Impact of TQM Philosophy on Business Sustainability, Mediated by Dynamic Capabilities and Green Practices, at Health Care Industry in Egypt

Abstract

Background: Total quality management (TQM) philosophy is managerial approach illustrating pathway to achieve business excellence and objectives. There are many models for TQM implementation as Deming, European foundation of quality management (EFQM) and Malcolm Baldrige national quality award (MNBQA) models. Sustainable development goals (SDGs) demonstrated through social, environmental and economic pillars however, sustainable outcomes are preferred to be categorized as social, environmental and governance categories.

Purpose: The study focuses on impact of TQM implementation on business sustainability from its three pillars with demonstration the mediators as green practices and dynamic capabilities. The study was conducted in Egyptian healthcare sector.

Design: Online survey with quantitative and qualitative questions was conducted in August 2025. Purposive sample is taken from top and middle management in Egyptian private healthcare organizations. Quantitative data were analyzed through regression and mediation analysis and qualitative data are thematically analyzed.

Findings: 31 participants participated, results demonstrate strong direct relation between TQM implementation and business sustainability with significantly positive mediators’ effects by dynamic capabilities and green practices.

Originality & Discussion: Unfortunately, studies are limited in merging between TQM implementation and sustainable outcomes especially in Egyptian healthcare industry, in addition to the limited researches on discussion the mediating factors. Green practices are representing the implementation of green innovations. Dynamic capabilities are representing ability of organization to change and respond toward external circumstances. Ultimately, TQM activities offer roadmap to accomplish sustainable outcomes.