An Investigation on Innovative Application in Hospitals Affiliated with Public Health Sector of Metropolitan City of Istanbul
Abstract
Objective:
With this study we aimed to investigate whether some variables (number of
levels, departments, and horizontal communication etc.) in organizational
structure of the hospitals operating within the frame of public health sector
of the Metropolitan City of Istanbul have an impact on innovation, to determine
the way these variables effect innovation, and evaluate innovative performance
of our hospital within the frame of organizational innovative culture.
Material
and Method: For this investigation literature
screening was made, and a questionnaire consisting of three parts was prepared.
First part of the questionnaire contained institutional information, the second
part comprised organizational information, and the third part consisted of questions
aimed to determine the innovational value of the applications. The
questionnaire forms were sent to 190 healthcare professionals. A total of 137
forms were completed by the participants, and returned to us. However only 112
questionnaire forms were taken into consideration for evaluation. The data
obtained were analyzed using SPSS. Results: Hypothesis 1: Any correlation does
not exist between the age of the hospital, and innovativeness (r=-0.276
p=0.004). Hypothesis 2: Any correlation does not exist between innovativeness,
and formality in horizontal communication between hospital professionals of the
same level (r=0.111 p=0.249 Kendall’s Tau_b=0.062). Hypothesis 3: A significant
correlation does not exist between the communication between hospital employers,
and their superiors, and innovativeness (r= 0,220 p=0.022). Hypothesis 4: A
correlation does not exist between the horizontal communication prevalent among
hospital employees at the same level, and innovativenes (r=0.159 p=0.099
Kendall’s Tau_b=0.145). Hypothesis 5: A difference does not exist between the
general level of communication in the hospital, and innovativeness (r=0.305
p=0001). Hypothesis 6: A correlation does not exist between the number of
departments in the hospital, and innovativeness (r=-0.141 p= 0.152 Kendall’s
Tau_b=-0.119) Hypothesis 7: A correlation does not exist between the number of
vertical levels in the hierarchy of hospital organization, and innovativeness
(r=0117 p=0.234 Kendall’s Tau_b= 0.90).
Conclusion:
The outcomes of our study can be interpreted as follows: a) Newly established
hospitals participating in our study were more innovative, b) Increased
communicative relationship between employees, and their superiors, and also
between workers at the same level, consequently among all hospital
professionals reinforce innovativeness, c) as the number of departments
increase, rapport, and communication weaken which decrease innovativeness, d)
in hospitals with higher number of vertical levels, innovativeness is promoted
in that the presence of more participative management, and effective
communication channels facilitate implementation of innovative applications.
References
- REFERENCES 1. Koçel T. 2014, İşletme yöneticiliği, Beta Yayınları, 15. baskı. 2. Freeman C, Soete L. 2003, Yenilik iktisadı, Tübitak Yayınları, Akademik Dizi, Ankara. 3. Demirkaya H, Zengin R. Hizmet İnovasyonu ve Bir Uygulama Örneği, Elektronik Mesleki Gelişim ve Araştırma Dergisi (Ejoir) 2014;2(1). 4. Drucker P, Maciariello JA. Optimist Yayınları, 2009 Yönetim. 5. Oslo Kılavuzu (Yenilik Verilerinin Toplanması ve Yorumlanması için İlkeler). (2005), 3. baskı, Ankara Tübitak. 6. Freeman C, Soete L. 2003. Yenilik iktisadı. (Çev. E. Türkcan), Ankara, Tübitak. 7. OECD Oslo Manual, 1997, s.16 8. Kegerreis WRJ. Technological innovation and marketing management: Implications for corporate policy. Journal of Marketing 1969;33(4):3-9. 9. Drucker P. The discipline of innovation, Harvard Business Review, November-December, 1998. Url: Http://Www. Director. Co. 10. OECD ve AVRUPA BİRLİĞİ 2005. Oslo Klavuzu. Yenilik Verilerinin Toplanması ve Yorumlanması İçin İlkeler, Üçüncü Baskı, Ekonomik İşbirliği ve Kalkınma Örgütü Avrupa Birliği İstatistik Ofisi, Ankara. 11. Ahmed AM, Abdalla HS. The role of innovation process in crafting the vision of the future, computers & industrial engineering, 1999;37(1-2):421. 12. Kavrakoğlu İ. Yönetimde devrimin rehberi, inovasyon Altedo Yayıncılık, İstanbul, 2006.13. Elçi Ş. İnovasyon kalkınmanın ve rekabetin anahtarı, Nova Basın Yayın Dağıtım, Ankara, 2006. 14. Aas TH, Pedersen PE. The impact of service innovation on firm-level financial performance, The Service Industry Journal 2010;31(1):1-20. 15. Johne A. Successful market innovation, European Journal of International Management, 1999;2(1):6-11. 16. Çetin G. İnovasyon, 2009. Http://Www.Guvencetin. Com/İnovasyon/İndex.Php, Erişim Tarihi:22.11.2013).17. Vıcır S. Yenilik çeşitleri, Url Adresi: Httpparibus.Tr. Googlepages.Coms_Vicir.Pdf, (Nisan 2008)), 2007. 18. Taşkıran 2004 Alıntı Yaptım Şundan: İnovasyon Yönetimi: Çukurova Bölgesinde Faaliyet Gösteren Şirketlerde İnovasyon Uygulamalarının Tespitine Yönelik Bir Araştırma, Hasan Çeliktaş, Çukurova Üniversitesi, Sosyal Bilimler Enstitüsü İşletme Anabilim Dalı, Çukurova Üniversitesi Sosyal Bilimler Enstitüsü İşletme Anabilim Dalı, Yüksek Lisans Tezi, Adana, 2008. 19. Pfister J. Managing organizational culture for effective internal control. Berlin: Physica-Verlag, 2009. http://dx.doi.org/10.1007/978-3-7908-2340-0 20. Uzkurt C, Şen R. Örgüt kültürü ve örgütsel yeniliğin pazarlama yeniliğine etkisi: Gazlı içecek sektöründe bir araştırma. Anadolu Üniversitesi Sosyal Bilimler Dergisi 2012;12(3):27-50. 21. Tushman ML, O’reilly CA. Winning through innovation: A practical guide to leading organizational change and renewal. Massachusetts: Harvard Business Review Press, 1997:111. 22. Schein EH. Organizational Culture and Leadership, (2nd Edition). San Francisco: Jossey-Bass Publishers, 1992. 23. Kelley B. Stoking your innovation bonfire. New Jersey: John Wiley&Sons, 2010. 24. Durğun S. Örgüt kültürü ve örgütsel iletişim, Yüzüncü Yıl Üniversitesi Eğitim Fakültesi Dergisi 2006;3(2).25. Çeliktaş H. İnovasyon yönetimi: Çukurova bölgesinde faaliyet gösteren şirketlerde inovasyon uygulamalarının tespitine yönelik bir araştırma. Hasan Çeliktaş Yüksek Lisans Tezi, Çukurova Üniversitesi Sosyal Bilimler Enstitüsü İşletme Anabilim Dalı, Adana, 2008. 26. Ada N. Örgütsel iletişim ve yeni bilgi teknolojileri, Örgütsel iletişim ağları, Ege Akademik Bakış Dergisi Sayı 7, 2007. 27. Bozkurt Ö, Taşçıoğlu H. Kobilerde inovasyon çalışmaları ve örnekleri üzerine bir inceleme, Akademik Bakış Uluslar Arası Hakemli Sosyal Bilimler E-Dergisi Sayı: 11, 2007. 28. Yataklı Tedavi Kurumları İşletme Yönetmeliği, 1983.29. Damanpour F. Organisational innovation: A metaanalysis of effects of determinants and moderators. Academy of Management Journal 1991;34(3):555-90. http://dx.doi.org/10.2307/256406 30. Arslanhan Memiş S. Son dönemdeki sağlık harcamalarının analizi, Tepav Yaşam Bilimleri ve Sağlık Politikası Enstitüsü, Kasım 2012. 31. Sağlık Harcamaları İstatistikleri, 2014 E.T. http://www. tuik.gov.tr/PreHaberBultenleri.do?id=18853 32. Demirci AE. Yenilik yönetimi (Ed: Uzkurt C ve Demirci AE), TC Anadolu Üniversitesi Yayınları, Eskişehir, 2011 (Ds.Anadolu.Edu.Tr/Ekitap/Isy203u. Pdf) ET:15.01.2015. 33. Http://Www.Algoritmaconsulting.Com/Makale.Asp?Id=32. 34. Afuah A. Innovation management: Strategies, implementation, and profits. (2nd. ed.). NY: Oxford University Pres, 2003:s.94-95 35. Berger C, Piller F. Customers as co-designers: The Adidas Mass Customization Strategy, Iee Manufacturing Engineer 2003;82, 4 (Agustos):42-6.36. Kayakutlu G. Müşteri işbirliğinde yenilikçilik, V. Ulusal Üretim Araştırmaları Sempozyumu, İstanbul Ticaret Üniversitesi, 25-27 Kasım 2005.37. Burns T, Stalker G. The management of innovation. London: Tavistock, 1961. 38. Zaltman G, Duncan R, Holbeck J. Innovations and Organizations. New York: Wiley & Sons, 1973. 39. Http://Www.Kolayaof.Com/Ornek_Ozet/%C4%B0% C5%9ey203u.Pdf 40. Gümüşlüoğlu L. İnovasyon ve liderlik, savunma sanayi gündemi, Bilkent Üniversitesi İşletme Fakültesi, 2009. 41. Tidd J, Bessant J, Pavitt K. Managing innovation: integrating technological, Market and Organizational Change, Wiley, 2005. 42. Ekinci G, Bakır İ. Evaluation of publications on cardiovascular and peripheral vascular diseases within the frame of scientific publication indicators, İstanbul Cardiovascular Research Journal, 2015.
An Investigation on Innovative Application in Hospitals Affiliated with Public Health Sector of Metropolitan City of Istanbul
Abstract
Objective:
With this study we aimed to investigate whether some variables (number of
levels, departments, and horizontal communication etc.) in organizational
structure of the hospitals operating within the frame of public health sector
of the Metropolitan City of Istanbul have an impact on innovation, to determine
the way these variables effect innovation, and evaluate innovative performance
of our hospital within the frame of organizational innovative culture.
Material
and Method: For this investigation literature
screening was made, and a questionnaire consisting of three parts was prepared.
First part of the questionnaire contained institutional information, the second
part comprised organizational information, and the third part consisted of questions
aimed to determine the innovational value of the applications. The
questionnaire forms were sent to 190 healthcare professionals. A total of 137
forms were completed by the participants, and returned to us. However only 112
questionnaire forms were taken into consideration for evaluation. The data
obtained were analyzed using SPSS. Results: Hypothesis 1: Any correlation does
not exist between the age of the hospital, and innovativeness (r=-0.276
p=0.004). Hypothesis 2: Any correlation does not exist between innovativeness,
and formality in horizontal communication between hospital professionals of the
same level (r=0.111 p=0.249 Kendall’s Tau_b=0.062). Hypothesis 3: A significant
correlation does not exist between the communication between hospital employers,
and their superiors, and innovativeness (r= 0,220 p=0.022). Hypothesis 4: A
correlation does not exist between the horizontal communication prevalent among
hospital employees at the same level, and innovativenes (r=0.159 p=0.099
Kendall’s Tau_b=0.145). Hypothesis 5: A difference does not exist between the
general level of communication in the hospital, and innovativeness (r=0.305
p=0001). Hypothesis 6: A correlation does not exist between the number of
departments in the hospital, and innovativeness (r=-0.141 p= 0.152 Kendall’s
Tau_b=-0.119) Hypothesis 7: A correlation does not exist between the number of
vertical levels in the hierarchy of hospital organization, and innovativeness
(r=0117 p=0.234 Kendall’s Tau_b= 0.90).
Conclusion:
The outcomes of our study can be interpreted as follows: a) Newly established
hospitals participating in our study were more innovative, b) Increased
communicative relationship between employees, and their superiors, and also
between workers at the same level, consequently among all hospital
professionals reinforce innovativeness, c) as the number of departments
increase, rapport, and communication weaken which decrease innovativeness, d)
in hospitals with higher number of vertical levels, innovativeness is promoted
in that the presence of more participative management, and effective
communication channels facilitate implementation of innovative applications.
References
- REFERENCES 1. Koçel T. 2014, İşletme yöneticiliği, Beta Yayınları, 15. baskı. 2. Freeman C, Soete L. 2003, Yenilik iktisadı, Tübitak Yayınları, Akademik Dizi, Ankara. 3. Demirkaya H, Zengin R. Hizmet İnovasyonu ve Bir Uygulama Örneği, Elektronik Mesleki Gelişim ve Araştırma Dergisi (Ejoir) 2014;2(1). 4. Drucker P, Maciariello JA. Optimist Yayınları, 2009 Yönetim. 5. Oslo Kılavuzu (Yenilik Verilerinin Toplanması ve Yorumlanması için İlkeler). (2005), 3. baskı, Ankara Tübitak. 6. Freeman C, Soete L. 2003. Yenilik iktisadı. (Çev. E. Türkcan), Ankara, Tübitak. 7. OECD Oslo Manual, 1997, s.16 8. Kegerreis WRJ. Technological innovation and marketing management: Implications for corporate policy. Journal of Marketing 1969;33(4):3-9. 9. Drucker P. The discipline of innovation, Harvard Business Review, November-December, 1998. Url: Http://Www. Director. Co. 10. OECD ve AVRUPA BİRLİĞİ 2005. Oslo Klavuzu. Yenilik Verilerinin Toplanması ve Yorumlanması İçin İlkeler, Üçüncü Baskı, Ekonomik İşbirliği ve Kalkınma Örgütü Avrupa Birliği İstatistik Ofisi, Ankara. 11. Ahmed AM, Abdalla HS. The role of innovation process in crafting the vision of the future, computers & industrial engineering, 1999;37(1-2):421. 12. Kavrakoğlu İ. Yönetimde devrimin rehberi, inovasyon Altedo Yayıncılık, İstanbul, 2006.13. Elçi Ş. İnovasyon kalkınmanın ve rekabetin anahtarı, Nova Basın Yayın Dağıtım, Ankara, 2006. 14. Aas TH, Pedersen PE. The impact of service innovation on firm-level financial performance, The Service Industry Journal 2010;31(1):1-20. 15. Johne A. Successful market innovation, European Journal of International Management, 1999;2(1):6-11. 16. Çetin G. İnovasyon, 2009. Http://Www.Guvencetin. Com/İnovasyon/İndex.Php, Erişim Tarihi:22.11.2013).17. Vıcır S. Yenilik çeşitleri, Url Adresi: Httpparibus.Tr. Googlepages.Coms_Vicir.Pdf, (Nisan 2008)), 2007. 18. Taşkıran 2004 Alıntı Yaptım Şundan: İnovasyon Yönetimi: Çukurova Bölgesinde Faaliyet Gösteren Şirketlerde İnovasyon Uygulamalarının Tespitine Yönelik Bir Araştırma, Hasan Çeliktaş, Çukurova Üniversitesi, Sosyal Bilimler Enstitüsü İşletme Anabilim Dalı, Çukurova Üniversitesi Sosyal Bilimler Enstitüsü İşletme Anabilim Dalı, Yüksek Lisans Tezi, Adana, 2008. 19. Pfister J. Managing organizational culture for effective internal control. Berlin: Physica-Verlag, 2009. http://dx.doi.org/10.1007/978-3-7908-2340-0 20. Uzkurt C, Şen R. Örgüt kültürü ve örgütsel yeniliğin pazarlama yeniliğine etkisi: Gazlı içecek sektöründe bir araştırma. Anadolu Üniversitesi Sosyal Bilimler Dergisi 2012;12(3):27-50. 21. Tushman ML, O’reilly CA. Winning through innovation: A practical guide to leading organizational change and renewal. Massachusetts: Harvard Business Review Press, 1997:111. 22. Schein EH. Organizational Culture and Leadership, (2nd Edition). San Francisco: Jossey-Bass Publishers, 1992. 23. Kelley B. Stoking your innovation bonfire. New Jersey: John Wiley&Sons, 2010. 24. Durğun S. Örgüt kültürü ve örgütsel iletişim, Yüzüncü Yıl Üniversitesi Eğitim Fakültesi Dergisi 2006;3(2).25. Çeliktaş H. İnovasyon yönetimi: Çukurova bölgesinde faaliyet gösteren şirketlerde inovasyon uygulamalarının tespitine yönelik bir araştırma. Hasan Çeliktaş Yüksek Lisans Tezi, Çukurova Üniversitesi Sosyal Bilimler Enstitüsü İşletme Anabilim Dalı, Adana, 2008. 26. Ada N. Örgütsel iletişim ve yeni bilgi teknolojileri, Örgütsel iletişim ağları, Ege Akademik Bakış Dergisi Sayı 7, 2007. 27. Bozkurt Ö, Taşçıoğlu H. Kobilerde inovasyon çalışmaları ve örnekleri üzerine bir inceleme, Akademik Bakış Uluslar Arası Hakemli Sosyal Bilimler E-Dergisi Sayı: 11, 2007. 28. Yataklı Tedavi Kurumları İşletme Yönetmeliği, 1983.29. Damanpour F. Organisational innovation: A metaanalysis of effects of determinants and moderators. Academy of Management Journal 1991;34(3):555-90. http://dx.doi.org/10.2307/256406 30. Arslanhan Memiş S. Son dönemdeki sağlık harcamalarının analizi, Tepav Yaşam Bilimleri ve Sağlık Politikası Enstitüsü, Kasım 2012. 31. Sağlık Harcamaları İstatistikleri, 2014 E.T. http://www. tuik.gov.tr/PreHaberBultenleri.do?id=18853 32. Demirci AE. Yenilik yönetimi (Ed: Uzkurt C ve Demirci AE), TC Anadolu Üniversitesi Yayınları, Eskişehir, 2011 (Ds.Anadolu.Edu.Tr/Ekitap/Isy203u. Pdf) ET:15.01.2015. 33. Http://Www.Algoritmaconsulting.Com/Makale.Asp?Id=32. 34. Afuah A. Innovation management: Strategies, implementation, and profits. (2nd. ed.). NY: Oxford University Pres, 2003:s.94-95 35. Berger C, Piller F. Customers as co-designers: The Adidas Mass Customization Strategy, Iee Manufacturing Engineer 2003;82, 4 (Agustos):42-6.36. Kayakutlu G. Müşteri işbirliğinde yenilikçilik, V. Ulusal Üretim Araştırmaları Sempozyumu, İstanbul Ticaret Üniversitesi, 25-27 Kasım 2005.37. Burns T, Stalker G. The management of innovation. London: Tavistock, 1961. 38. Zaltman G, Duncan R, Holbeck J. Innovations and Organizations. New York: Wiley & Sons, 1973. 39. Http://Www.Kolayaof.Com/Ornek_Ozet/%C4%B0% C5%9ey203u.Pdf 40. Gümüşlüoğlu L. İnovasyon ve liderlik, savunma sanayi gündemi, Bilkent Üniversitesi İşletme Fakültesi, 2009. 41. Tidd J, Bessant J, Pavitt K. Managing innovation: integrating technological, Market and Organizational Change, Wiley, 2005. 42. Ekinci G, Bakır İ. Evaluation of publications on cardiovascular and peripheral vascular diseases within the frame of scientific publication indicators, İstanbul Cardiovascular Research Journal, 2015.
Details
| Primary Language | English |
|---|---|
| Subjects | Health Policy |
| Journal Section | Articles |
| Authors | |
| Publication Date | January 23, 2020 |
| Submission Date | November 11, 2019 |
| Published in Issue | Year 2020 Volume: 2 Issue: 1 |
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