An Investigation on Innovative Application in Hospitals Affiliated with Public Health Sector of Metropolitan City of Istanbul

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. 

An Investigation on Innovative Application in Hospitals Affiliated with Public Health Sector of Metropolitan City of Istanbul

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. 

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  • 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.