Hastanelerde Rekabet Stratejileri ve Performans / Competitive Strategies and Performance in Hospitals

Özet: Bu çalışmada Türkiye'de faaliyette bulunan hastanelerin bir rekabet stratejisininolup olmadığı, rekabet stratejileri varsa hangi stratejileri izledikleri ve rekabet stratejileri ileperformansları arasında bir ilişki olup olmadığı araştırılmaktadır. Çalışmada veri toplamaaracı olarak hastane yöneticilerine uygulanan bir anket ve Sağlık Bakanlığı 2007 Yılı YataklıTedavi Kurumları İstatistik Yıllığı kullanılmıştır. Çalışma 165 hastane üzerinde gerçekleştirilmiştir.Çalışmanın bulgularına göre sağlık sektörüne girişte en önemli engeller, giriş maliyetlerininyüksek olması ve yasal düzenlemelerdir. Hastane yöneticileri yeni hizmet alanlarınagirerken rakiplerinin pozisyonlarını dikkate almaktadırlar. Özel hastaneler daha önde olmaküzere tüm hastaneler farklılaşma stratejisini izlemektedir. Bunu odaklanma ve toplam maliyetliderliği stratejileri takip etmektedir. Herhangi bir rekabet stratejisi izlediğini belirten hastanelerinperformansı, hiçbir strateji izlemeyen hastanelerden daha yüksektir. Ancak, rekabetstratejilerinden herhangi birini izleyen hastanelerin performansları arasında istatistiksel açıdananlamlı fark bulunmamaktadır. Ayrıca hastanelerin mülkiyet biçimi de performanslarınıetkilemektedir.Anahtar Kelimeler: Rekabet Stratejileri, Performans, Hastane.Abstract: The purpose of this study is to investigate hospitals, have been operating inTurkey whether they have a competitive strategy, and to investigate if they have a competitivestrategy, what strategies are followed, and to investigate whether relationship betweencompetitive strategies and performance. The data that used in the study was obtained froma questionnaire that was created by utilizing related literature and 2007 Inpatient FacilitiesStatistical Almanacs of Ministry of Health. Study was conducted on 165 hospitals. Accordingto the findings of study, the most important barriers to entry in the health sector are highentry costs and legal regulations. Hospital administrators have been taking into account ofthe positions of their competitors, while they enter to new service areas. Although privatehospitals are more ahead, all hospitals have been following to differentiation strategy. Totalcost leadership and focus have been following it. Performances of hospitals that have a strategyare higher than hospitals that have not have a strategy. However, if they have any competitivestrategies, there is not any statistically significant difference of performance among hospitals.In addition performances of hospitals are affected from ownership of hospitals.Keywords: Competitive Strategies, Performance, Hospital.

Anahtar Kelimeler:

Rekabet Stratejileri, Performans, Hastane

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