To reduce medical waste, attention must be paid to the environmental friendliness of products during procurement. Thus, environmental awareness among hospital procurement personnel is crucial. Sustainable development, which effectively utilizes limited external resources, is the common goal of hospitals and suppliers. This study aims to establish a research framework that combines the theories of resource dependence and environmental relationship quality, incorporating environmental factors, subjective environmental norms, and perceived environmental values. Whether the environmental awareness of hospital procurement personnel is related to the quality of supplier relationships was investigated using a questionnaire survey method with hospital procurement personnel as the subjects. A total of 443 valid questionnaires were collected, and structural equation modeling was used to verify the hypotheses. The results show that (1) substitutability and uncertainty have a positive and significant effect on environmental relationship quality; (2) environmental subjective norms have a positive and significant effect on environmental relationship quality; (3) importance and perceived environmental value have a positive and significant effect on environmental commitment; (4) environmental relationship quality has a positive and significant effect on environmental performance. These results provide a reference for the promotion of relevant policies, education, and training in medical institutions.
A circular economy is a concept of sustainable development that enhances a company’s image and influences consumers’ attitudes toward the corporation. Trust, commitment, and identification in relationship marketing are key factors for fostering long-term relationships. This study aimed to examine the relationship quality and attitudes between higher education students’ personal environmental perspectives and circular economy products, further investigating their impact on the purchase intention of circular economy products. Therefore, this research proposed and tested a theoretical framework that combined variables, including environmental concern, environmental awareness, relationship quality with circular economy products, and attitudes, to determine the influencing factors on higher education students’ purchase intention of circular economy products. This study adopted a survey design method and employed partial least squares structural equation modeling (PLS-SEM) to analyze data from 443 higher education students from Taiwan and Thailand. The results indicated that environmental awareness and environmental concern are critical antecedent factors for attitude and relationship quality (trust and identification) in circular economy products. In addition, trust and attitude in circular economy products have a significant impact on commitment. Furthermore, trust, commitment, and identification with circular economy products are crucial determining factors for the purchase intention of circular economy products. The findings contribute to a deeper understanding of the factors influencing higher education students’ purchase intention of circular economy products, thereby achieving the goal of environmental sustainability.
Mobile technology has become increasingly common in recent years with its booming development across the globe, leading to the gradual adoption of mobile health, which can reduce the risk of caregivers being infected. The widespread use of mobile health has brought many benefits to the healthcare industry, including increased efficiency for frontline caregivers and a better patient–physician relationship. However, it also presents some challenges. This study aimed to examine caregivers’ behavior intention to use mobile technology in medical practice with a unified theory of acceptance and the use of technology two model. Satisfaction and self-efficacy were included as external variables and mobile technology identity as a moderator variable. A total of 281 valid questionnaires were collected from the nursing staff, and a structural equation model was used to test the hypotheses of this study. The results of the study showed that (1) self-efficacy had a significant effect on satisfaction and effort expectancy, (2) effort expectancy significantly affected performance expectancy, (3) performance expectancy and satisfaction had significant effects on behavior intention, and (4) mobile technology identity moderated the relationship between satisfaction and behavior intention. These results could inform medical institutions and facilities in launching mobile technology policies and education or training programs.