Organisational Resources and Healthcare System Capability in Malaysian Private Hospitals: A Resource-Based View

Abstract

Healthcare system capability (HSC) depends on the effective development and integration of organisational resources. However, evidence on the contribution of these resources remains limited in Malaysian private hospitals. Drawing on the Resource-Based View, this study examines the effects of physical capital resources (PCR), human capital resources (HCR), and organisational capital resources (OCR) on HSC. A cross-sectional survey of 352 management personnel in Malaysian private hospitals was analysed using Partial Least Squares Structural Equation Modelling. The model explained 67.2% of the variance in HSC. PCR (β = 0.21, p < 0.001), HCR (β = 0.26, p < 0.001), and OCR (β = 0.48, p < 0.001) were positively associated with HSC, with OCR showing the strongest association and effect size (f² = 0.27), followed by HCR (f² = 0.09) and PCR (f² = 0.06). The findings indicate that healthcare capability is shaped not only by physical resources but also by human and organisational capacities that facilitate resource integration, knowledge sharing, teamwork, governance, and continuous improvement. The study extends the Resource-Based View to healthcare and highlights organisational capacity as an important resource for strengthening resilient healthcare systems and supporting improved human-health outcomes.