In the context of diverse financial, environmental, and social issues worldwide, green market orientation (GMO), along with environmental orientation (EO), governmental support (GS), market competition (MC) and perceived organizational support for the environment (POS-E), could be a justified solution by the SME sector, as this sector holds the majority of business fields in most countries. Therefore, this study focuses on the betterment of the financial, environmental, and social performance of SME. This study also tried to advance the SDG goals 8 and 12 through the outcomes. Although this study considers the SMEs perspective of Bangladesh in the light of the Triple Bottom Line (TBL) and Natural Resource-Based View (NRBV) theories, the scenario is almost the same in other developing countries. This study collected data from 221 SMEs through a questionnaire and used a cross-sectional design, and the data were analyzed by SEM-PLS. Findings of the study showed that EO, GS, and POS-E have a significant influence on business performance, which consists of financial, environmental, and social performance. Additionally, GMOs also showed a significant positive mediating influence between EO and BP, GS and BP, and POS-E and BP. However, this study also found the moderating impact of market competition (MC) to be negligible and weakens all hypotheses. In addition to broadening the perspective of TBL and NRBV and enhancing the existing literature, insights from this study will help the SEMs, policymakers, marketing practitioners, government, and supporting organizations to create an appropriate policy and business environment for overall higher business performance.

Chronic kidney disease (CKD) is a rising public health concern in low- and middle-income countries (LMICs), with urban populations disproportionately affected. In Bangladesh, particularly in Dhaka, dialysis services have become essential for CKD management. This study investigates the determinants of revisit intention among adult attendants of dialysis patients in Dhaka, using partial least squares structural equation modeling. A cross-sectional survey was conducted across four major dialysis centers totaling 399 valid responses. A purposive sampling technique was employed to ensure the inclusion of respondents with relevant experience and engagement in dialysis service utilization. Among respondents, over half were male, 43% had primary to higher secondary education, and one-third reported household incomes between BDT 40,001 and 60,000. The largest age group was 45–49 years (32.3%), and nearly 60% selected the facility due to nearness. Reliability and validity metrics met recommended thresholds, and multivariate normality was not assumed (Mardia’s test, p < 0.05). The structural model revealed significant direct effects of cost (β = 0.167, p = 0.003), Perceived trust in healthcare providers (β = 0.252, p < 0.001), and Perceived patient satisfaction (β = 0.422, p < 0.001) on Perceived revisit intention. Dialysis Delivery Service and word of mouth influenced revisit behavior indirectly through Perceived patient satisfaction. All mediation paths were statistically significant and classified as complementary. To improve patient retention, the policymaker should prioritize affordability, perceived trust in healthcare providers, and overall service quality, which together enhance perceived patients’ satisfaction and revisit intention.