Analyzing the key performance indicators of circular supply chains by hybrid fuzzy cognitive mapping and Fuzzy DEMATEL: evidence from healthcare sector

Abstract

This study presents a multi-layer fuzzy-based decision-making approach to enhance the hospital Circular Supply Chain (CSC) performance by focusing on intensive care units (ICU) via key performance indicators analysis. In this regard, a Systematic Literature Review (SLR) and Institution Fuzzy Delphi (IFD) are employed to extract the relevant and prominent KPIs. After, a hybrid Fuzzy Cognitive Mapping (FCM) and Fuzzy Decision Making Trial and Evaluation Laboratory (FDEMATEL) have been applied to illustrate a conceptual framework for the CSC performance management of the healthcare sector in the emerging economy of Iran. As a result, eight critical indicators emanated from the SLR-IFD approach. Furthermore, sixteen relationships amongst the performance indicators were identified via hybrid FCM-FDEMATEL. Inventory availability, information availability, innovation, and technology were selected as the most influential indicators. Besides, changing the information technology category, including information availability and Innovation and technology, had the most impact on the performance of the entire CSC. This study attempts to evaluate hospitals’ circular supply chain performance, by designing the circular evaluation framework. Hospital managers can use the results of this research to improve their internal circular supply chain performances in the intensive care units by understanding the different scenarios.

Evolving trajectories of circular supply chain domain: a citation path analysis

“…The Venn diagram in Figure 4 represents the papers included in forward local, backward local, key route global and the global main path. The forward local main path has 19 exclusive papers (Rejeb and Appolloni, 2022; Dolatabad et al. , 2022; Kayikci et al.…”

“…Dolatabad et al. (2022) evaluated the supply chain of intensive care units, a part of the healthcare supply chain.…”

“…4.2.2.6 Performance evaluation of circularity. Dolatabad et al (2022) evaluated the supply chain of intensive care units, a part of the healthcare supply chain. A conceptual framework was posited showcasing the key performance indicators for the hospital's CSC.…”

“…The citation network of research papers forming the main path is discussed in this section. (Rejeb and Appolloni, 2022;Dolatabad et al, 2022;Kayikci et al, 2022;Xiong et al, 2022;Wuni and Shen, 2022;Saroha et al, 2020Saroha et al, , 2022Majumdar et al, 2022;Shaikh et al, 2022;Tseng et al, 2021;Kumar et al, 2021;Mina et al, 2021;Dulia et al, 2021;Ethirajan et al, 2021;Chhimwal et al, 2021; Sundgreen, 2020; Kanan et al, 2020;Ciulli et al, 2020;Canning, 2006) while the backward main path has 25 exclusive papers (Zhu et al, 2010(Zhu et al, , 2011Sehnem et al, 2019b;Dev et al, 2020;Bekrar et al, 2021; Khan et al, 2021a, b;Kazancoglu et al, 2021;Khan et al, 2021a;Dongfang et al, 2022;Alves et al, 2022;Xie et al, 2022;Dwivedi and Paul, 2022;Mukherjee et al, 2021;Acerbi et al, 2022;Gong et al, 2022a, b; Percin et al, 2022;Pannila et al, 2022;Formentini et al, 2022;Centobelli et al, 2022;Yontar, 2023;Kouhizadeh et al, 2023;Dwivedi et al, 2023;Le, 2023) and seven papers exclusive to the global key route path (Mastos et al, 2021;…”

Collaborative leadership to support sustainability in practice for dietitians as allied health professionals

“…66 Similarly, analysis has been carried out in relation to KPIs of circular supply chains in the healthcare sector. 67 However, in relation to health professionals specifically, there is a paucity of data to support KPI for sustainability. There is a proposed role of the educators to support this, 68 where there is an essential need to engage multiple stakeholders to achieve consensus on an approach towards indicator development, possibly using SDG indicator framework as an aide.…”