IDEAS home Printed from https://ideas.repec.org/a/gam/jsusta/v15y2023i2p1616-d1035457.html
   My bibliography  Save this article

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

Author

Listed:
  • 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
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/2071-1050/15/2/1616/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/2071-1050/15/2/1616/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. 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.
    2. 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.
    3. 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.
    4. 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.
    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. 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.
    7. 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.
    8. 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.
    9. 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.
    10. 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.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    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.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Nutthawut Ritmak & Wanchai Rattanawong & Varin Vongmanee, 2022. "The Dynamic Evaluation Model of Health Sustainability under MCDM Benchmarking Health Indicator Standards," IJERPH, MDPI, vol. 20(1), pages 1-29, December.
    2. Jia Guo & Shiyan Ma & Xiang Li, 2022. "Exploring the Differences of Sustainable Urban Development Levels from the Perspective of Multivariate Functional Data Analysis: A Case Study of 33 Cities in China," Sustainability, MDPI, vol. 14(19), pages 1-19, October.
    3. Ainhoa Gonzalez & Álvaro Enríquez-de-Salamanca, 2018. "Spatial Multi-Criteria Analysis in Environmental Assessment: A Review and Reflection on Benefits and Limitations," Journal of Environmental Assessment Policy and Management (JEAPM), World Scientific Publishing Co. Pte. Ltd., vol. 20(03), pages 1-24, September.
    4. Pin Li & Jinsuo Zhang, 2019. "Is China’s Energy Supply Sustainable? New Research Model Based on the Exponential Smoothing and GM(1,1) Methods," Energies, MDPI, vol. 12(2), pages 1-30, January.
    5. Qunxi Gong & Min Chen & Xianli Zhao & Zhigeng Ji, 2019. "Sustainable Urban Development System Measurement Based on Dissipative Structure Theory, the Grey Entropy Method and Coupling Theory: A Case Study in Chengdu, China," Sustainability, MDPI, vol. 11(1), pages 1-19, January.
    6. Yang, Bofan & Zhang, Lin & Zhang, Bo & Xiang, Yang & An, Lei & Wang, Wenfeng, 2022. "Complex equipment system resilience: Composition, measurement and element analysis," Reliability Engineering and System Safety, Elsevier, vol. 228(C).
    7. Alyami, Saleh. H. & Rezgui, Yacine & Kwan, Alan, 2013. "Developing sustainable building assessment scheme for Saudi Arabia: Delphi consultation approach," Renewable and Sustainable Energy Reviews, Elsevier, vol. 27(C), pages 43-54.
    8. Mohammad S. M. Almulhim & Dexter V. L. Hunt & Chris D. F. Rogers, 2020. "A Resilience and Environmentally Sustainable Assessment Framework (RESAF) for Domestic Building Materials in Saudi Arabia," Sustainability, MDPI, vol. 12(8), pages 1-24, April.
    9. Chao, Ching-Cheng & Yu, Po-Cheng, 2013. "Quantitative evaluation model of air cargo competitiveness and comparative analysis of major Asia-Pacific airports," Transport Policy, Elsevier, vol. 30(C), pages 318-326.
    10. Weiwei Li & Pingtao Yi & Danning Zhang, 2018. "Sustainability Evaluation of Cities in Northeastern China Using Dynamic TOPSIS-Entropy Methods," Sustainability, MDPI, vol. 10(12), pages 1-15, December.
    11. Kakehazar, Ronak & Agahi, Hossein & Geravandi, Shahpar, 2020. "Livelihood Resilience to Climate Change in Family Farming System (Case Study: Wheat Farmers’ Mahidasht in Kermanshah)," International Journal of Agricultural Management and Development (IJAMAD), Iranian Association of Agricultural Economics, vol. 10(4), December.
    12. Michinori Uwasu & Keishiro Hara & Masashi Kuroda & Ji Han, 2024. "Assessing the Spatiotemporal Dynamics of Environmental Sustainability in China," Sustainability, MDPI, vol. 16(13), pages 1-14, June.
    13. Adriana Luciano & Federica Pascale & Francesco Polverino & Alison Pooley, 2020. "Measuring Age-Friendly Housing: A Framework," Sustainability, MDPI, vol. 12(3), pages 1-35, January.
    14. Ying Zhou & Weiwei Li & Pingtao Yi & Chengju Gong, 2019. "Evaluation of City Sustainability from the Perspective of Behavioral Guidance," Sustainability, MDPI, vol. 11(23), pages 1-17, November.
    15. Zehua Wang & Fachao Liang & Sheng-Hau Lin, 2023. "Can socially sustainable development be achieved through homestead withdrawal? A hybrid multiple-attributes decision analysis," Palgrave Communications, Palgrave Macmillan, vol. 10(1), pages 1-18, December.
    16. Christoph Markmann & Alexander Spickermann & Heiko A. von der Gracht & Alexander Brem, 2021. "Improving the question formulation in Delphi‐like surveys: Analysis of the effects of abstract language and amount of information on response behavior," Futures & Foresight Science, John Wiley & Sons, vol. 3(1), March.
    17. Carmen García-Peña & Moneyba González-Medina & Jose Manuel Diaz-Sarachaga, 2021. "Assessment of the Governance Dimension in the Frame of the 2030 Agenda: Evidence from 100 Spanish Cities," Sustainability, MDPI, vol. 13(10), pages 1-21, May.
    18. Elena Cervelli & Stefania Pindozzi & Emilia Allevato & Luigi Saulino & Roberto Silvestro & Ester Scotto di Perta & Antonio Saracino, 2022. "Landscape Planning Integrated Approaches to Support Post-Wildfire Restoration in Natural Protected Areas: The Vesuvius National Park Case Study," Land, MDPI, vol. 11(7), pages 1-25, July.
    19. Johan Du Plessis & Wouter Bam, 2018. "Comparing the Sustainable Development Potential of Industries: A Role for Sustainability Disclosures?," Sustainability, MDPI, vol. 10(3), pages 1-30, March.
    20. Kosa Golić & Vesna Kosorić & Slavica Stamatovic Vuckovic & Kosara Kujundzic, 2023. "Strategies for Realization of Socially Sustainable Residential Buildings: Experts’ Perspectives," Sustainability, MDPI, vol. 15(9), pages 1-31, April.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jsusta:v:15:y:2023:i:2:p:1616-:d:1035457. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.