SUSTAINABILITY AND EFFICIENCY IN UNIVERSITY HOSPITAL STRATEGIC MANAGEMENT: INTELLECTUAL VALUE ADDED COEFFICIENT (VAIC)

Year 2022, Volume: 9 Issue: 2, 73 - 84, 30.06.2022

Ozgul Orsal Nurullah Uckun

https://doi.org/10.17261/Pressacademia.2022.1562

Abstract

Purpose- Changing economic approaches force the sustainability and efficiency of public health management structures to be provided with
existing resources. In this direction, our study is aimed to evaluate the effect of the Intellectual Value Added Coefficient-VAIC of a university
hospital, which has important resources in terms of high-level knowledge and skill use, on sustainability and efficiency.
Methodology- The financial reports of the university hospital; It was obtained from the precise and detailed trial balance, balance sheet, and
income-expense statement data. Relevant data in the VAIC model were taken and analyzed by comparing them over three years.
Findings- The VAIC effectively increases the university hospital's efficiency and sustainability rates over three years. There was a statistically
significant positive correlation between VAIC and ATO in all of the years 2014-2016. While there was no significant relationship between
VAIC and ROA in 2014, there was a negative relationship in 2015, and a positive relationship in 2016.
Conclusion- There is an increasing relationship between the efficiency of the added value created by the components that make up the
university hospital resources and the productivity. Between the efficiency of the added value and the profitability, as the debts that were
taken over from the previous years are closed; while a relationship could not be established in 2014, it was determined that profitability
decreased in 2015 and increased profitability in 2016. It has been determined that the VAIC Model can be used and effective in the evaluation
of sustainability and efficiency in the strategic management of university hospitals. In addition, these results reveal that university hospitals
should use these important powers by developing them. We claim that this new approach will contribute significantly to financial risks in the
implementation of strategic management and cost analysis against financial dilemmas in ensuring the financial sustainability of university
hospitals in Turkey.

Keywords

Public administration, Intellectual Value Added Coefficient (VAIC), university hospitals, financial sustainability, efficiency

References

• Bongiovanni, I., Renaud, K. and Cairns, G. (2020). Securing intellectual capital: an exploratory study in Australian universities. Journal of Intellectual Capital, 21(3), 481-505. https://doi.org/10.1108/JIC-08-2019-0197
• Bontis, N. (1998). Intellectual capital: an exploratory study that develops measures and models. Management Decision, 36(2), 63-76.
• Bozdemir, N.Ö. (2009). Entellektüel sermayenin örgüt üzerindeki etkileri ve uygulamadan örnekler (Yüksek Lisans), Marmara Üniversitesi, İstanbul. (254207)
• Cezlan, E.Ç. (2014). Entelektüel sermayenin firma yenilikçiliği ve firma performansına etkisi: Sağlık işletmelerine yönelik bir uygulama. (Doktora), Beykent Üniversitesi İstanbul. (365745)
• Demir, Y., Demirel, E. (2011). The importance of intellectual capital in the creation of competitive advantage. Industrıal Relatıons and Human Resources Journal, 13(1), 81-104. doi:10.4026/1303-2860.2010.0166.x
• DiBerardino, D., & Corsi, C. (2018). A quality evaluation approach to disclosing third mission activities and intellectual capital in Italian universities. Journal of Intellectual Capital, 19(1), 178-201.
• Dierickx, I., & Cool, K. (1989). Asset stock accumulation and sustainability of competitive advantage. Management Science, 35(12), 1504- 1511.
• Drucker, P. (1995). The Information Executives Truly Need. Harward Business Review, 59-60.
• Edvinsson, L. (1997). Developing intellectual capital at Skandia. Long Range Planning, 30(3), 366-373.
• Gravili, G., Manta, F., Cristofaro, C.L., Reina, R., & Toma, P. (2021). The value that matters: intellectual capital and big data to assess performance in healthcare. An empirical analysis of the European context. Journal of Intellectual Capital, 22(2), 260-289. https://doi.org/10.1108/JIC-02-2020-0067
• Gül, Y. (2009). Fizik tedavi ve rehabilitasyon eğitim ve araştırma hastanelerinde entelektüel sermaye boyutları (Yüksek Lisans), Marmara Üniversitesi, İstanbul. Retrieved from https://tez.yok.gov.tr/UlusalTezMerkezi (258305)
• Hamzah, N., Hassan, H., Saleh, N.M., & Kamaluddin, A. (2018). Intellectual capital management practices in Malaysian private hospitals. Asian Journal of Accounting and Governance, 8, 25-36.
• Karaman, N. (2014). Entelektüel sermaye, katma değer katsayısı yöntemi ile ölçülmesi ve sağlık sektöründe bir uygulama (Doktora), Beykent Üniversitesi, İstanbul. (365768)
• Leitner, K.H., Curaj, A., Elena-Perez, S., Fazlagic, J., Kalemis, K., Martinaitis, Z., Zaksa, K. (2014). A strategic approach for intellectual capital management in European universities: guidelines for implementation: UEFISCDI Bucharest.
• Linna, P., Pekkola, S., Ukko, J., & Melkas, H. (2010). Defining and measuring productivity in the public sector: managerial perceptions. International Journal of Public Sector Management, 23(5), 479-499.
• Low, M., Samkin, G., & Li, Y. (2015). Voluntary reporting of intellectual capital. Journal of Intellectual Capital, 16(4), 779-808
• Marzo, G. (2021). A theoretical analysis of the value-added intellectual coefficient (VAIC). Journal of Management and Governance, 1-27. Journal of Management and Governance https://doi.org/10.1007/s10997-021-09565-x
• Mooneeapen, O., Abhayawansa, S., & Ramdhony, D. (2021). Re-examination of the value-added intellectual coefficient (VAICTM): a test of value relevance. In Research Handbook on Intellectual Capital and Business. Edward Elgar Publishing. 236-254. https://doi.org/10.4337/9781785365324.00021
• Mura, M., Radaelli, G., Spiller, N., Lettieri, E., & Longo, M. (2014). The effect of social capital on exploration and exploitation: modeling the moderating effect of environmental dynamism. Journal of Intellectual Capital, 15(3), 430-450.
• Orsal, O., (2020). Evaluation of the efficiency of university hospitals according to intellectual capital measurement methods and a model proposal [Üniversite hastanelerinin verimliliğinin entelektüel sermaye ölçüm yöntemlerine göre değerlendirilmesi ve bir model önerisi], Thesis (PhD), Eskisehir Osmangazi University.
• Orsal, O., Mavili, A. (2020). Effects of Managers’ Emotional Intelligence and Personality Types on Job Satisfaction: Eskisehir Example. Public Administrative Studies. 3, 41-71. Akademisyen Kitabevi.
• Orsal, O., Uckun, N., (2022). The Effect of the Corporate Productıvıty Scorecard BSC on Productıvıty Costs. International Research in Social, Human and Administrative Sciences. 4, 69-124. Egitim Yayınevi, Turkiye, ISBN: 978-625-8341-05-8.
• Özgün, A.H. (2019). Sosyal sermaye, entelektüel sermaye, inovasyon ve performans ilişkisi: Sağlık kurumları üzerine bir araştırma. (Doktora), Marmara Üniversitesi, İstanbul. (567102)
• Paoloni, N., Mattei, G., Strologo, A.D., & Celli, M. (2020). The present and future of intellectual capital in the healthcare sector. Journal of Intellectual Capital. DOI 10.1108/JIC-10-2019-0237
• Peng, T.J.A., Pike, S., & Roos, G. (2007). Intellectual capital and performance indicators: Taiwanese healthcare sector. Journal of Intellectual Capital, 8(3), 538-556.
• Pirozzi, M.G., & Ferulano, G.P. (2016). Intellectual capital and performance measurement in healthcare organizations. Journal of Intellectual Capital, 17(2), 320-350.
• Pulic, A. (2004). Intellectual capital–does it create or destroy value? Measuring Business Excellence, 8(1),62–68. https://Doi.Org/10.1108/13683040410524757
• Ramirez, Y., Tejada, A., & Manzaneque, M. (2016). The value of disclosing intellectual capital in Spanish universities. Journal of Organizational Change Management, 29(2), 176-198.
• Roslender, R., & Fincham, R. (2001). Thinking critically about intellectual capital accounting. Accounting, Auditing & Accountability Journal, 14(4), 383-399.
• Quinn, J.B. (1992). Intelligent Enterprise: A Knowledge and Service Based Paradigm for industry Simon and Schuster.
• Sánchez, M.P., Elena, S., & Castrillo, R. (2009). Intellectual capital dynamics in universities: a reporting model. Journal of Intellectual Capital, 10(2), 307-324.
• Sangiorgi, D., & Siboni, B. (2017). The disclosure of intellectual capital in Italian universities. Journal of Intellectual Capital, 18(2), 354-372.
• Secundo, G., Dumay, J., Schiuma, G., & Passiante, G. (2016). Managing intellectual capital through a collective intelligence approach. Journal of Intellectual Capital, 17(2), 298-319.
• Stewart, T.A. (2010). Intellectual capital: The new wealth of organization (2th ed.): Currency.
• Sulaiman, S.A., Mijinyawa, M.U., Isa, T.K., & Khadijah, M.K. (2021). Value added intellectual capital and financial performance-moderated by managerial ownership: evidence from listed health-care firms in Nigeria. FUDMA Journal of Management Sciences, 3(1), 66-78.
• Tafazzoli-Harandi, H., Hajinabi, K., Riahi, L.,& Majidzadeh-Ardabili, K. (2020). Human capital and intellectual capital in selected health research centers. Payesh (Health Monitor), 19(3), 337-347.
• Tiwari, R. (2022). Nexus between intellectual capital and profitability with interaction effects: panel data evidence from the Indian healthcare industry. Journal of Intellectual Capital, 23(39), 588-616. https://doi.org/10.1108/JIC-05-2020-0137
• Wu, I.L., & Hu, Y.P. (2012). Examining knowledge management enabled performance for hospital professionals: A dynamic capability view and the mediating role of process capability. Journal of the Association for Information Systems, 13(12), 3-15.
• Yang, C.C., & Lin, C.Y.Y. (2009). Does intellectual capital mediate the relationship between HRM and organizational performance? The perspective of the healthcare industry in Taiwan. The International Journal of Human Resource Management, 20(9), 1965-1984