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Digital Intelligence and Decision Optimization in Healthcare Supply Chain Management: The Mediating Roles of Innovation Capability and Supply Chain Resilience

Author

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  • Jing-Yan Ma

    (Department of Supply Chain and Logistics, Kunsan National University, Gunsan 54150, Republic of Korea)

  • Tae-Won Kang

    (Department of Supply Chain and Logistics, College of Social Sciences, Kunsan National University, Gunsan 54150, Republic of Korea)

Abstract

Healthcare supply chain management operates amid fluctuating patient demand, rapidly advancing biotechnologies, and unpredictable supply disruptions pose high risks and create an imperative for sustainable resource optimization. This study investigates the underlying mechanisms through which digital intelligence drives strategic decision optimization in healthcare supply chains. Drawing on the Resource-Based View and Dynamic Capabilities Theory, we develop a chain-mediated model, defined as the multistage indirect path whereby digital intelligence first bolsters innovation capability, which then activates supply chain resilience (absorptive, response, and restorative capability), to improve decision optimization. Data were collected from 360 managerial-level respondents working in healthcare supply chain organizations in China, and the proposed model was tested using structural equation modeling. The results indicate that digital intelligence enhances innovation capability, which in turn activates all three dimensions of resilience, producing a synergistic effect that promotes sustained decision optimization. However, the direct effect of digital intelligence on decision optimization was not statistically significant, suggesting that its impact is primarily mediated through organizational capabilities, particularly supply chain resilience. Practically, the findings suggest that in the process of deploying digital intelligence systems and platforms, healthcare organizations should embed technological advantages into organizational processes, emergency response mechanisms, and collaborative operations, so that digitalization moves beyond the technical system level and is truly internalized as organizational innovation capability and resilience, thereby leading to sustained improvement in decision-making performance.

Suggested Citation

  • Jing-Yan Ma & Tae-Won Kang, 2025. "Digital Intelligence and Decision Optimization in Healthcare Supply Chain Management: The Mediating Roles of Innovation Capability and Supply Chain Resilience," Sustainability, MDPI, vol. 17(15), pages 1-30, July.
    • Handle: RePEc:gam:jsusta:v:17:y:2025:i:15:p:6706-:d:1708182
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    1. Junaid, Muhammad & Zhang, Qingyu & Cao, Mei & Luqman, Adeel, 2023. "Nexus between technology enabled supply chain dynamic capabilities, integration, resilience, and sustainable performance: An empirical examination of healthcare organizations," Technological Forecasting and Social Change, Elsevier, vol. 196(C).
    2. Vincent Charles & Ali Emrouznejad & Tatiana Gherman, 2023. "A critical analysis of the integration of blockchain and artificial intelligence for supply chain," Annals of Operations Research, Springer, vol. 327(1), pages 7-47, August.
    3. Evans Kyeremeh & Emmanuel Erastus Yamoah & Alfred Yamoah, 2025. "Enhancing pharmaceutical supply chain performance: the impact of technology integration, interorganizational trust, and collaboration in the digital age," Future Business Journal, Springer, vol. 11(1), pages 1-17, December.
    4. Karishma M. Qureshi & Bhavesh G. Mewada & Sumeet Kaur & Saleh Yahya Alghamdi & Naif Almakayeel & Ali Saeed Almuflih & Mohamed Rafik Noor Mohamed Qureshi, 2023. "Sustainable Manufacturing Supply Chain Performance Enhancement through Technology Utilization and Process Innovation in Industry 4.0: A SEM-PLS Approach," Sustainability, MDPI, vol. 15(21), pages 1-20, October.
    5. Lianju Ning & Dan Yao, 2023. "The Impact of Digital Transformation on Supply Chain Capabilities and Supply Chain Competitive Performance," Sustainability, MDPI, vol. 15(13), pages 1-22, June.
    6. Ana Carolina Silva & Catarina Moreira Marques & Jorge Pinho de Sousa, 2023. "A Simulation Approach for the Design of More Sustainable and Resilient Supply Chains in the Pharmaceutical Industry," Sustainability, MDPI, vol. 15(9), pages 1-23, April.
    7. Rafael Martínez-Peláez & Alberto Ochoa-Brust & Solange Rivera & Vanessa G. Félix & Rodolfo Ostos & Héctor Brito & Ramón A. Félix & Luis J. Mena, 2023. "Role of Digital Transformation for Achieving Sustainability: Mediated Role of Stakeholders, Key Capabilities, and Technology," Sustainability, MDPI, vol. 15(14), pages 1-27, July.
    8. Azza Asaad Tonsi & Khalid S. M. Husain & Muhammad Zafar Yaqub, 2025. "IT Capabilities’ Impact on Postponement and Supply Chain Viability of Retail Manufacturers: A Dynamic Resource-Based View," Sustainability, MDPI, vol. 17(4), pages 1-24, February.
    9. Banji Rildwan Olaleye & Joseph Nembo Lekunze & Tsediso Joseph Sekhampu & Ntseliseng Khumalo & Adebanji Adejuwon William Ayeni, 2024. "Leveraging Innovation Capability and Organizational Resilience for Business Sustainability Among Small and Medium Enterprises: A PLS-SEM Approach," Sustainability, MDPI, vol. 16(21), pages 1-23, October.
    10. Ahmad Ali Atieh Ali & Abdel-Aziz Ahmad Sharabati & Mahmoud Allahham & Ahmad Yacoub Nasereddin, 2024. "The Relationship between Supply Chain Resilience and Digital Supply Chain and the Impact on Sustainability: Supply Chain Dynamism as a Moderator," Sustainability, MDPI, vol. 16(7), pages 1-20, April.
    11. Safinaz H. Abourokbah & Reem M. Mashat & Mohammad Asif Salam, 2023. "Role of Absorptive Capacity, Digital Capability, Agility, and Resilience in Supply Chain Innovation Performance," Sustainability, MDPI, vol. 15(4), pages 1-25, February.
    12. Di Wang & Weihua Liu & Yanjie Liang & Shuang Wei, 2023. "Decision optimization in service supply chain: the impact of demand and supply-driven data value and altruistic behavior," Annals of Operations Research, Springer, vol. 324(1), pages 971-992, May.
    13. Beaulieu, Martin & Bentahar, Omar, 2021. "Digitalization of the healthcare supply chain: A roadmap to generate benefits and effectively support healthcare delivery," Technological Forecasting and Social Change, Elsevier, vol. 167(C).
    14. Martin Beaulieu & Omar Bentahar, 2021. "Digitalization of the healthcare supply chain: A roadmap to generate benefits and effectively support healthcare delivery," Post-Print hal-03208957, HAL.
    15. Asterios Stroumpoulis & Evangelia Kopanaki, 2022. "Theoretical Perspectives on Sustainable Supply Chain Management and Digital Transformation: A Literature Review and a Conceptual Framework," Sustainability, MDPI, vol. 14(8), pages 1-30, April.
    16. Beata Skowron-Grabowska & Marta Wincewicz-Bosy & Małgorzata Dymyt & Adam Sadowski & Tomasz Dymyt & Katarzyna Wąsowska, 2022. "Healthcare Supply Chain Reliability: The Case of Medical Air Transport," IJERPH, MDPI, vol. 19(7), pages 1-18, April.
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    1. Dimitra Balaska & Dimitrios Karaferis & Yannis Pollalis1 & Demetra Konstantakopoulou, 2025. "Long-Term Economic Consequences of Artificial Intelligence Implementation in Healthcare Institutional Performance Management, Effectiveness, and Patient Outcomes-The Importance of Thorough Health Technology Assessment- A Systematic Review," Biomedical Journal of Scientific & Technical Research, Biomedical Research Network+, LLC, vol. 64(1), pages 56097-56108, November.

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