目的:本研究目的旨在建構一個概念模式,用以瞭解醫院推行綠色供應鏈管理活動(綠色採購、廢棄物再利用)、社會資本理論、環境導向等對環境績效之影響。方法:本研究採方便取樣,並以台灣醫療院所之醫療機構中衛材採購相關人員為調查對象,以結構式問卷收集資料。再採用描述性統計、信度分析與結構方程模型(SEM)進行資料分析。本研究採用結構方程模式驗證研究假說來加以分析,同時檢驗綠色採購、廢棄物再利用之中介效果。結果:分析結果顯示:(1)內部與外部環境導向是環境導向的重要組成部分;(2)環境導向、認知面與關係面對綠色採購呈現顯著正向影響;(3)環境導向、認知面與結構面對廢棄物再利用呈現顯著正向影響;(4)綠色採購與廢棄物再利用對環境績效呈現顯著正向影響。結論:此結果將可提供醫院在推行綠色供應鏈管理決策的參考,進一步將達到成功的醫療綠色供應鏈管理。
Objective: This paper proposes a conceptual model for understanding the effect of green supply chain management activities (green purchase and waste recovery), social capital theory, environmental orientation on the environmental performance of hospitals. Methods: This study adopted convenience sampling to survey and was conducted of individuals working in the medical network in Taiwan. Structured questionnaires were utilized for data collection. Descriptive statistics and structural equation modeling were used in data analysis. This study used SEM method to analyze the sampled data and test the hypotheses, and to examine the mediating effect of green purchase and waste recovery. Results: The following results were obtained: (1) Internal and external environments orientation were crucial components of environmental orientation; (2) environmental orientation, cognitive dimension, and relational dimension had significantly positive effects on green purchase behavior; (3) environmental orientation, cognitive dimension, and structural dimension had significantly positive effects on waste recovery; and (4) green purchase behavior and waste recovery had significantly positive effects on environmental performance. Conclusions: These results can serve as a reference for individuals making managerial decisions regarding green supply chain management in hospitals. Furthermore, the findings are valuable for implementing successful medical green supply chain management.