Exploring H ospital for Green S upply C hain A ctivity of Performance A ffect

1. Exploring Hospital for Green Supply Chain Activity of Performance Affect Graduate student：Yi-Chin Chen Advisor：Bor-Wen Cheng, Ph.D. Date： 2013-01-06 1

2. Table of Contents Introduction Literature 1 Method 2 Expected Results 3 4 2

3. Introduction Research Background & Motivation Expert interview Research Purpose Research Scope 3

4. Interview Research Literature 4

5. In 2002, the Green Procurement Promotion Result in the Government Agency. Figure 1. The Agencies within Executive Yuan and Subordinate Agencies Data Source: Environmental Protection Administration, Executive Yuan Greenliving Information Platform, Taiwan, R.O.C, 2012 5

6. Figure 2 .2010 medical waste statistics (metric tons) Collate information sources: Environmental Protection Administration, Executive Yuan, Taiwan, R.O.C, 2010 6

7. Up to now, hospitals don't exclude join GSC activities. Green procurement, waste handling and performance Can be used as a research starting point Expertinterview NTUH Yun-Lin Branch Procurement Leader-Miss Wu 7

8. Qualitative Quantitative • Green Procurement of feelings and situation. • Ｗaste reuse Environment Performance and Economic performance • In-Depth Interview Hospital users. • Combined with quantitative results. 8

9. 1.3 Research Scope • To 2012-12-31 , Exam pass by the Department of Health's hospital accreditation. Table 1. The number of hospital accreditation pass. Data Source: Departmentof Health, Taiwan, R.O.C, 2012 10

10. Literature review Green supply chain Environmental GSC activities Performance 11

11. SCC (2007) Walker et al.(2008) (1) Green Supply Chain, GSC Classification Recycle Reuse Waste treatment Green Supply Chain Supply Chain 12

12. Core values Laws and Regulations (2) Environment Core object Reward and Punish Internalenvironment Externalenvironment Operating Public expectations Organizational culture Peer learning 13 North (1999). Banerjee et al.(2003). Yang et al.(2009)

13. (2.1) Internalenvironment Green Procurement H1a Internalenvironment Green Procurement Organizations began to attention to environmental protection, while encouraging to use green product. Banerjee et al. (2003) 14

14. (2.2) Internalenvironment Waste Reuse H1b Internalenvironment Waste Reuse Management of medical waste, most hospitals have a separate collection of recyclable materials. ShuangHo Hospital. Chiayi Christian Hospital . Dalin Tzu Chi General Hospital BirpInar et al. (2009) Environmental Quality ProtectonFoundation(2012) 15

15. (2.3) Externalenvironment GSC Activity Green Procurement H2a Externalenvironment Waste Reuse H2b Government regulations Reward and Punish Execution 16 Yang et al.(2009)

16. CEC, 2008 EPA, 2012 Green Procurement Waste Reuse (3) GSC Activity Uttam et al., 2008 Processes and services Environmental protection Homogeneous products Environmental impact General waste Industrial waste Harmful Harmless 17

17. (2.1) Green Procurement Performance Environmental Performance H3a Green Procurement Economic Performance H3b 18 Uttam et al.(2012)a

18. (2.2) Waste Reuse  Performance Environmental Performance H4a Waste Reuse Economic Performance H4b Medical Waste Management Plan, MWMP Environmental Economic 19 EQPF(2012), Moreira et al.(2012)

19. Economic Performance Environmental Performance Zhu & Sarkis, 2004 Kao et al., 2012 Communication (3) Performance Improve Time Pollution Image Operating Management Performance Positive Negative Cost Teunter & Fortuin (1998) 20

20. Robins, 2001 Robins, 2006 (4) Incentive Persistence Tension lowering Pursuit to meet the behavior Needs to meet Direction Driving force Tension Intensity Demand don’t meet 21

21. Methodology Framework Subjects and methods Performance 22

22. 3-1. Research framework Environmental GSC activities Performance Environmental Performance Green Procurement Internal environment H1a H3a H3b H1b H2a Waste Reuse External environment Economic Performance H4a H2b H4b H5a H5b Incentive 23 Figure 3. Research framework

23. 3-1. Research framework H1a+ Internal environment Green Procurement Egri & Herman(2000) Banerjee et al.(2003) H1b+ Waste Reuse Chan et al.(2012) External environment Green Procurement H2a+ North(1999) Yang et al.(2009) H2b+ Waste Reuse 24

24. 3-1. Research framework H3a+ Green Procurement Environmental Performance Smith et al.(2005) Polwell et al.(2006) H3b- Uttam et al.(2012) Economic Performance Waste Reuse Environmental Performance H4a+ Moreira et al.(2012) EPA(2012) H4b+ Economic Performance 25

25. 3-1. Research framework Internal environment Green Procurement Edwin Locke(1960) Robbins(1990) H5a+ Incentive External environment Green Procurement Edwin Locke(1960) Robbins(1990) H5b+ Incentive 26

26. 3-2. Subjects and methods • Region • Area • Medicine Type Questionnaire Quantity 470 of hospital Copies Triplicate Total of 1410 SPSS & LISREL 27

27. 3-3. Analytic Methods 28

28. Expected results 29

29. 4. Expected results • Hospital operating join the GSC activities can to improve performance. • Internal and external environment improve GSC activity . • GSC activity improve environmental and economic performance. 30

30. Thank you for your listening 31