TÜRK SAĞLIK SEKTÖRÜNDE MILES VE SNOW’UN STRATEJİK TİPOLOJİSİ: HASTANELER ÜZERİNE BİR  ARAŞTIRMA

Mahmut AKBOLAT

Article Details

TÜRK SAĞLIK SEKTÖRÜNDE MILES VE SNOW’UN STRATEJİK TİPOLOJİSİ: HASTANELER ÜZERİNE BİR ARAŞTIRMA

Authors:

Mahmut AKBOLAT

Publisher:

Ankara Hacı Bayram Veli University

Journal:

Gazi University Journal of Faculty of Economics and Administrative Sciences 2009 Vol.11 Issue 3, pp.127-146

Document Type:

Article

Publication Date:

11/2009

Document Language:

Turkish

Document ID (Org No.):

2000867003

Frequency:

Tri-annual

eISSN:

2667-405X

Keywords:

Abstract:

 

Miles ve Snow tarafından geliştirilen ve sağlık sektöründe sıklıkla kullanılan stratejik tipoloji temelde dört tip örgütten oluşmaktadır. Bunlardan ilk üçü istikrarlı strateji tipleridir. Bulundukları sektörde uzun dönemli istikrar sağlayabilir ve benzer şekilde performans gösterebilirler. Dördüncü strateji tipi ise tepkici strateji tipidir. İstikrarlı bir yapısı yoktur ve diğer üç strateji tipinden daha düşük performans sağlar. Bu çalışmanın amacı Türkiye ’de faaliyet gösteren hastanelerin hangi strateji tiplerini geliştirdiklerini ve geliştirdikleri strateji tipine göre aralarında performans farkı olup olmadığını bulmaktır. Araştırmada kullanılan veriler ilgili literatürden yararlanılarak oluşturulan bir anket ve Yataklı Tedavi Kurumları 2007 İstatistik Yıllığından elde edilmiştir. Çalışmadan elde edilen bulgulara göre hastaneler daha çok savunmacı ve analizci (%31,21) yapıdadır. Bunları atılgan tipteki hastaneler (%24,20) ve tepkici hastaneler (%13,38) izlemektedir. Ancak özel hastanelerde analizci (%39,53) ve atılgan (%25,59) hastane tipi belirgin şekilde farklılaşmaktadır. Tepkici hastanelerin performansları diğer tipteki hastanelerden daha düşüktür. Ancak istikrarlı olarak bildirilen hastaneler arasında da performans farklılıkları vardır. Hastane yataklarının kullanımı bakımından atılgan hastaneler daha iyi performans gösterirken, hekim ve diğer sağlık personelinin kullanımında analizci hastaneler belirgin şekilde avantajlı görülmektedir.

 

The first and probably the best-known structure has been used by health
 providers is strategic typology was developed by Miles and Snow. This structure
 was not designed specifically for organizations that provide health services.
 However, typology has been widely accepted due to quotes that are used in the
 field of health care studies. Strategic typology basically consists of four types
 (defenders, prospectors, analyzers, reactors) of organizations, and they have
 been often used in the health sector. Defenders seek to maintain stability and
 control in the defense of current market niches. Prospectors seek to be flexible
 and assertive in the pursuit of new product and market opportunities; stresses
 innovativeness. Analyzers seek to combine control and flexibility, there by
 pursuing new opportunities after thorough analysis.
 The first three types of strategies are stable. They can provide long-term
 stability in their sector, and can perform similarly. The fourth of them is
 reactor. Reactors have not consistent pattern or strategy and therefore adjust to
 environmental change in an inconsistent and unstable manner. Reactor is not a
 stable structure, and its performance is lower than the other organizations.
 The purpose of this study is to find, which strategic types can be developed
 by hospitals in Turkey, and whether the differences in the performances of
 hospitals according to the type of strategies. The data that used in the study was
 obtained from a questionnaire that was created by utilizing related literature
 and 2007 Inpatient Facilities Statistical Almanacs of Ministry of Health. First,
 the reliability and validity of the survey were analyzed. After that, analyses of
 data was used descriptive statistical methods, Independent Samples T Test, One
 way ANOVA, Mann Whitney U test, Kruskal-Wallis test and Chi-Square Test. In
 addition, differences of hospitals’ performances were compared on the basis of
 strategic types of hospitals.
 The public hospitals (72.7%) and private hospitals (27.3%) are participated.
 to study. According to the findings of study, structures of hospitals are mostly
 defenders and analyzers (31.21%). They are followed by Prospectors (24.20%)
 and reactors (13.38%). However, analyzers (39.53%) and prospectors (25.59%)
 differ in private hospitals significantly. The performance of reactor hospitals is
 lower than other hospitals. However, there are differences of performance
 between hospitals that were reported stable. Prospector hospitals have better
 performance to use of hospitals beds than other hospitals; while analyzer
 hospitals have significantly advantageous to use of physicians and other health
 personnel. In addition, Inpatient rates of defenders hospitals are higher than 
 other hospitals. The whole of performances values of reactor hospitals are
 lower than other hospitals.
 In terms of organizational size, analyzers can be larger organizations than
 other hospitals. Because, they has been investing in promising areas, and
 preserving the existing production areas. In contrast, reactor can be smaller
 firms. The defenders and prospectors are located between these two types’
 organizations. According to the results of the study, 40.91% of hospitals are
 analyzers, 31.82% of hospitals are defenders, 18.18% of hospitals are
 prospectors, and 9.09% hospitals are reactors in hospitals that have ≥400 beds.
 While analyzer hospitals are more in hospitals that have ≥400 beds; reactor
 hospitals are more in hospitals that have ≤99 beds.
 Hospitals that were founded in 1991 and subsequent years are more
 successful than other hospitals in developing stable types of strategies.
 Hospitals with ≤99 beds are more successful than the other hospitals in
 developing prospector strategies. Effect of the number of private hospitals
 between hospitals with ≤99 beds is striking in this result. While, Defensive and
 prospector type’s hospitals have aimed to reach the middle and upper income
 groups’ patients, reactor types of hospitals have aimed to reach the lower
 income group patient. In contrast to analyzer hospitals have aimed to reach
 every portfolio servicing patients.
 Performances of hospitals are affected by their characteristics. Therefore,
 hospitals have to develop strategic types to take into consideration
 environmental factors and their characteristics, and have to improve a flexible
 structure that can be orientated to them changing in sector.

Article Details

TÜRK SAĞLIK SEKTÖRÜNDE MILES VE SNOW’UN STRATEJİK TİPOLOJİSİ: HASTANELER ÜZERİNE BİR ARAŞTIRMA

Authors:

Mahmut AKBOLAT

Publisher:

Ankara Hacı Bayram Veli University

Journal:

Gazi University Journal of Faculty of Economics and Administrative Sciences 2009 Vol.11 Issue 3, pp.127-146

Document Type:

Article

Publication Date:

11/2009

Document Language:

Turkish

Document ID (Org No.):

2000867003

Frequency:

Tri-annual

eISSN:

2667-405X

Hastane

stratejik tipoloji

rekabet

performans.

Issues

Article Details

TÜRK SAĞLIK SEKTÖRÜNDE MILES VE SNOW’UN STRATEJİK TİPOLOJİSİ: HASTANELER ÜZERİNE BİR ARAŞTIRMA

Authors: Mahmut AKBOLAT

Publisher: Ankara Hacı Bayram Veli University

Journal: Gazi University Journal of Faculty of Economics and Administrative Sciences 2009 Vol.11 Issue 3, pp.127-146

Document Type: Article

Publication Date: 11/2009

Document Language: Turkish

Document ID (Org No.): 2000867003

Frequency: Tri-annual

eISSN: 2667-405X

Hastane

stratejik tipoloji

rekabet

performans.

Issues

Authors:

Mahmut AKBOLAT

Publisher:

Ankara Hacı Bayram Veli University

Journal:

Gazi University Journal of Faculty of Economics and Administrative Sciences 2009 Vol.11 Issue 3, pp.127-146

Document Type:

Article

Publication Date:

11/2009

Document Language:

Turkish

Document ID (Org No.):

2000867003

Frequency:

Tri-annual

eISSN:

2667-405X