conducted through semi-structured interviews with 12 experts familiar with circular supply chains.
Results: In this study, 121 open codes and 25 axial codes were identified in the circular supply chain of the public educational hospital of Rafsanjan, categorized into six selective codes: causal conditions (political dynamics, strategic communications, inter-organizational cooperation, inter-departmental collaboration and coordination, community awareness and demands, employee dynamics, organizational dynamics, economic dynamics), contextual conditions (technology and information infrastructure, political infrastructure, environmental regulations, organizational regulations), strategic conditions (arrears payment, technology and innovation, design for sustainability and recycling, contractor performance monitoring, commitment and leadership management, education and knowledge development), outcomes (service quality management, resource management, waste management, environmental management), and intervening conditions (resources and facilities, human resources, consumption costs).
Conclusion: The final model of the circular supply chain in the hospital includes five categories: causal conditions (40 open codes and 8 axial codes), contextual conditions (14 open codes and 4 axial codes), strategic conditions (32 open codes and 6 axial codes), outcomes (22 open codes and 4 axial codes), and intervening conditions or barriers (13 open codes and 3 axial codes).
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Main Subjects
2 . Adeyemi OA, Potticary M, Sunmola F, Idris MO, Adeyemi EO, Raji IO. A Comparative analysis of service supply chain performance using analytic hierarchy process methodology. Procedia Computer Science. 2024 Jan 1;232:3102-11. https://doi.org/10.1016/j.procs.2024.02.126
3 . Lopes CM, Scavarda AJ, Vaccaro GL, Pohlmann CR, Korzenowski AL. Perspective of business models and innovation for sustainability transition in hospitals. Sustainability. 2018 Dec 20;11(1):5. https://doi.org/10.3390/su11010005
4 . Dwivedi A, Agrawal D, Jha A, Mathiyazhagan K. Studying the interactions among Industry 5.0 and circular supply chain: Towards attaining sustainable development. Computers & Industrial Engineering. 2023 Feb 1;176:108927. https://doi.org/10.1016/j.cie.2022.108927
5 . Lahane S, Kant R. Evaluating the circular supply chain implementation barriers using Pythagorean fuzzy AHP-DEMATEL approach. Cleaner Logistics and Supply Chain. 2021 Dec 1;2:100014. https://doi.org/10.1016/j.clscn.2021.100014
6 . Duque-Uribe V, Sarache W, Gutiérrez EV. Sustainable supply chain management practices and sustainable performance in hospitals: a systematic review and integrative framework. Sustainability. 2019 Oct 25;11(21):5949. https://doi.org/10.3390/su11215949
7 . Khan F, Ali Y. Implementation of the circular supply chain management in the pharmaceutical industry. Environment, Development and Sustainability. 2022 Dec;24(12):13705-31.https://doi.org/10.1007/s10668-021-02007-6
8 . Göleç A, Karadeniz G. Performance analysis of healthcare supply chain management with competency-based operation evaluation. Computers & Industrial Engineering. 2020 Aug 1;146:106546. https://doi.org/10.1016/j.cie.2020.106546
9 . Bendavid Y, Boeck H. Using RFID to improve hospital supply chain management for high value and consignment items. Procedia Computer Science. 2011 Jan 1;5:849-56. https://doi.org/10.1016/j.procs.2011.07.117
10 . Dolatabad AH, Mahdiraji HA, Babgohari AZ, Garza-Reyes JA, Ai A. Analyzing the key performance indicators of circular supply chains by hybrid fuzzy cognitive mapping and Fuzzy DEMATEL: evidence from healthcare sector. Environment, Development and Sustainability. 2022 Jul 4:1-27.https://doi.org/:/10.1007/s10668-022-02535-9
11 . Tseng ML, Ha HM, Wu KJ, Xue B. Healthcare industry circular supply chain collaboration in Vietnam: vision and learning influences on connection in a circular supply chain and circularity business model. International Journal of Logistics Research and Applications. 2022 May 4;25(4-5):743-68.https://doi.org/:10.1080/13675567.2021.1923671
12 . Rash S, Ebrahimpour Azbari M, Ramezanian MR. Identifying and ranking the circular supply chain implementation challenges using pythagorean fuzzy SWARA approach (case of study: pharmaceutical industry of Guilan province). Journal of decisions and operations research. 2023 Jan 1;8(4):1015-31. https://doi.org/10.22105/dmor.2023.392276.1727
13 . Kalmykova Y, Sadagopan M, Rosado L. Circular economy–From review of theories and practices to development of implementation tools.Resources, conservation and recycling. 2018 Aug 1;135:190-201. https://doi.org/10.1016/j.resconrec.2017.10.034
14 . Farooque M, Zhang A, Thürer M, Qu T, Huisingh D. Circular supply chain management: A definition and structured literature review. Journal of cleaner production. 2019 Aug 10;228:882-900. https://doi.org/10.1016/j.jclepro.2019.04.303
15 . Khorasani ST, Cross J, Maghazei O. Lean supply chain management in healthcare: a systematic review and meta-study. International Journal of Lean Six Sigma. 2020 Jan 14;11(1):1-34 .https://doi.org/10.1108/IJLSS-07-2018-0069
16 . Corbin J, Strauss A. Basics of Qualitative Research: Techniques and Procedures for Developing Grounded Theory. Sage publications; 2014.https://doi.org/10.4135/9781452230153
17 . Guba EG, Lincoln YS. Epistemological and methodological bases of naturalistic inquiry. Ectj. 1982 Dec;30(4):233-52.
https://doi.org/10.1007/BF02765185
19 . Samuel C, Gonapa K, Chaudhary PK, Mishra A. Supply chain dynamics in healthcare services. International journal of health care quality assurance.2010 Sep 7;23(7):631-42. https://doi.org/:10.1108/09526861011071562
20 . Pan SY, Du MA, Huang IT, Liu IH, Chang EE, Chiang PC. Strategies on implementation of waste-to-energy (WTE) supply chain for circular economy system: a review. Journal of cleaner production. 2015 Dec 1;108:409-21. https://doi.org/:10.1016/j.jclepro.2015.06.124
21 . Su B, Heshmati A, Geng Y, Yu X. A review of the circular economy in China: moving from rhetoric to implementation. Journal of cleaner production. 2013 Mar 1;42:215-27. https://doi.org/10.1016/j.jclepro.2012.11.020
22 . Liu Y, Bai Y. An exploration of firms’ awareness and behavior of developing circular economy: An empirical research in China. Resources,Conservation and Recycling. 2014 Jun 1;87:145-52. https://doi.org/10.1016/j.resconrec.2014.04.002
23 . Seyyedmoharrami I, Dehaghi BF, Abbaspour S, Zandi A, Tatari M, Teimori G, Torbati AG. The relationship between organizational climate, organizational commitment and job burnout: Case study among employees of the university of medical sciences. The Open Public Health Journal.2019 Mar 19;12(1). [in persian] https://doi.org/10.2174/1874944501912010094
24 . Rakovska MA, Stratieva SV. A taxonomy of healthcare supply chain management practices. InSupply Chain Forum: An International Journal 2018 Jan 2 (Vol. 19, No. 1, pp. 4-24). https://doi.org/10.1080/16258312.2017.1395276
25 . Lieder M, Rashid A. Towards circular economy implementation: a comprehensive review in context of manufacturing industry. Journal of cleaner production. 2016 Mar 1;115:36-51. https://doi.org/10.1016/j.jclepro.2015.12.042
26 . Kazancoglu I, Sagnak M, Kumar Mangla S, Kazancoglu Y. Circular economy and the policy: A framework for improving the corporate environmental management in supply chains. Business Strategy and the Environment. 2021 Jan;30(1):590-608. https://doi.org/10.1002/bse.2641
27 . Azimi MR, Karimi Taklo S, Sayyadi Tooranloo H. Developing a Model of Sustainable Innovation in Public Hospitals Using Grounded Theory.Journal of Health Promotion Management. 2022 Oct 10;11(5):1-5. [in persian] https://doi.org/10.22034/JHPM.11.5.1
28 . Alshemari A, Breen L, Quinn G, Sivarajah U. Can we create a circular pharmaceutical supply chain (CPSC) to reduce medicines waste?. Pharmacy.2020 Nov 18;8(4):221. https://doi.org/10.3390/pharmacy8040221
29. Mirghafoori SH, Morovati Sharifabadi A, Karimi Takalo S. Configuration of sustainable supply chain of health services using the Fuzzy Cognitive Mapping Method: A case study on the hospitals of Kerman, Iran. Journal of Health Promotion Management. 2018 Jun 10;7(2):9-17. [in persian].https://doi.org/10.3926/jiem.2517] .
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