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A fundamental research question is what leads some organizations, but not others, to be sustainable in their procurement operations. Extant theoretical frameworks, while valuable, do not fully reflect the nuances of decision-making in procurement operations. We aim to illuminate the role of individual attitudes, capabilities, and behavioral intentions in actualizing sustainable procurement.

We develop a framework by adapting the theory of planned behavior (TPB) to the context of sustainable procurement. We test the framework with a sample of 465 procurement professionals based in the EU through partial least squares structural equation modeling.

We find that sustainable purchasing behavior is predominantly shaped by behavioral intention, that is, willingness to pay for sustainability. This behavioral intention is significantly influenced by individual attitudes and capabilities in addition to awareness of consequences and perceived corporate social responsibility engagement but, interestingly, not by individual subjective norms.

The TPB is one of the most influential models for predicting behavior. However, the application of the theory in operations management is hitherto limited. The present study contributes to understanding individual-level antecedents of operations management practices and offers suggestions to practitioners engaged in fostering sustainable procurement.

The mental healthcare is experiencing an ever-growing surge in understanding the consumer (e.g., patient) engagement paradox, aiming to vouch for the quality of care. Despite this surge, scant attention has been given in academia to conceptualize and empirically investigate this particular aspect. Thus, drawing on the Stimulus-Organism-Response (S-O-R) paradigm, the study explores how patients engage with healthcare service providers and how they perceive the quality of the healthcare services.

Data were collected from 279 respondents, and the derived conceptual model was tested by using Smart PLS 3.2.7 and PROCESS. To complement the findings of partial least squares (PLS)-based structural equation modeling (SEM), the present study also applied fuzzy set qualitative comparative analysis (fsQCA) to identify the necessary and sufficient conditions to explore substitute conjunctive paths that emerge.

Findings show that patients’ perceived intimacy (PI), cohesion and privacy enhance the quality of mental healthcare service providers. The results also suggest that patients’ PI, cohesion and privacy have indirect effects on the perceived quality of care (PQC) by the service providers through consumer engagement. The fsQCA results derive that the relationship among conditions leading to patients’ perception of the quality of care in regard to mental healthcare service providers is complex and is best reflected as multiple and conjectural causation configurations.

The findings from this research contribute to the advancement of studies on patients’ experiences by empirically examining the unique dynamics of interaction between consumers (patients) and mental healthcare service providers, thereby enriching both the literature on social interactions and the understanding of the consumer–provider relationship.

The results of this study provide practical implications for mental healthcare service providers on how to combine the study variables to enhance the quality of care and satisfy more patients.

A significant research gap has ascertained the inter-relationship between PI, cohesion, privacy, engagement and PQC from the perspective of mental healthcare service providers. This research is one of the primary studies from a managerial and methodological standpoint. The study contributes by combining symmetric and asymmetric statistical tools in service marketing and healthcare research. Furthermore, the application of fsQCA helps to understand the interactions that might not be immediately obvious through traditional symmetric methods.