An Investigation on Innovative Application in Hospitals Affiliated with Public Health Sector of Metropolitan City of Istanbul

Year 2020, Volume: 2 Issue: 1, 25 - 39, 23.01.2020

Gülay Ekinci , İhsan Bakır

Abstract

Objective:
With this study we aimed to investigate whether some variables (number of
levels, departments, and horizontal communication etc.) in organizational
structure of the hospitals operating within the frame of public health sector
of the Metropolitan City of Istanbul have an impact on innovation, to determine
the way these variables effect innovation, and evaluate innovative performance
of our hospital within the frame of organizational innovative culture.

Material
and Method: For this investigation literature
screening was made, and a questionnaire consisting of three parts was prepared.
First part of the questionnaire contained institutional information, the second
part comprised organizational information, and the third part consisted of questions
aimed to determine the innovational value of the applications. The
questionnaire forms were sent to 190 healthcare professionals. A total of 137
forms were completed by the participants, and returned to us. However only 112
questionnaire forms were taken into consideration for evaluation. The data
obtained were analyzed using SPSS. Results: Hypothesis 1: Any correlation does
not exist between the age of the hospital, and innovativeness (r=-0.276
p=0.004). Hypothesis 2: Any correlation does not exist between innovativeness,
and formality in horizontal communication between hospital professionals of the
same level (r=0.111 p=0.249 Kendall’s Tau_b=0.062). Hypothesis 3: A significant
correlation does not exist between the communication between hospital employers,
and their superiors, and innovativeness (r= 0,220 p=0.022). Hypothesis 4: A
correlation does not exist between the horizontal communication prevalent among
hospital employees at the same level, and innovativenes (r=0.159 p=0.099
Kendall’s Tau_b=0.145). Hypothesis 5: A difference does not exist between the
general level of communication in the hospital, and innovativeness (r=0.305
p=0001). Hypothesis 6: A correlation does not exist between the number of
departments in the hospital, and innovativeness (r=-0.141 p= 0.152 Kendall’s
Tau_b=-0.119) Hypothesis 7: A correlation does not exist between the number of
vertical levels in the hierarchy of hospital organization, and innovativeness
(r=0117 p=0.234 Kendall’s Tau_b= 0.90).

Conclusion:
The outcomes of our study can be interpreted as follows: a) Newly established
hospitals participating in our study were more innovative, b) Increased
communicative relationship between employees, and their superiors, and also
between workers at the same level, consequently among all hospital
professionals reinforce innovativeness, c) as the number of departments
increase, rapport, and communication weaken which decrease innovativeness, d)
in hospitals with higher number of vertical levels, innovativeness is promoted
in that the presence of more participative management, and effective
communication channels facilitate implementation of innovative applications. 

Keywords

hospital, communication, organizational structure, innovation, public

References

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