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Sustainable competitive advantage in maternal and child health institutions: a dynamic capability approach

Author

Listed:
  • Haibin Yuan

    (University Institute of Lisbon
    Southern Medical University (SMU))

  • Fernando A. F. Ferreira

    (University Institute of Lisbon
    University of Memphis)

Abstract

China’s government has always attached great importance to protecting women and children’s rights and has made a consistent effort to promote their all-round health. The on-going medical reforms in the country have resulted in a falling birth rate and rising demand for increasingly diversified, multi-level healthcare services. Maternal and child health (MCH) institutions have had to implement more extensive changes and deal with greater challenges in order to survive and develop. MCH organizations thus need to find ways to improve their competitiveness. This study integrates qualitative and quantitative business analytics methods by conducting empirical research using varied techniques, namely the Delphi method and analytic hierarchy process (AHP). A panel of experts were consulted in three rounds of surveys, and the results were processed with AHP in order to develop an evaluation indicator model of MCH institutions’ competitive advantages. Ten hospitals were selected to verify the model’s applicability. Sensitivity analysis confirmed that the model has good stability. The proposed model highlights that human resources have the greatest weight as a determinant of competitive advantage. The findings, therefore, concentrate on people as the core resource, suggesting that MCH institutions can acquire and maintain competitive advantages based on three dimensions: department leader development, improved scientific research capacity, and a more flexible hospital culture.

Suggested Citation

  • Haibin Yuan & Fernando A. F. Ferreira, 2025. "Sustainable competitive advantage in maternal and child health institutions: a dynamic capability approach," Annals of Operations Research, Springer, vol. 346(2), pages 1869-1895, March.
    • Handle: RePEc:spr:annopr:v:346:y:2025:i:2:d:10.1007_s10479-022-04738-9
    DOI: 10.1007/s10479-022-04738-9
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    References listed on IDEAS

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    1. Eden, Colin & Ackermann, Fran, 2004. "Cognitive mapping expert views for policy analysis in the public sector," European Journal of Operational Research, Elsevier, vol. 152(3), pages 615-630, February.
    2. Ingemar Dierickx & Karel Cool, 1989. "Asset Stock Accumulation and Sustainability of Competitive Advantage," Management Science, INFORMS, vol. 35(12), pages 1504-1511, December.
    3. Richard P. Rumelt, 1982. "Diversification strategy and profitability," Strategic Management Journal, Wiley Blackwell, vol. 3(4), pages 359-369, October.
    4. Kathleen M. Eisenhardt & Jeffrey A. Martin, 2000. "Dynamic capabilities: what are they?," Strategic Management Journal, Wiley Blackwell, vol. 21(10‐11), pages 1105-1121, October.
    5. Birger Wernerfelt, 1984. "A resource‐based view of the firm," Strategic Management Journal, Wiley Blackwell, vol. 5(2), pages 171-180, April.
    6. Ingemar Dierickx & Karel Cool, 1989. "Asset Stock Accumulation and the Sustainability of Competitive Advantage: Reply," Management Science, INFORMS, vol. 35(12), pages 1514-1514, December.
    7. Norman Dalkey & Olaf Helmer, 1963. "An Experimental Application of the DELPHI Method to the Use of Experts," Management Science, INFORMS, vol. 9(3), pages 458-467, April.
    8. Singh, Abinash & Vellakkal, Sukumar, 2021. "Impact of public health programs on maternal and child health services and health outcomes in India: A systematic review," Social Science & Medicine, Elsevier, vol. 274(C).
    9. David J. Teece & Gary Pisano & Amy Shuen, 1997. "Dynamic capabilities and strategic management," Strategic Management Journal, Wiley Blackwell, vol. 18(7), pages 509-533, August.
    10. Weber, Martin & Borcherding, Katrin, 1993. "Behavioral influences on weight judgments in multiattribute decision making," European Journal of Operational Research, Elsevier, vol. 67(1), pages 1-12, May.
    11. Ananda, Jayanath & Herath, Gamini, 2009. "A critical review of multi-criteria decision making methods with special reference to forest management and planning," Ecological Economics, Elsevier, vol. 68(10), pages 2535-2548, August.
    12. Constance E. Helfat & Margaret A. Peteraf, 2003. "The dynamic resource‐based view: capability lifecycles," Strategic Management Journal, Wiley Blackwell, vol. 24(10), pages 997-1010, October.
    13. P. Zhou & B. Ang, 2009. "Comparing MCDA Aggregation Methods in Constructing Composite Indicators Using the Shannon-Spearman Measure," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 94(1), pages 83-96, October.
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