Organizational Culture Types and Their Effects on Organizational Performance in Turkish Hospitals

Authors

  • A.Zafer Acar Okan University, Faculty of Business and Adminisration
  • Pınar Acar Okan University, Faculty of Business and Adminisration

DOI:

https://doi.org/10.5195/emaj.2014.47

Abstract

Nowadays a cultural transformation is seen in healthcare industry in Turkey because of important structural changes due to implemented exchange programs and liberalization policies on national basis. In this condition hospitals, as a business, make an effort to gain above average returns while serving the health services. According to the literature, one of the substantial intangible forces that affect performance is organizational culture. Thus, this study aims to identify the dominant organizational culture types of private and public hospitals while make a comparison between their effects on business performance. To examine the research questions a questionnaire survey performed, and data collected from 512 employees of 99 hospitals which are located in large cities of Turkey are analysed by using SPSS 15 program.

Author Biographies

A.Zafer Acar, Okan University, Faculty of Business and Adminisration

Head of International Logistics Department

Pınar Acar, Okan University, Faculty of Business and Adminisration

Research assistant at Healthcare Management department

References

Acar, A. Z. 2010. “Lojistik Yeteneklerin, Strateji - Performans Ilişkisi Üzerindeki Rolü: KOBİ’ler Üzerinde Bir Saha Araştırması” (The effect of logistics capabilities on the relationship between strategy and performance: An application on SMEs). Atatürk Üniversitesi İİBF Dergisi, 24(4): 1-21.

Acar, A. Z., and Zehir, C. 2009. “Krizden Çıkışta KOBİ’lerde Temel Işletme Yeteneklerinin Rolü ve Işletme Performansına Etkileri” (The effects of business capabilities on business performance of SMEs during out of crisis). 6ncı KOBİ’ler ve Verimlilik Kongresi, 323333, 17-18 Kasım 2009, Kültür Üniversitesi, İstanbul.

Altındağ, E., Zehir, C., and Acar, A. Z. 2011. “Strategic Orientations and Their Effects on Firm Performance in Turkish Family Owned Firms”. Eurasian Business Review, 1: 16-34.

Antoncic, B., and Hisrich, R. D. 2001. “Intrapreneurship: Construct Refinement and Cross-Cultural Validation”. Journal of Business Venturing, 16: 495-527.

Arnold, D., Capella, L., and Sumrall, D. 1987. “Organization Culture and the Marketing Concept: Diagnostic Keys for Hospitals”. Journal of Health Care Marketing, 7(1): 18-28.

Baker W. E., and Sinkula, J.M. 1999. “The Synergistic Effect of Market Orientation and Learning Orientation on Organizational Performance”. Journal of the Academy of Marketing Science, 27(4): 411-427.

Baumgartner, R. J. 2009. “Organizational Culture and Leadership: Preconditions for the Development of a Sustainable Corporation”. Sustainable Development, 17: 102-113.

Berrio, A. A. 2003. “An Organizational Culture Assessment Using the Competing Values Framework: A Profile of Ohio State University Extension”. Journal of Extension, 41(2), http://www.joe.org/joe/2003april/a3.php

Brislin, R. W. 1970. “Back-Translation for CrossCultural Research”. Journal of Cross-Cultural Psychology, 1: 185–216.

Cameron, K. S., and Quinn, R. E. 1999. Diagnosing and Changing Organizational Culture: Based on the Competing Values Framework. Reading. MA: Addison-Wesley.

Cameron, K. S., Quinn, R. E., Degraff, J., and Thakor, A. 2007. Competing Values Leadership: Creating Value in Organizations. MA: Edward Elgar Publishing.

Chang, S.-C., Lin, N.-P., Yang, C.-L., and Sheu, C. 2003. “Quality Dimensions, Capabilities and Business Strategy: An Empirical Study in High-Tech Industry”. Total Quality Management, 14(4): 407-421.

Crook, T. R., Bratton, V. K., Street, V. L., and Ketchen, D. J. 2006. “Has Strategic Management Shed the Normal Science Straightjacket?: Revisiting Bettis’ (1991) Critiques”. Journal of Managerial Issues, 18(3): 409-23.

Deal, T. E., and Kennedy, A. A. 1982. Corporate Cultures the Rites and Rituals of Corporate Life. New York: Addison-Wesley.

Deloitte 2011. Turkish Healthcare Industry Report. Republic of Turkish Prime Ministry, www.invest.gov.tr

Denison, D. R. 1990. Corparate Culture and Organizational Effectiveness. New York: John Wiley & Sons.

Erdem, R. 2007. “Örgüt Kültürü Tipleri ile Örgütsel Bağlılık Arasındaki Ilişki: Elazığ İl Merkezindeki Hastaneler Üzerinde Bir Çalışma” (The relationships between types of organizational culture and organizational commitment: A study on hospitals at city center of Elazig). Eskişehir Osmangazi Üniversitesi İİBF Dergisi, 2(2): 63-79.

Eren, E., Alpkan, L., and Ergün, E. 2003. “Kültürel Boyutlar Olarak Işletmelerde Içsel Bütünleşme ve Dışsal Odaklanma Düzeylerinin Performansa Etkileri” (The effects on the managerial performance of the levels of internal integration and external orientations cultural dimensions within the firms). Doğuş Üniversitesi Dergisi, 4(1): 55-70.

Fleisher, C. S., and Bensoussan, B. E. 2003. Strategic and Competitive Analysis. New Jersey: Prentice Hall.

Furnham, A. 1997. The Psychology of Behavioural Work. Brighton, New York: Psychology Press Ltd.

Gordon, G. G., and DiTomaso, N. 1992. “Predicting Corporate Performance from Organizational Culture”. Joumal of Management Studies, 29(6): 783-98.

Goodman, E. A., Zammuto, R. F., and Gifford, B. D. 2001. “The Competing Values Framework: Understanding the Impact of Organizational Culture on the Quality of Work Life”. Organization Development Journal, 19(3): 5868.

Hair, J. F, Anderson, R. E., Tatham, R. L., and Black, W. C. 1998. Multivariate Data Analysis (5th ed.). Upper Saddle River, NJ: Prentice-Hall.

Helfrich, C. D., Li, Y-F., Mohr, D. C., Meterko, M., and Sales, A. E. 2007. “Assessing an Organizational Culture Instrument based on the Competing Values Framework: Exploratory and Confirmatory Factor Analyses”. Implementation Science, 2: 1-14, DOI: 10.1186/1748-5908-2-13.

Hood, J., Smith, H., and Waldman, J. 2003. “Corporate Culture: The Missing Piece of the Healthcare Puzzle”. Hospital Topics: Research and Perspectives on Healthcare, 81(1): 5-14.

Klingle, R. S., Burgoon, H. M., Afifi, W. A., and Callister, M. (1995). “Rethinking How to Measure Organizational Culture in the Hospital Setting: The Hospital Culture Scale”. Evaluation and the Health Professions, 18: 166-186.

Kotter, J. P., and Heskett, J. L. 1992. Corporate Culture and Performance. New York: Free Press.

Krefting, L. A., and Frost, P. J. 1985. “Untangling Webs, Surfing Waves, and Wildcatting: A Multiple Metaphor Perspective on Managing Organisational Culture”. In: Frost, P. J. et al (eds) Organizational Culture. London: Sage.

Nunnally J. 1978. Psychometric Theory. New York: McGraw-Hill.

Nunnally, J. C., and Bernstein, I. H. 1994. Psychometric Theory (3rd ed.). McGraw-Hill, New York.

Ogbonna, E. and Harris, L. C. 2000. “Leadership Style, Organizational Culture and Performance: Empirical Evidence from UK Companies”. International Journal of Human Resource Management, 11(4): 766-788.

Öztop, İ. 2008. “The relationship between leadership styles and culture styles and the impact of this relationship on the qualitative performance (Liderlik tarzlari ve örgüt kültürü tipleri arasindaki ilişki ve bu ilişkinin nitel performans üzerine etkileri). Master’s thesis, GYTE, Kocaeli.

Peters, T. J., and Waterman, R. H. 1982. In Search of Excellence: Lessons from America's Best-Run Companies. New York: Harper and Row.

Poll, S. 2000. “Organizational Culture and its Relationship between Job Tension in Measuring Outcomes among Business Executives”. Journal of Management Development, 19(1): 32-49.

Porter, M. E. 1996. “What is Strategy?” Harvard Business Review, 74 (Nov.-Dec.): 61-78.

Quinn, R. E., and Kimberly, J. R. 1984. “Paradox, Planning, and Perseverance: Guidelines for Managerial Practice”. In Kimberly, J.R. and Quinn, R.E. (Eds.), Managing Organizational Transitions, 295–313. Homewood, IL: Dow Jones-Irwin.

Quinn, R. E., and Spreitzer, G. M. 1991. “The Psychometrics of the Competing Values Culture Instrument and an Analysis of the Impact of Organizational Culture on Quality of Life”. Research in Organizational Change and Development, 5: 115-142.

Rosenzweig, E. D., Roth, A. V., and Dean Jr., J. W. 2003. “The Influence of an Integration Strategy on Competitive Capabilities and Business Performance: An Exploratory Study of Consumer Products Manufacturers”. Journal of Operations Management, 21: 437-456.

Schein, E. H. 1997. Organizational Culture and Leadership (2nd Ed.). San Francisco: JosseyBass.

Scholz, C. 1987. “Corporate Culture and Strategy - The Problem of Strategic Fit”. Long Range Planning, 25 (Winter): 3-16.

Scott, T, Mannion, R., Davies, H., and Marshall, M. 2003. “The Quantitive Measurement of Organizational Culture in Health Care: A Review of the Available Instruments”. Health Services Research, 38 (3): 923-945.

Teece, D. J., Pisano, G., and Shuen, A. 1997. “Dynamic Capabilities and Strategic Management”. Strategic Management Journal, 18(7): 509-33.

Venkatraman, N. ,and Ramanujan V. 1986. “Measurement of Business Performance in Strategy Research: A Comparison of Approaches”. Academy of Management Review, 11(4): 801-814.

Walker, G. 2009. Modern Competitive Strategy (3rd ed.). Singapore: The McGraw-Hill.

Wilson, A. M. 2001. “Understanding Organizational Culture and Implications for Corporate Marketing”. European Journal of Marketing, 35: 353-367.

Zahra, S. A., Neubaum, D. O., and El-Hagrassey, G. M. 2002. “Competitive Analysis and New Venture Performance: Understanding the Impact of Strategic Uncertainty and Venture Origin”. Entrepreneurship Theory and Practice, 27(1): 1-28.

Zehir, C., Altındağ, E., and Acar, A. Z. 2010. “Aile Şirketlerinde Stratejik Yönelim Düzeyleri ve Firma Performansı İlişkisi” (Strategic orientations in family owned business and its relationship with business performance). 18nci Ulusal Yönetim Organizasyon Kongresi, 538546, 20-22 Mayıs 2010, Çukurova Üniversitesi, Adana.

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Published

2014-03-05

Issue

Vol. 3 No. 3 (2014)

Section

Articles

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