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A New Dimension of Health Sustainability Model after Pandemic Crisis Using Structural Equation Model

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  • Nutthawut Ritmak

    (Graduate School, University of the Thai Chamber of Commerce, 126/1 Vibhavadi Rangsit Road, Din Daeng, Bangkok 10400, Thailand)

  • Wanchai Rattanawong

    (School of Engineering, University of the Thai Chamber of Commerce, 126/1 Vibhavadi Rangsit Road, Din Daeng, Bangkok 10400, Thailand)

  • Varin Vongmanee

    (School of Engineering, University of the Thai Chamber of Commerce, 126/1 Vibhavadi Rangsit Road, Din Daeng, Bangkok 10400, Thailand)

Abstract

Since the coronavirus (COVID-19) pandemic, it has been clear that the health dimension (HEDm) has a severe impact on sustainability, which was originally considered from the pillars of society, environment and economy. Hence, the integration of the health dimension into the other three pillars is plausible to define guidelines and criteria for progress monitoring and policy assessment towards a health-sustainable city. The objective of this study aims to present The Health Sustainability Model (HSM), a four-dimensional model for health sustainability (health, economy, environment, and society), using the Del-phi method to determine potential indicators agreed by eighteen experts, including physicians who deeply understand issues on health sustainability, and assess complex dimensions of health in the context of sustainability. The researchers have found that 45 indicators, later grouped into 15 elements and 4 dimensions, have a high level of agreement with Kendall’s W (KW) at 0.36. The HSM was then examined by the structural equation model (SEM) with reliability and validity shown as follows: the absolute fit with CMIN/DF = 1.44, RMSEA = 0.033, GFI = 0.96, AGFI = 0.94, RMR = 0.025, and the incremental fit with NFI = 0.94, CFI = 0.98, TLI = 0.97, and IFI = 0.98. Based on the results, the model is valid, in line with the empirical data. For further application, the HSM is expected to support city planners and decision makers by identifying room for improvement in each dimension through the indicators employed in the model. In contrast to existing studies that mainly use qualitative data, by conducting quantitative assessment, the model enables policy makers to objectively evaluate conditions and appropriately design policies to improve residents’ well-being.

Suggested Citation

  • Nutthawut Ritmak & Wanchai Rattanawong & Varin Vongmanee, 2023. "A New Dimension of Health Sustainability Model after Pandemic Crisis Using Structural Equation Model," Sustainability, MDPI, vol. 15(2), pages 1-21, January.
    • Handle: RePEc:gam:jsusta:v:15:y:2023:i:2:p:1616-:d:1035457
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    1. Arthur Lehner & Christoph Erlacher & Matthias Schlögl & Jacob Wegerer & Thomas Blaschke & Klaus Steinnocher, 2018. "Can ISO-Defined Urban Sustainability Indicators Be Derived from Remote Sensing: An Expert Weighting Approach," Sustainability, MDPI, vol. 10(4), pages 1-31, April.
    2. Lin Ding & Zhenfeng Shao & Hanchao Zhang & Cong Xu & Dewen Wu, 2016. "A Comprehensive Evaluation of Urban Sustainable Development in China Based on the TOPSIS-Entropy Method," Sustainability, MDPI, vol. 8(8), pages 1-23, August.
    3. Issam Banamar & Yves De Smet, 2018. "An extension of PROMETHEE II to temporal evaluations," International Journal of Multicriteria Decision Making, Inderscience Enterprises Ltd, vol. 7(3/4), pages 298-325.
    4. Juan Tang & Hong-lin Zhu & Zhi Liu & Fu Jia & Xiao-xue Zheng, 2019. "Urban Sustainability Evaluation under the Modified TOPSIS Based on Grey Relational Analysis," IJERPH, MDPI, vol. 16(2), pages 1-21, January.
    5. Saud Alshehri & Yacine Rezgui & Haijiang Li, 2015. "Delphi-based consensus study into a framework of community resilience to disaster," Natural Hazards: Journal of the International Society for the Prevention and Mitigation of Natural Hazards, Springer;International Society for the Prevention and Mitigation of Natural Hazards, vol. 75(3), pages 2221-2245, February.
    6. Boggia, Antonio & Massei, Gianluca & Pace, Elaine & Rocchi, Lucia & Paolotti, Luisa & Attard, Maria, 2018. "Spatial multicriteria analysis for sustainability assessment: A new model for decision making," Land Use Policy, Elsevier, vol. 71(C), pages 281-292.
    7. Harmi Takiya & Iara Negreiros & Charles Lincoln Kenji Yamamura & José Alberto Quintanilha & Cláudia Aparecida Soares Machado & Alex Abiko & Cintia Isabel de Campos & Marcelo Schneck de Paula Pessoa & , 2022. "Application of Open Government Data to Sustainable City Indicators: A Megacity Case Study," Sustainability, MDPI, vol. 14(14), pages 1-30, July.
    8. Geist, Monica R., 2010. "Using the Delphi method to engage stakeholders: A comparison of two studies," Evaluation and Program Planning, Elsevier, vol. 33(2), pages 147-154, May.
    9. Van Thac Dang & Jianming Wang & Wilson Van-Thac Dang, 2019. "An Integrated Fuzzy AHP and Fuzzy TOPSIS Approach to Assess Sustainable Urban Development in an Emerging Economy," IJERPH, MDPI, vol. 16(16), pages 1-20, August.
    10. Edmundas Kazimieras Zavadskas & Fausto Cavallaro & Valentinas Podvezko & Ieva Ubarte & Arturas Kaklauskas, 2017. "MCDM Assessment of a Healthy and Safe Built Environment According to Sustainable Development Principles: A Practical Neighborhood Approach in Vilnius," Sustainability, MDPI, vol. 9(5), pages 1-30, April.
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    1. Yi Ren & Qiusheng Yang, 2023. "Research on the Factors Influencing the Perception of Urban Park Recreational Behavior Based on the “Homo Urbanicus” Theory," Sustainability, MDPI, vol. 15(8), pages 1-20, April.
    2. Chayada Kanokphanvanich & Wanchai Rattanawong & Varin Vongmanee, 2023. "A New Model for a Sustainable Healthcare Supply Chain Prioritizes Patient Safety: Using the Fuzzy Delphi Method to Identify Healthcare Workers’ Perspectives," Sustainability, MDPI, vol. 15(9), pages 1-23, April.
    3. Nattawut Pumpugsri & Wanchai Rattanawong & Varin Vongmanee, 2023. "Development of a Safety Heavy-Duty Vehicle Model Considering Unsafe Acts, Unsafe Conditions and Near-Miss Events Using Structural Equation Model," Sustainability, MDPI, vol. 15(16), pages 1-20, August.

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