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SAĞLIK SEKTÖRÜNDE DİJİTAL DÖNÜŞÜMÜN VE ENTELEKTÜEL SERMAYENİN ORGANİZASYONEL DAYANIKLILIK ÜZERİNDEKİ ETKİLERİ

Year 2024, , 278 - 299, 06.12.2024
https://doi.org/10.54452/jrb.1489717

Abstract

Günümüzün, küreselleşmenin etkisiyle hızlı değişim gösteren iş dünyasında, organizasyonlar giderek artan değişkenlik ve belirsizlikle karşı karşıya kalmakta, bu da krizlerle ve beklenmedik durumlarla daha sık karşılaşılmasına neden olmaktadır. Bu durum organizasyonel dayanıklılığın artan önemine dikkati çekmektedir. Organizasyonların dayanıklılıklarını sürdürebilmeleri için dijital dönüşümün etkili bir strateji olduğu düşünülmektedir. Bu dijital dönüşüm ihtiyacı, sağlık kuruluşlarının da dijital çağa uyum sağlamaları ve kurumsal dayanıklılıklarını sürdürebilmeleri açısından aynı derecede önemlidir. Sağlık sektöründe dijital dönüşüm, sağlık sistemlerinde en son dijital teknolojilerin benimsenmesi ve yönetilmesini ifade etmektedir. Ancak sağlık sektöründe dijital dönüşüm ve örgütsel dayanıklılığın yanı sıra entelektüel sermayenin örgütsel dayanıklılık üzerindeki etkisine ilişkin sınırlı sayıda ampirik araştırma bulunmaktadır. Bu çalışma, Türkiye'de sağlık sektöründe dijital dönüşümün örgütsel dayanıklılığa etkisini ve bu ilişkide entelektüel sermayenin rolünü araştırmayı amaçlamaktadır. Çalışma, yapılandırılmış bir anket kullanan nicel bir araştırma yöntemini benimsemiştir. Örneklem çeşitli hastane türlerinde görev yapan 204 sağlık personelinden oluşmaktadır. Regresyon analizleri üç aşamalı aracılık analizleri kullanılarak gerçekleştirilmiş olup, ileri analiz olarak aracılık etkisinin anlamlılığını kontrol etmek amacıyla Sobel testi yapılmıştır. Analizlerin sonuçları, dijital dönüşümün sağlık sektöründeki organizasyonların dayanıklılığı üzerinde olumlu bir etkisi olduğunu ve entelektüel sermayenin bu ilişkide kısmi aracılık etkisinin olduğunu göstermiştir.

References

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  • Morsut, C., Kuran, C., Kruke, B.I., Orru, K., & Hansson, S. (2022). Linking resilience, vulnerability, social capital and risk awareness for crisis and disaster research. Journal of Contingencies and Crisis Management, 30(2), 137-147.
  • Nadeem, A., Abedin, B., Cerpa, N., & Chew, E. (2018). Editorial: Digital transformation & digital business strategy in electronic commerce – the role of organizational capabilities. Journal of Theoretical and Applied Electronic Commerce Research, 13(2), I–VIII.
  • Okuwa, J.A., Nwuche, C.A., & Anyanwu, A.C. (2016). Human Capital Development and Organizational Resilience in Selected Manufacturing Firms in Rivers State, International Journal of Novel Research in Humanity and Social Sciences, 3(2):43-50.
  • Panos, E., Papafragkaki, D., Gogosis, K., & Manwlidou, Z. (2009). Crisis Management in the Health Sector: Qualities and characteristics of health crisis managers, International Journal of Caring Sciences, 2(3), 105-107.
  • Patriarca, R., Bergström, J., Gravia, G.D., & Costantinoa F (2018). Resilience engineering: current status of the research and future challenges. Safety Science, 102, 79-100.
  • Penades, M.C., Nunez, A.G., & Canos, J.H. (2017). From planning to resilience: The role (and value) of the emergency plan. Technological Forecasting and Social Change, 121, 17-30.
  • Powley, E. H. (2009). Reclaiming resilience and safety: Resilience activation in the critical period of crisis. Human Relations, 62(9): 1289-1326.
  • Qazi, A., Wang, D., Khattak, J.A., & Khan, M.A. (2021). Intellectual capital and innovation performance: The mediating role of digital transformation capabilities. Journal of Knowledge Management, 25(3), 590-611.
  • Rahi, K. (2019). Indicators to assess organizational resilience – a review of empirical literature. International Journal of Disaster Resilience in the Built Environment, 10(2/3): 85-98.
  • Ruiz Morilla, M.D., Sans, M., Casasa, A., & Gimenez, N. (2017). Implementing technology in healthcare: insights from physicians, BMC Medical Informatics and Decision Making, 17(92): 1-92.
  • Serenko, A. & Bontis, N. (2004). Meta review of knowledge management and intellectual capital literature: citation impact and research productivity rankings, Knowledge and Process Management, 11(3): 185- 198.
  • Sharma, L., Chandrasekaran, A., Boyer, K.K., & Mc Dermott, C.M. (2016). The Impact of Health Information Technology Bundles on Hospital Performance: An Econometric Study. Journal of Operations Management, 41, 25-41.
  • Sheikh, A., Sood, H. S., & Bates, D.W. (2015). Lever Aging Health Information Technology to Achieve the “Triple Aim” of Health Care Reform. Journal of The American Medical Informatics Association, 22(4), 849-856.
  • Shih, C.P., Chen, W.C. & Morrison, M. (2010). The impact of intellectual capital on business performance in Taiwanese design industry, Journal of Knowledge Management Practice, 11(1), 1-16.
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  • Vial, G. (2019). Understanding Digital Transformation: A Review and a Research Agenda. The Journal of Strategic Information Systems, 28, 118–144.
  • Vogus, T.J., & Sutcliffe, K.M. (2007). Organizational Resilience: Towards a Theory and Research Agenda, Proceedings of the IEEE International Conference on Systems, Man and Cybernetics, 1062-922X.
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  • Weick, K. E., Sutcliffe K. M. & Obstfeld, D. (1999). Organizing for high reliability: Processes of collective mindfulness. In Research in organizational behavior, ed. Barry M. Staw and Robert I. Sutton, 81-123. Greenwich: Jai Press.
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THE EFFECTS OF DIGITAL TRANSFORMATION AND INTELLECTUAL CAPITAL ON ORGANIZATIONAL RESILIENCE IN THE HEALTHCARE INDUSTRY

Year 2024, , 278 - 299, 06.12.2024
https://doi.org/10.54452/jrb.1489717

Abstract

In today's rapidly changing business world, influenced by globalization, organizations are facing increased volatility and uncertainty, leading to frequent encounters with crises and unexpected situations. This emphasizes the growing importance of organizational resilience. Digital transformation is seen as a crucial strategy for organizations to enhance their resilience. This need for digital transformation is equally important for healthcare organizations to adapt to the digital age and sustain their organizational resilience. Digital transformation in the healthcare industry involves the incorporation and management of the latest digital technologies into healthcare systems. However, there is a limited amount of empirical research on digital transformation and organizational resilience in the healthcare industry, as well as on the impact of intellectual capital on organizational resilience. This study aims to explore the influence of digital transformation on organizational resilience in the healthcare industry in Türkiye and the role of intellectual capital in this relationship. The study adopts a quantitative research method utilizing a structured questionnaire. The sample comprises 204 healthcare personnel from various types of hospitals. Regression analyses using three-step mediation analyses were conducted, and a Sobel test was performed for further analysis to assess the significance of the mediation effect. The results of the analyses indicated that digital transformation has a positive impact on the resilience of organizations in the healthcare industry, and that intellectual capital has a partially mediating effect in this relationship.

References

  • Anderson, J., Ross, A., Back, J., Duncan, M., Snell, P., Walsh, K. & Jaye, P. (2016). Implementing resilience engineering for healthcare quality improvement using the CARE model: a feasibility study protocol. Pilot and Feasibility Studies, 2(1), 1-9.
  • Annarelli, A., & Nonino, F. (2016). Strategic and operational management of organizational resilience: current state of research and future directions. Omega, 62, 1-18.
  • Barasa, E., Mbau, R. & Gilson, L. (2018). What Is Resilience and How Can It Be Nurtured? A Systematic Review of Empirical Literature on Organizational Resilience. International Journal of Health Policy and Management, 2018, 7(6), 491–503.
  • Baron, R. M., & Kenny, D. A. (1986). The moderator–mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51(6), 1173.
  • Benn, S., Dunphy, D., & Griffiths, A. (2014). Organizational change for corporate sustainability. Routledge.
  • Berkes, F. (2007). Understanding uncertainty and reducing vulnerability: lessons from resilience thinking. Natural Hazards, 41(2), 283-295.
  • Biddle L, Wahedi K, Bozorgmehr K. (2020). Health system resilience: a literature review of empirical research. Health Policy Plan, 35(8):1084–1109.
  • Boin, A. & van Eeten, M. J. (2013). The Resilient Organization, Public Management Review, 15(3), 429-445. Bontis, N., & Chua, A. (2019). Intellectual capital and business performance in the knowledge economy. Journal of Intellectual Capital, 20(4), 357-367.
  • Bruneau, M., Chang, S. E., Eguchi, R. T., Lee, G. C., O‘Rourke, T. D., Reinhorn, A. M., & von Winterfeldt, D. (2003). A framework to quantitatively assess and enhance the seismic resilience of communities. Earthquake Spectra, 19(4), 733-752.
  • Chen, Y. (2008). The Positive Effect of Green Intellectual Capital on Competitive Advantages of Firms, Journal of Business Ethics, 77, 271-286.
  • Coutu, D.L. (2002). How resilience works, Harvard Business Review, 80(5): 46-56.
  • Douglas, S. (2021). Building Organizational Resilience through Human Capital Management Strategy. Development and Learning in Organizations, ISSN: 1477-7282.
  • Duchek, S. (2020). Organizational resilience: a capability-based conceptualization. Business Research, 13:215- 246.
  • Eisenhardt, K.M., & Martin, J.A. (2000). Dynamic capabilities: what are they? Strategic Management Journal, 21(10-11), 1105-1121.
  • European Commission, (2018). Expert Panel on Effective Ways of Investing in Health, https://ec.europa.eu/ health/expert_panel/ sites/expertpanel/files/022_digitalisation_en.pdf
  • Hair, J.F., Ringle, C.M. & Sarstedt, M. (2011). PLS-SEM: indeed a silver bullet, Journal of Marketing Theory and Practice, 19(2): 139-151.
  • Hamel, G. (1991). Competition for competence and inter-partner learning within international strategic alliances, Strategic Management Journal, 12, 83-103.
  • Holling, C.S. (1973). Resilience and Stability of Ecological Systems, Annual Review of Ecological Systems, 4, 1-23.
  • Hsu, Y. H. & Fang, W. (2009). Intellectual capital and new product development performance: The mediating role of organizational learning capability. Technological Forecasting and Social Change, 76: 664-677.
  • Inkinen, H. (2015). Review of empirical research on intellectual capital and firm performance. Journal of Intellectual Capital, 16, 518-565.
  • Innocenti, S., & Golin, M. (2022). Human capital investment and perceived automation risks: Evidence from 16 countries. Journal of Economic Behavior & Organization, 195, 27-41.
  • Jiang, J., Li, S., & Liang, X. (2021). How intellectual capital affects innovation performance in the context of digital transformation. Journal of Business Research, 133, 286-296.
  • Lengnick-Hall, C.A. & Beck, T.E. (2003). Beyond bouncing back: the concept of organizational resilience, National Academy of Management Meetings, Seattle, WA.
  • Lengnick-Hall, C.A., & Beck, T.E. (2005). Adaptive fit versus robust transformation: How organizations respond to environmental change. Journal of Management, 31(5), 738-757.
  • Lengnick-Hall, C.A., Beck, T.E. & Lengnick-Hall, ML. (2011). Developing a capacity for organizational resilience through strategic human resource management, Human Resource Management Review, 21(3): 243-255.
  • Lengnick-Hall, Cynthia A., & Tammy E. Beck. (2009). Resilience capacity and strategic agility: Prerequisites for thriving in a dynamic environment. In Resilience engineering perspectives, Volume 2. Preparation and restoration, ed. Christopher P. Nemeth, Erik Hollnagel, and Sidney Dekker, 39-70. Aldershot: Ashgate Publishing.
  • Lenka, S., Parida, V., & Wincent, J. (2017). Digitalization Capabilities as Enablers of Value Co-Creation in Servitizing Firms. Psychology and Marketing, 34, 92-100.
  • Li, F. (2020). Leading Digital Transformation: Three Emerging Approaches for Managing the Transition. International Journal of Operations & Production Management, 40, 809–817.
  • Li, H.L.; Wu, Y. & Cao, D.M. (2021). Organizational Mindfulness towards Digital Transformation as a Prerequisite of Information Processing Capability to Achieve Market Agility. Journal of Business Research, 122, 700- 712.
  • Liu, Y., Guo, M., Han, Z., Gavurova, B., Bresciani, S. & Wang, T. (2023). Effects of digital orientation on organizational resilience: a dynamic capabilities perspective, Journal of Manufacturing Technology Management, 35(2): 268-290.
  • Liu, L., Huang, J., & Liu, X. (2021). Intellectual capital and innovation performance in the context of digital transformation: A resource-based perspective. Technological Forecasting and Social Change, 173, 121021.
  • Mallak, L. A. (1998). Measuring resilience in health care provider organizations. Health Manpower Management, 24(4), 148-152.
  • Macrae, C., & Wiig, S. (2019). Resilience: From Practice to Theory and Back Again. In Exploring Resilience. A scientific journey from practice to theory, 121-128. Springer Briefs in Safety Management. E-book. ISBN 978-3-030-03189-3.
  • McGuinness, M., & Johnson, N. (2014). Exploiting social capital and path-dependent resources for organisational resilience: Preliminary findings from a study on flooding. Procedia Economics and Finance, 18, 447–455.
  • Morsut, C., Kuran, C., Kruke, B.I., Orru, K., & Hansson, S. (2022). Linking resilience, vulnerability, social capital and risk awareness for crisis and disaster research. Journal of Contingencies and Crisis Management, 30(2), 137-147.
  • Nadeem, A., Abedin, B., Cerpa, N., & Chew, E. (2018). Editorial: Digital transformation & digital business strategy in electronic commerce – the role of organizational capabilities. Journal of Theoretical and Applied Electronic Commerce Research, 13(2), I–VIII.
  • Okuwa, J.A., Nwuche, C.A., & Anyanwu, A.C. (2016). Human Capital Development and Organizational Resilience in Selected Manufacturing Firms in Rivers State, International Journal of Novel Research in Humanity and Social Sciences, 3(2):43-50.
  • Panos, E., Papafragkaki, D., Gogosis, K., & Manwlidou, Z. (2009). Crisis Management in the Health Sector: Qualities and characteristics of health crisis managers, International Journal of Caring Sciences, 2(3), 105-107.
  • Patriarca, R., Bergström, J., Gravia, G.D., & Costantinoa F (2018). Resilience engineering: current status of the research and future challenges. Safety Science, 102, 79-100.
  • Penades, M.C., Nunez, A.G., & Canos, J.H. (2017). From planning to resilience: The role (and value) of the emergency plan. Technological Forecasting and Social Change, 121, 17-30.
  • Powley, E. H. (2009). Reclaiming resilience and safety: Resilience activation in the critical period of crisis. Human Relations, 62(9): 1289-1326.
  • Qazi, A., Wang, D., Khattak, J.A., & Khan, M.A. (2021). Intellectual capital and innovation performance: The mediating role of digital transformation capabilities. Journal of Knowledge Management, 25(3), 590-611.
  • Rahi, K. (2019). Indicators to assess organizational resilience – a review of empirical literature. International Journal of Disaster Resilience in the Built Environment, 10(2/3): 85-98.
  • Ruiz Morilla, M.D., Sans, M., Casasa, A., & Gimenez, N. (2017). Implementing technology in healthcare: insights from physicians, BMC Medical Informatics and Decision Making, 17(92): 1-92.
  • Serenko, A. & Bontis, N. (2004). Meta review of knowledge management and intellectual capital literature: citation impact and research productivity rankings, Knowledge and Process Management, 11(3): 185- 198.
  • Sharma, L., Chandrasekaran, A., Boyer, K.K., & Mc Dermott, C.M. (2016). The Impact of Health Information Technology Bundles on Hospital Performance: An Econometric Study. Journal of Operations Management, 41, 25-41.
  • Sheikh, A., Sood, H. S., & Bates, D.W. (2015). Lever Aging Health Information Technology to Achieve the “Triple Aim” of Health Care Reform. Journal of The American Medical Informatics Association, 22(4), 849-856.
  • Shih, C.P., Chen, W.C. & Morrison, M. (2010). The impact of intellectual capital on business performance in Taiwanese design industry, Journal of Knowledge Management Practice, 11(1), 1-16.
  • Sobel, M. E. (1982). Asymptotic confidence intervals for indirect effects in structural equation models. Sociological Methodology, 13, 290-312.
  • Song, M., Tao, W., & Shen, Z. (2022). The impact of digitalization on labor productivity evolution: Evidence from China. Journal of Hospitality and Tourism Technology, ISSN: 1757-9880.
  • Sutcliffe, K.M. & Vogus, T.J. (2003). Organizing for resilience. Positive Organizational Scholarship Foundations of a New Discipline. 94-110.
  • Sveiby, K. E. (2019). A knowledge-based theory of the firm to guide in strategy formulation. Journal of Intellectual Capital, 20(2), 156-179.
  • Teece, D.J., Pisano, G., & Shuen, A. (1997). Dynamic capabilities and strategic management, Strategic Management Journal, 18(7), 509-533.
  • Thomas S., Sagan, A., Larkin J. & Cylus, J. (2020). Strengthening health systems resilience. Key concepts and strategies. Policy Brief 36, World Health Organization and European Observatory on Health Systems and Policies. Available from: https://apps.who.int/iris/bitstream/handle/10665/332441/Policy-brief% 2036-1997-8073-eng.pdf
  • Umer S., Zeeshan F., Bushra Z., Farrukh S. & Hafizs L. (2014). The Impact of Intellectual Capital on the Performance of Universities in Pakistan. European Journal of Contemporary Education, 4(10): 273-280.
  • Velu, S.R., Al Mamun, A., Kanesan, T., & Hayat, N. (2019). Effect of information system artifacts on organizational resilience: A study among Malaysian SMEs. Sustainability, 11(11): 1-23.
  • Vial, G. (2019). Understanding Digital Transformation: A Review and a Research Agenda. The Journal of Strategic Information Systems, 28, 118–144.
  • Vogus, T.J., & Sutcliffe, K.M. (2007). Organizational Resilience: Towards a Theory and Research Agenda, Proceedings of the IEEE International Conference on Systems, Man and Cybernetics, 1062-922X.
  • Wang, Z., Wang, N., & Liang, H. (2014). Knowledge sharing, intellectual capital and firm performance. Management Decision, 52(2): 230-258.
  • Warner, K.S.R., & Wäger, M. (2019). Building Dynamic Capabilities for Digital Transformation: An Ongoing Process of Strategic Renewal, Long Range Planning, 52, 326-349.
  • Weick, K.E. (1988). Enacted sensemaking in crisis situations, Journal of Management Studies, 25(4): 305-317.
  • Weick, K. E., Sutcliffe K. M. & Obstfeld, D. (1999). Organizing for high reliability: Processes of collective mindfulness. In Research in organizational behavior, ed. Barry M. Staw and Robert I. Sutton, 81-123. Greenwich: Jai Press.
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There are 66 citations in total.

Details

Primary Language English
Subjects Business Administration
Journal Section Articles
Authors

Sema Onaran 0000-0002-3249-0660

E. Serra Yurtkoru 0000-0002-9476-8445

Publication Date December 6, 2024
Submission Date May 24, 2024
Acceptance Date July 1, 2024
Published in Issue Year 2024

Cite

APA Onaran, S., & Yurtkoru, E. S. (2024). THE EFFECTS OF DIGITAL TRANSFORMATION AND INTELLECTUAL CAPITAL ON ORGANIZATIONAL RESILIENCE IN THE HEALTHCARE INDUSTRY. Journal of Research in Business, 9(2), 278-299. https://doi.org/10.54452/jrb.1489717