Research Article
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Porter’ın Elmas Modeli ile Türk Hastanecilik Sektörünün Yapılsal Analizi: Gelişmekte olan Piyasadan Bir Vaka

Year 2019, Volume: 19 Issue: 1, 103 - 118, 01.01.2019

Abstract

Bu çalışma, Porter’ın elmas modelini Türk Hastane
endüstrisine uygulayarak, endüstrinin uluslararası rekabet avantajı
kaynaklarını açıklamaktadır. Çalışmanın amacı, Türk Hastane Sektörünün
rekabetçi yapısını anlamak ve elmas modelinin gelişmekte olan ülkelere
uygulanabilir olup olmadığını değerlendirmektir. Bu çalışmada yapılan Türk
hastane endüstrisine ilişkin ayrıntılı vaka incelemesi, saygın danışmanlık
firmalarının yayınlarından ve ulusal ve uluslararası raporlardan elde edilen
ikincil verilerin ve sektör temsilcileriyle yapılan mülakatların analizi ile
gerçekleştirilmiştir. Sonuçlar genellikle Porter’ın modelini desteklemektedir.
Şöyle ki, Türk hastane endüstrisi, yatırım-odaklı seviyede bulunan bir ülkenin
elmas modeline ait karakteristikleri göstermektedir. Kısacası, Türkiye; yüksek
teknoloji, modern tesisler, iyi eğitim almış nispeten düşük ücretli sağlık
personeli, uygun hava taşımacılığı ve güçlü hükümet desteğinden yararlanırken
tatmin edici derecede sofistike ulusal talepten ve gelişmiş destek
endüstrilerinden yoksundur.

References

  • Ankara Sanayi Odası (2014). Medikal Sektörü Raporu. Retrieved from http://www.aso.org.tr/wp-content/ uploads/2017/09/2.pdf
  • Arık, Ö., Yalçın, Y., & Kaya, B. (2016). Sağlık Hizmetlerinde Tıbbi Cihaz Sektörü. Hacettepe Sağlık İdaresi Dergisi, 19(2), 187-202.
  • Bayin, G., & Önder, Ö. R. (2015). Determination of the Effect of Corporate Image of Health Institutions on Patient Loyalty. Ege Akademic Review, 15(4), 577-585.
  • Bhaidkar, A. (2011). A Comparative Analysis of the Medical Tourism Industry in India and Thailand. NMIMS Management Review, 24, 105-117.
  • Çavmak, Ş., & Çavmak, D. (2017). Türkiye’de Sağlık Hizmetlerinin Tarihsel Gelişimi ve Sağlıkta Dönüşüm Programı. Sağlık Yönetimi Dergisi, 1(1), 48-57.
  • Deloitte (2014). Healthcare Industry in Turkey. Retrieved from https://www.bcct.org.tr/wp-content/uploads/ 2013-ISPAT-HEALTHCARE.INDUSTRY.pdf
  • Deloitte (2012). Türkiye Sağlık Sektörü Raporu. Retrieved from https://www.yased.org.tr/ReportFiles/2013/ TURKYE_SALIK_SEKTORU_RAPORU.pdf
  • Dunning, J. H. (1992). The Competitive Advantage of Countries and the Activities of Transnational Corporations. Transnational Corporations, 1(1), 135 – 168.
  • Eisenhardt, K. M. (1989). Building theories from case study research. Academy of Management Review, 14(4), 532-550.
  • Enderwick, P. & Nagar, S. (2011). The competitive challenge of emerging markets: the case of medical tourism. International Journal of Emerging Markets, 6(4), 329 – 350.
  • Erdoğan, S. & Yilmaz, E. T. (2012, November). Medical tourism: An assessment on Turkey. In Proceedings of 10th International Conference on Knowledge, Economy and Management; 11th International Conference of the ASIA Chapter of the AHRD & 2nd International Conference of the MENA Chapter of the AHRD (pp. 1045-1060). Istanbul, Turkey
  • Jaisuekul, M. & Teerasukittima C. (2017). The Study of Thailand’s Cosmetic Surgery Market and Attitudes of Surgeons and Foreign Patients towards Cosmetic Surgery in Thailand. Journal of Community Development Research (Humanities and Social Sciences), 10(1), 16-26.
  • Karakaş, D. G.& Yılmaz, F. Y. (2011).Türkiye’de Sağlık Hizmetlerinin Ticarileşmesi: Özel Hastane Sektörünün İnşa Süreci. Toplum ve Hekim, 26(2), 84 – 108.
  • Ministry of Health and Hacettepe University, Department of Health Administration (2013). Evaluation Report on Medical Tourism in Turkey. Retrieved from https:// www.researchgate.net/profile/Oezlem_Oezer/ publication/260754463_Evaluation_Report_on_ Medical_Tourism_in_Turkey_2013_Turkiye_Medikal_ Turizm_Degerlendirme_Raporu_2013/ links/5495dbed0cf20f487d2f5854/Evaluation-Report- on-Medical-Tourism-in-Turkey-2013-Tuerkiye- Medikal-Turizm-Degerlendirme-Raporu-2013. pdf.
  • Ministry of Health of Turkey (2012). Health Statistics Yearbook. Retrieved from http://sbu.saglik.gov.tr/ ekutuphane/kitaplar/hsy2012.pdf.
  • Norton E. (2000) Long-term Care. In Culyer, A J. and Newhouse, J.P. (Eds.), Handbook of Health Economics (pp. 955 – 994). North Holland: Elsevier. OECD (2013). Health at a Glance. Retrieved from https://www.oecd.org/els/health-systems/Healthat- a-Glance-2013.pdf.
  • Öz, Ö. (1999). The Competitive Advantage of Nations: The case of Turkey. England: Ashgate Publishing Ltd.
  • Öz, Ö. (2002). Assessing Porter’s framework for national advantage: the case of Turkey. Journal of Business Research, 55(6), 509-515.
  • Özer, A., İleri, Y. Y. & Kaya, B. (2016). Sağlık Hizmetlerinde Tıbbi Cihaz Sektörü. Hacettepe Sağlık İdaresi Dergisi, 19(2), 187:202.
  • Porter, M. E. (1990) The Competitive Advantage of Nations. New York: The Free Press.
  • Porter, M. E. (1992). Capital disadvantage: America’s failing capital investment system. Harvard business review, 70(5), 65-82.
  • Porter, M. E., Teisberg, E. O. & Brown, G. (1994). Innovation: medicine’s best cost-cutter. Alabama medicine: Journal of the Medical Association of the State of Alabama, 63(9), 18-19.
  • Porter, M. E., & Teisberg, E. O. (2004). Redefining competition in health care. Harvard business review, 64-77.
  • Porter, M. E. (2010) “What is value in health care?” New England Journal of Medicine, 363(26):2477-2481.
  • Porter, M. E., & Lee, T. H. (2015). Why strategy matters now. New England Journal of Medicine, 372(18), 1681-1684.
  • Rugman, A. M. and D’Cruz, J. R. (1993). The “Double Diamond” Model of International Competitiveness: The Canadian Experience. Management International Review, 33(2), 17 – 39.
  • Skytrax World Airline Awards. (2012). Retrieved from https://www.ittn.ie/news/skytrax-world-airlineawards- 2012-winners/.
  • TOBB (2009). Türkiye’de Medikal Sektörü Raporu. Retrieved from https://www.tobb.org.tr/Documents/ yayinlar/medikal.pdf.
  • TUİK (2013). Yaşam Memnuniyeti Araştırması. Retrieved from http://www.tuik.gov.tr/MicroVeri/YMA_2013/ downloads/tablo_3_yma2013.xls (07.02.2014).
  • Undersecretariat of Treasury Insurance Supervision Board (2012). Insurance Sector Market Analysis Report. Retrieved from https://www.treasury. gov.tr/File/Index?id=ac349341-af3e-4af4-a487- 4b7d75b79d33.
  • World Economic Forum (2013). The Global Competitiveness Report 2013-2014. Retrieved from http:// www3.weforum.org/docs/WEF_GlobalCompetitivenessReport_ 2013-14.pdf.
  • World Tourism Organization (2013). UNWTO Tourism Highlights. Retrieved from https://www.e-unwto. org/doi/pdf/10.18111/9789284415427.
  • Yılmaztürk, A. (2013). Türkiye’de Sağlık Reformlarının Tarihsel Gelişimi ve Sağlıkta Dönüşüm Programı’nın Küresel Niteliğinin Değerlendirilmesi. Gaziosmanpaşa Üniversitesi Sosyal Bilimler Araştırmaları Dergisi, 15 (1), 176-188.
  • Yin, R.K. (1994) Case study research: design and methods. London: Sage.

A Structural Analysis of the Turkish Hospital Industry Using Porter’s Diamond Framework: A Case from an Emerging Market

Year 2019, Volume: 19 Issue: 1, 103 - 118, 01.01.2019

Abstract

This study applies Porter’s diamond framework to the Turkish
Hospital industry, in an attempt to explicate the sources of international
competitive advantage. The main objective is to provide insights into the
competitive structure of the Turkish Hospital Industry and assess whether the
framework can be applied to a developing country setting. A detailed case study
of the Turkish hospital industry has been conducted with an examination of
secondary data from publications of prestigious consultancy firms and national
and international reports, and field interviews with four company executives
from the hospitals most preferred by foreign patients and two industry
association representatives from private insurance and medical device
industries (related/ supporting industries). The results are generally
supportive of Porter (1990); meaning that the Turkish hospital industry
exhibits the characteristics proposed by the diamond framework for a country at
an investment-driven stage. In brief, Turkey enjoys high technology, modern
facilities, well-trained relatively low-paid medical staff, favorable air
transportation and strong government support but lacks the satisfactorily
sophisticated home demand, advanced support and related industries.

References

  • Ankara Sanayi Odası (2014). Medikal Sektörü Raporu. Retrieved from http://www.aso.org.tr/wp-content/ uploads/2017/09/2.pdf
  • Arık, Ö., Yalçın, Y., & Kaya, B. (2016). Sağlık Hizmetlerinde Tıbbi Cihaz Sektörü. Hacettepe Sağlık İdaresi Dergisi, 19(2), 187-202.
  • Bayin, G., & Önder, Ö. R. (2015). Determination of the Effect of Corporate Image of Health Institutions on Patient Loyalty. Ege Akademic Review, 15(4), 577-585.
  • Bhaidkar, A. (2011). A Comparative Analysis of the Medical Tourism Industry in India and Thailand. NMIMS Management Review, 24, 105-117.
  • Çavmak, Ş., & Çavmak, D. (2017). Türkiye’de Sağlık Hizmetlerinin Tarihsel Gelişimi ve Sağlıkta Dönüşüm Programı. Sağlık Yönetimi Dergisi, 1(1), 48-57.
  • Deloitte (2014). Healthcare Industry in Turkey. Retrieved from https://www.bcct.org.tr/wp-content/uploads/ 2013-ISPAT-HEALTHCARE.INDUSTRY.pdf
  • Deloitte (2012). Türkiye Sağlık Sektörü Raporu. Retrieved from https://www.yased.org.tr/ReportFiles/2013/ TURKYE_SALIK_SEKTORU_RAPORU.pdf
  • Dunning, J. H. (1992). The Competitive Advantage of Countries and the Activities of Transnational Corporations. Transnational Corporations, 1(1), 135 – 168.
  • Eisenhardt, K. M. (1989). Building theories from case study research. Academy of Management Review, 14(4), 532-550.
  • Enderwick, P. & Nagar, S. (2011). The competitive challenge of emerging markets: the case of medical tourism. International Journal of Emerging Markets, 6(4), 329 – 350.
  • Erdoğan, S. & Yilmaz, E. T. (2012, November). Medical tourism: An assessment on Turkey. In Proceedings of 10th International Conference on Knowledge, Economy and Management; 11th International Conference of the ASIA Chapter of the AHRD & 2nd International Conference of the MENA Chapter of the AHRD (pp. 1045-1060). Istanbul, Turkey
  • Jaisuekul, M. & Teerasukittima C. (2017). The Study of Thailand’s Cosmetic Surgery Market and Attitudes of Surgeons and Foreign Patients towards Cosmetic Surgery in Thailand. Journal of Community Development Research (Humanities and Social Sciences), 10(1), 16-26.
  • Karakaş, D. G.& Yılmaz, F. Y. (2011).Türkiye’de Sağlık Hizmetlerinin Ticarileşmesi: Özel Hastane Sektörünün İnşa Süreci. Toplum ve Hekim, 26(2), 84 – 108.
  • Ministry of Health and Hacettepe University, Department of Health Administration (2013). Evaluation Report on Medical Tourism in Turkey. Retrieved from https:// www.researchgate.net/profile/Oezlem_Oezer/ publication/260754463_Evaluation_Report_on_ Medical_Tourism_in_Turkey_2013_Turkiye_Medikal_ Turizm_Degerlendirme_Raporu_2013/ links/5495dbed0cf20f487d2f5854/Evaluation-Report- on-Medical-Tourism-in-Turkey-2013-Tuerkiye- Medikal-Turizm-Degerlendirme-Raporu-2013. pdf.
  • Ministry of Health of Turkey (2012). Health Statistics Yearbook. Retrieved from http://sbu.saglik.gov.tr/ ekutuphane/kitaplar/hsy2012.pdf.
  • Norton E. (2000) Long-term Care. In Culyer, A J. and Newhouse, J.P. (Eds.), Handbook of Health Economics (pp. 955 – 994). North Holland: Elsevier. OECD (2013). Health at a Glance. Retrieved from https://www.oecd.org/els/health-systems/Healthat- a-Glance-2013.pdf.
  • Öz, Ö. (1999). The Competitive Advantage of Nations: The case of Turkey. England: Ashgate Publishing Ltd.
  • Öz, Ö. (2002). Assessing Porter’s framework for national advantage: the case of Turkey. Journal of Business Research, 55(6), 509-515.
  • Özer, A., İleri, Y. Y. & Kaya, B. (2016). Sağlık Hizmetlerinde Tıbbi Cihaz Sektörü. Hacettepe Sağlık İdaresi Dergisi, 19(2), 187:202.
  • Porter, M. E. (1990) The Competitive Advantage of Nations. New York: The Free Press.
  • Porter, M. E. (1992). Capital disadvantage: America’s failing capital investment system. Harvard business review, 70(5), 65-82.
  • Porter, M. E., Teisberg, E. O. & Brown, G. (1994). Innovation: medicine’s best cost-cutter. Alabama medicine: Journal of the Medical Association of the State of Alabama, 63(9), 18-19.
  • Porter, M. E., & Teisberg, E. O. (2004). Redefining competition in health care. Harvard business review, 64-77.
  • Porter, M. E. (2010) “What is value in health care?” New England Journal of Medicine, 363(26):2477-2481.
  • Porter, M. E., & Lee, T. H. (2015). Why strategy matters now. New England Journal of Medicine, 372(18), 1681-1684.
  • Rugman, A. M. and D’Cruz, J. R. (1993). The “Double Diamond” Model of International Competitiveness: The Canadian Experience. Management International Review, 33(2), 17 – 39.
  • Skytrax World Airline Awards. (2012). Retrieved from https://www.ittn.ie/news/skytrax-world-airlineawards- 2012-winners/.
  • TOBB (2009). Türkiye’de Medikal Sektörü Raporu. Retrieved from https://www.tobb.org.tr/Documents/ yayinlar/medikal.pdf.
  • TUİK (2013). Yaşam Memnuniyeti Araştırması. Retrieved from http://www.tuik.gov.tr/MicroVeri/YMA_2013/ downloads/tablo_3_yma2013.xls (07.02.2014).
  • Undersecretariat of Treasury Insurance Supervision Board (2012). Insurance Sector Market Analysis Report. Retrieved from https://www.treasury. gov.tr/File/Index?id=ac349341-af3e-4af4-a487- 4b7d75b79d33.
  • World Economic Forum (2013). The Global Competitiveness Report 2013-2014. Retrieved from http:// www3.weforum.org/docs/WEF_GlobalCompetitivenessReport_ 2013-14.pdf.
  • World Tourism Organization (2013). UNWTO Tourism Highlights. Retrieved from https://www.e-unwto. org/doi/pdf/10.18111/9789284415427.
  • Yılmaztürk, A. (2013). Türkiye’de Sağlık Reformlarının Tarihsel Gelişimi ve Sağlıkta Dönüşüm Programı’nın Küresel Niteliğinin Değerlendirilmesi. Gaziosmanpaşa Üniversitesi Sosyal Bilimler Araştırmaları Dergisi, 15 (1), 176-188.
  • Yin, R.K. (1994) Case study research: design and methods. London: Sage.
There are 34 citations in total.

Details

Primary Language English
Subjects Business Administration
Journal Section Research Article
Authors

Pınar Özbılen This is me 0000-0002-2499-0550

Publication Date January 1, 2019
Acceptance Date September 11, 2018
Published in Issue Year 2019 Volume: 19 Issue: 1

Cite

APA Özbılen, P. (2019). A Structural Analysis of the Turkish Hospital Industry Using Porter’s Diamond Framework: A Case from an Emerging Market. Ege Academic Review, 19(1), 103-118.
AMA Özbılen P. A Structural Analysis of the Turkish Hospital Industry Using Porter’s Diamond Framework: A Case from an Emerging Market. ear. January 2019;19(1):103-118.
Chicago Özbılen, Pınar. “A Structural Analysis of the Turkish Hospital Industry Using Porter’s Diamond Framework: A Case from an Emerging Market”. Ege Academic Review 19, no. 1 (January 2019): 103-18.
EndNote Özbılen P (January 1, 2019) A Structural Analysis of the Turkish Hospital Industry Using Porter’s Diamond Framework: A Case from an Emerging Market. Ege Academic Review 19 1 103–118.
IEEE P. Özbılen, “A Structural Analysis of the Turkish Hospital Industry Using Porter’s Diamond Framework: A Case from an Emerging Market”, ear, vol. 19, no. 1, pp. 103–118, 2019.
ISNAD Özbılen, Pınar. “A Structural Analysis of the Turkish Hospital Industry Using Porter’s Diamond Framework: A Case from an Emerging Market”. Ege Academic Review 19/1 (January 2019), 103-118.
JAMA Özbılen P. A Structural Analysis of the Turkish Hospital Industry Using Porter’s Diamond Framework: A Case from an Emerging Market. ear. 2019;19:103–118.
MLA Özbılen, Pınar. “A Structural Analysis of the Turkish Hospital Industry Using Porter’s Diamond Framework: A Case from an Emerging Market”. Ege Academic Review, vol. 19, no. 1, 2019, pp. 103-18.
Vancouver Özbılen P. A Structural Analysis of the Turkish Hospital Industry Using Porter’s Diamond Framework: A Case from an Emerging Market. ear. 2019;19(1):103-18.