Strategic Dimensions Affecting to Innovation Performance in the Healthcare Sector: A Systematic Literature Analysis

Year 2024, Volume: 15 Issue: 42, 515 - 532, 29.05.2024

Şeyma Güner , İlker Köse , Enise Topaylı , Ayşe Elif Yıldız

https://doi.org/10.21076/vizyoner.1299495

Abstract

The study systematically analyzes the literature's reflections to determine the dimensions and criteria affecting innovation performance in the healthcare sector and healthcare organizations. In order to achieve this goal, studies published between 2018 and 2022 in the Web of Science and Google Scholar databases are searched with the keywords "innovation" and "healthcare.” Out of 1,103 studies, 52 that met the screening criteria are included in the research analysis. The results show that the dimensions affecting innovation performance in the health sector and health institutions can be grouped as organizational culture, leadership, human resources, organizational structure, knowledge acquisition and knowledge sharing, cooperation, policy and management support, and technology. As a result of the study, explanations of the scope of each dimension are given, and suggestions are presented as to which areas healthcare organizations that want to increase their innovation performance should focus on improving. It is thought that healthcare organizations that want to evaluate their current innovation performance can also measure and assess within the scope of the exact dimensions.

Keywords

Innovation in Health, Innovation Management, Innovation Management in Health, Innovation Performance, Innovation Performance in Health

Supporting Institution

The study is supported by TUBİTAK ARDEB 3005 Project (Project No: 122G080).

Project Number

The study is supported by TUBİTAK ARDEB 3005 Project (Project No: 122G080).

Sağlık Sektöründe İnovasyon Performansını Etkileyen Stratejik Boyutlar: Sistematik Literatür Analizi

Abstract

Bu çalışma, sağlık sektöründe ve sağlık kuruluşlarında inovasyon performansını etkileyen boyutları ve kriterleri belirlemek için literatürdeki yansımaları sistematik olarak analiz etmektedir. Bu amaca ulaşmak için Web of Science ve Google Scholar veri tabanlarında 2018-2022 yılları arasında yayınlanan çalışmalar "inovasyon" ve "sağlık hizmetleri" anahtar kelimeleri ile taranmıştır. Tarama kriterlerini karşılayan 1103 çalışmadan 52'si araştırma analizine dahil edilmiştir. Sonuçlar, sağlık sektöründe ve sağlık kuruluşlarında inovasyon performansını etkileyen boyutların organizasyon kültürü, liderlik, insan kaynağı, organizasyon yapısı, bilgi edinme ve bilgi paylaşımı, işbirliği, politika ve yönetim desteği ve teknoloji olarak gruplandırılabileceğini göstermektedir. Çalışma sonucunda her bir boyutun kapsamına ilişkin açıklamalara yer verilmekte ve inovasyon performansını artırmak isteyen sağlık kuruluşlarının hangi alanları geliştirmeye odaklanması gerektiğine ilişkin öneriler sunulmaktadır. Mevcut inovasyon performansını değerlendirmek isteyen sağlık kuruluşlarının bu boyutlar kapsamında ölçüm ve değerlendirme yapabileceği düşünülmektedir.

Keywords

Sağlıkta İnovasyon, İnovasyon Yönetimi, Sağlıkta İnovasyon Yönetimi, İnovasyon Performansı, Sağlıkta İnovasyon Performansı

Supporting Institution

The study is supported by TUBİTAK ARDEB 3005 Project (Project No: 122G080).

Project Number

The study is supported by TUBİTAK ARDEB 3005 Project (Project No: 122G080).

References

• Aburayya, A., Alshurideh, M., al Marzouqi, A., al Diabat, O., Alfarsi, A., Suson, R., Bash, M., & Salloum, S. A. (2020). An empirical examination of the effect of tqm practices on hospital service quality: An assessment study in UAE hospitals. Systematic Reviews in Pharmacy, 11(9), 347–362.
• Afsar, B., & Umrani, W. A. (2020). Does thriving and trust in the leader explain the link between transformational leadership and innovative work behavior? A cross-sectional survey. Journal of Research in Nursing, 25(1), 37–51. https://doi.org/10.1177/1744987119880583
• Ahmed, A. K., Ata, A. A., & Abd-elhamid, Z. N. (2019). Relationship between the leadership behaviors, organizational climate, and innovative work behavior among nurses. American Journal of Nursing Research, 7(5), 870–878. https://doi.org/10.12691/ajnr-7-5-20
• Ahmed, P. K. (1998). Culture and climate for innovation. European Journal of Innovation Management, 1(1), 30–43.
• Aksay, K., & Orhan, F. (2013). Hastanelerde inovasyon sürecinin risk yönetimi bağlaminda değerlendirilmesi: Bir model önerisi. Dicle Üniversitesi İktisadi ve İdari Bilimler Fakültesi Dergisi, 2(3), 10–23.
• Al Jaberi, O. A. (2019). The Impact of Lean, Green and Knowledge Sharing on Organization Sustainability in Healthcare in UAE: The Mediating Role of Organization Innovation [Doctoral Thesis]. Abu Dhabi University.
• Al-Kade, A.-H. I. (2019). The impact of management control systems on innovation performance in healthcare organizations. [Doctoral Thesis]. United Arab Emirates University.
• Alkan, V. (2017). Bir sistematik derleme çalişmasi: Öğretmenlik uygulamasi. Yildiz Eğitim Araştirmalari Dergisi, 2(1), 23–30.
• Andiappan, M., & Anih, J. (2022). Seven ways to inspire innovation in the health technology industry. Biomedical Instrumentation & Technology , 56(1), 1–7.
• Apostolopoulos, S., Makris, I., & Stavroyiannis, S. (2022). Healthcare innovation in Greece: The views of private health entrepreneurs on implementing innovative plans. Journal of Open Innovation: Technology, Market, and Complexity, 8(2). https://doi.org/10.3390/joitmc8020078
• Asurakkody, T. A., & Kim, S. H. (2020). Effects of knowledge sharing behavior on innovative work behavior among nursing Students: Mediating role of self- leadership. International Journal of Africa Nursing Sciences, 12. https://doi.org/10.1016/j.ijans.2020.100190
• Asurakkody, T. A., & Shin, S. Y. (2018). Innovative behavior in nursing context: a concept analysis. Asian Nursing Research, 12(4), 237–244. https://doi.org/10.1016/J.ANR.2018.11.003
• Avci, P. (2017). Sağlik örgütlerinde inovasyon. Kırklareli Üniversitesi İktisadi ve İdari Bilimler Fakültesi Dergisi, 6(5).
• Ayçin, E., & Çakin, E. (2019). Ülkelerin inovasyon performanslarının ölçümünde entropi ve MABAC çok kriterli karar verme yöntemlerinin bütünleşik olarak kullanılması. Akdeniz İİBF Journal, 19(2), 326–351. https://doi.org/10.25294/AUIIBFD.649275
• Bagheri, A., & Akbari, M. (2018). The impact of entrepreneurial leadership on nurses’ innovation behavior. Journal of Nursing Scholarship, 50(1), 28–35. https://doi.org/10.1111/JNU.12354
• Ciasullo, M. V., Carli, M., Lim, W. M., & Palumbo, R. (2021). An open innovation approach to co-produce scientific knowledge: examining citizen science in the healthcare ecosystem. European Journal of Innovation Management, 25(6), 365–392. https://doi.org/10.1108/EJIM-02-2021-0109
• Dahlberg, J., & Wiklund, K. (2019). Innovation facilitating culture in private and public primary healthcare. [Master’s Thesis]. Lund University School of Economics and Management.
• Demirdöğen, S. (2019). İşletmelerin inovasyon yapmalarina engel olan faktörlerin belirlenmesine yönelik bir araştirma: Erzincan organize sanayi bölgesi örneği. Erciyes Üniversitesi İktisadi ve İdari Bilimler Fakültesi Dergisi, 54, 417–446.
• Dias, J. A., Berggren, E., Kleppestø, S., & Jacob, M. (2018). What are the key enabling factors for a sustainable innovative environment in healthcare? Master´s Programme in Management (MSc) Title: What are the key enabling factors for a sustainable innovative environment in healthcare?
• el Desoky, E., el Said, N., & El-Shaer, A. (2021). Organizational culture, individual innovation and their relation to nursing staff’s work engagement. Mansoura Nursing Journal, 8(3), 39–59. https://doi.org/10.21608/mnj.2021.213159
• Drucker, P. (2014). Innovation and entrepreneurship. Routledge Classics.
• Elabed, S. S. (2019). A framework for sustainability oriented innovation in healthcare (Vol. 3, Issue December). American University of Sharjah.
• Elmacı, O., & Yalçın, M. (2013). Measuring Innovation Power Of Businesses: A Regional Research in Food And Agricultural Industry. İstanbul Üniversitesi İktisat Fakültesi Mecmuası, 62(2), 61–78.
• Elverdi, S., & Atik, H. (2020). Türkiye’de İnovasyon Ölçümüne Yönelik Bir Değerlendirme. IBAD Sosyal Bilimler Dergisi, 695–712. https://doi.org/10.21733/ibad.802626
• Faugstad, T. (2020). Middle managers as agents of healthcare innovation [Doctoral Thesis]. Capella University.
• Foglia, E., Ferrario, L., Gastaldi, L., Maffi, A., Porazzi, E., Garagiola, E., Sali, M., & Lettieri, E. (2018). Supporting innovation in the healthcare sector: The role of ambidexterity. 40th R&D Management Conference.
• Gillin, L. M., & Hazelton, L. M. (2021). Bringing an entrepreneurial mindset to health-care: a new tool for better outcomes. Journal of Business Strategy. https://doi.org/10.1108/JBS-03-2020-0049
• Göker, A. (2001). İnovasyonda yetkinleşmek: Rekabet üstünlüğüne giden yol... Türkiye’nin bilim-teknoloji-inovasyon politikası üzerine irdelemeler. Ekonomik Yaklaşım: Gazi Üniversitesi İktisat Bölümü Yayın Organı Kongreler Dizisi II.
• Hancıoğlu, Y., & Yeşilaydın, G. (2016). Stratejik Yönetimde Yeni Bir Rekabet Yaklaşımı: Stratejik İnovasyon. International Journal of Management Economics and Business, 12(29), 105–124. https://doi.org/10.17130/IJMEB.20162922025
• Hesam Jahanmiri, M., Zare, R., Kousha Mirmasoudi, S., Davari, K., Pirzad, A., & Islamipanah, M. (2021). Effect of talent management on organizational performance with the mediating role of absorptive capacity and innovation ability HMIS health management and information science the effect of talent management on organizational performance with the mediating. Health Man & Info Sci, 8(2), 129–137. https://doi.org/10.30476/JHMI.2022.90565.1077
• Hosseini, S. S., Tekmedash, Y. N., Karami, A., & Jabarzadeh, Y. (2019). The impact of knowledge management strategy on service innovation performance in private and public hospitals. Iranian Journal of Management Studies, 12(1), 1–24. https://doi.org/10.22059/ijms.2018.249784.672966
• İnel, M. N., & Türker, M. V. (2016). Ulusal inovasyon performansının ölçümü için çok nitelikli karar verme teknikleri ile bir model denemesi. Marmara Üniversitesi İktisadi ve İdari Bilimler Dergisi, 38(2), 147–166. https://doi.org/10.14780/MUIIBD.281391
• Karaata, E. S. (2012a). İnovasyonun ölçümünde yeni arayışlar. Rekabet Forumu Raporu, 1, 1-19.
• Karaata, E. S. (2012b). Yenilik-Yenileşim-İş Dünyasına Bir Yolculuk. https://www.egiad.org.tr/wp-content/uploads/arastirma-raporlari/inovasyon-raporu.pdf
• Kalender, Z. T. Ş., Fırat, S. Ü., Es, H. A., & Erdem, M. (2014). Bilgi ve iletişim teknolojileri çerçevesinden küresel inovasyon endeksinin analizi ve veri madenciliği kullanılarak ülkelerin kümelenmesi. 1. Yönetim Bilişim Sistemleri Kongresi.
• Khallouk, I. T., Albaqaeen, M., Dahabreh, A., Alawadhi, F., Mouzaek, M., al Quwain, T., Salloum, U., & Aburayya, A. S. (2022). Examination of the effect of TQM implementation on innovation performance: An assessment study in uae healthcare sector. Academy of Strategic Management Journal, 21(S4), 1–17.
• Khallouk, M., Dahabreh, F., & Salloum, S. A. (2022). Examination of the effect of TQM implementation on innovation performance: an assessment study in Uae healthcare sector. Academy of Strategic Management Journal 21(4), 1–17.
• Khodadad-Saryazdi, A. (2021). Exploring the telemedicine implementation challenges through the process innovation approach: A case study research in the French healthcare sector. Technovation, 107, 102273. https://doi.org/10.1016/J.TECHNOVATION.2021.102273
• Kim, H., & Kim, E. (2018). How an open innovation strategy for commercialization affects the firm performance of Korean healthcare IT SMES. Sustainability, 10(7), 2476. https://doi.org/10.3390/SU10072476
• Linnéusson, G., Andersson, T., Kjellsdotter, A., & Holmén, M. (2022). Using systems thinking to increase understanding of the innovation system of healthcare organisations. Journal of Health Organization and Management, 36(9), 179–195. https://doi.org/10.1108/JHOM-01-2022-0004
• Littell, J. H., Corcoran, J., & Pillai, V. (2008). Systematic reviews and meta-analysis. In Systematic Reviews and Meta-Analysis (Vol. 9780195326543). Oxford University Press. https://doi.org/10.1093/ACPROF:OSO/9780195326543.001.0001
• Liu, D., & Zeinaly, S. (2020). A new model for investigating the role of IT-based innovation in the pharmaceutical knowledge-sharing attitude: A study of marketing biotechnology firms. Kybernetes, 50(5), 1095–1124. https://doi.org/10.1108/K-07-2019-0505
• Lv, M., Yang, S., Lv, X. Y., Zhang, L., Chen, Z. Q., & Zhang, S. X. (2021). Organisational innovation climate and innovation behaviour among nurses in China: A mediation model of psychological empowerment. Journal of Nursing Management, 29(7), 2225–2233. https://doi.org/10.1111/jonm.13381
• Marjanovic, S., Altenhofer, M., Hocking, L., Morgan Jones, M., Parks, S., Ghiga, I., Cox, C., Galai, K., & Ling, T. (2020). How can policy and practice support an innovating healthcare system? https://doi.org/10.1016/j.respol.2004.01.015
• Marques, C. S., Lopes, C., Braga, V., Ratten, V., & Santos, G. (2021). Intuition and rationality in intrapreneurship and innovation outputs: The case of health professionals in primary health care. International Entrepreneurship and Management Journal, 1–24. https://doi.org/10.1007/s11365-021-00761-7
• Marques, C. S., Lopes, C., Braga, V., Ratten, V., & Santos, G. (2022). Intuition and rationality in intrapreneurship and innovation outputs: The case of health professionals in primary health care. International Entrepreneurship and Management Journal, 18(2), 579–602. https://doi.org/10.1007/S11365-021-00761-7/TABLES/5
• Mazumdar-Shaw, K. (2018). Leveraging affordable innovation to tackle India’s healthcare challenge. IIMB Management Review, 30(1), 37–50. https://doi.org/10.1016/j.iimb.2017.11.003
• Milella, F., Minelli, E. A., Strozzi, F., & Croce, D. (2021). Change and innovation in healthcare: findings from literature. ClinicoEconomics and Outcomes Research: CEOR, 13, 395. https://doi.org/10.2147/CEOR.S301169
• Millar, J. (2004). Systematic Reviews for Policy Analysis. In S. Becker & A. Byrman (Ed.), Understanding research for social policy and practice: Themes, methods and approaches (Policy Pre).
• Mitchell, R., & Boyle, B. (2019). Inspirational leadership, positive mood, and team innovation: A moderated mediation investigation into the pivotal role of professional salience. Human Resource Management, 58(3), 269–283. https://doi.org/10.1002/HRM.21951
• Mitchell, R., & Boyle, B. (2021). Too many cooks in the kitchen? The contingent curvilinear effect of shared leadership on multidisciplinary healthcare team innovation. Human Resource Management Journal, 31(1), 358–374. https://doi.org/10.1111/1748-8583.12309
• Mohammed, A. A., & AL-Abrrow, H. (2022). The impact of empowering and transformational leadership on organizational performance and innovation: The mediating role of shared leadership and moderating role of organizational culture in the Iraqi healthcare sector. International Journal of Organizational Analysis. https://doi.org/10.1108/ijoa-08-2022-3380
• Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., Altman, D., Antes, G., Atkins, D., Barbour, V., Barrowman, N., Berlin, J. A., Clark, J., Clarke, M., Cook, D., D’Amico, R., Deeks, J. J., Devereaux, P. J., Dickersin, K., Egger, M., Ernst, E., … Tugwell, P. (2009). Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLOS Medicine, 6(7), e1000097. https://doi.org/10.1371/JOURNAL.PMED.1000097
• Mutonyi, B. R., Slåtten, T., & Lien, G. (2021a). Fostering innovative behavior in health organizations: A PLS-SEM analysis of Norwegian hospital employees. BMC Health Services Research, 21(1), 1–15. https://doi.org/10.1186/s12913-021-06505-1
• Mutonyi, B. R., Slåtten, T., & Lien, G. (2021b). The relationship between organisational culture , leadership supportive climate and hospital employees’ perception of organisational attractiveness and level of innovative behaviour. Research Square, 1–29. https://doi.org/10.21203/rs.3.rs-850352/v1
• Naqshbandi, M. M., Tabche, I., & Choudhary, N. (2018). Managing open innovation: The roles of empowering leadership and employee involvement climate. Management Decision. https://doi.org/10.1108/MD-07-2017-0660
• Okem, Z. G. (2011). Innovation in the health system in Turkey on its way to European Union membership. CEPS Special Report, 8 March 2011.
• Opoku, S. T., Apenteng, B. A., & Boakye, K. G. (2021). Rewards and employee creativity among rural healthcare employees: The mediating role of organizational support for innovation and the moderating impact of supervisory support. International Journal of Quality and Service Sciences. https://doi.org/10.1108/IJQSS-11-2020-0187
• Oppi, C., Bagheri, A., & Vagnoni, E. (2019). Antecedents of innovative work behaviour in healthcare: Does efficacy play a role? International Journal of Public Sector Management, 33(1). https://doi.org/10.1108/IJPSM-12-2018-0267
• Palm, K., & Persson Fischier, U. (2021). What managers find important for implementing innovations in the healthcare sector – practice through six management perspectives. International Journal of Health Policy and Management, 2021, 1–11. https://doi.org/10.34172/ijhpm.2021.146
• Palumbo, R. (2021). Engaging to innovate: An investigation into the implications of engagement at work on innovative behaviors in healthcare organizations. Journal of Health Organization and Management. https://doi.org/10.1108/JHOM-02-2021-0072
• Papa, A., Dezi, L., Gregori, G. L., Mueller, J., & Miglietta, N. (2018). Improving innovation performance through knowledge acquisition: The moderating role of employee retention and human resource management practices. Journal of Knowledge Management, 24(3), 589–605. https://doi.org/10.1108/JKM-09-2017-0391
• Pikkarainen, M., Hyrkäs, E., & Martin, M. (2020). Success factors of demand-driven open innovation as a policy instrument in the case of the healthcare industry. Journal of Open Innovation: Technology, Market, and Complexity, 6(2). https://doi.org/10.3390/JOITMC6020039
• Secundo, G., Toma, A., Schiuma, G., & Passiante, G. (2019). Knowledge transfer in open innovation: A classification framework for healthcare ecosystems. Business Process Management Journal, 25(1), 144–163. https://doi.org/10.1108/BPMJ-06-2017-0173
• Sharma, S. (2020). Co-creational leadership capability for driving health-care service innovation. European Journal of Marketing. https://doi.org/10.1108/MBE-11-2019-0117
• Süt, E., & Çetin, A. K. (2018). İnovasyon göstergesi̇ olarak i̇novasyon endeksleri̇. Uluslararası Turizm, İşletme, Ekonomi Dergisi, 2(2), 299–309.
• Sönmez, B., İspir, Ö., Önal, M., & Emiralioğlu, R. (2019). Turkish psychometric properties of the innovative behavior inventory and innovation support inventory: A model analysis on nurses. Nursing Forum, 54(2), 254–262. https://doi.org/10.1111/nuf.12325
• Sooampon, S., Pisarnturakit, P. P., & Sooampon, S. (2021). Fostering healthcare innovation: A qualitative study of dental implant product development by Thai University researchers. International Journal of Health Governance, 26(4), 408–417. https://doi.org/10.1108/IJHG-05-2021-0046
• Taşgit, Y. E., & Torun, B. (2016). Yöneticilerin inovasyon algısı, inovasyon sürecini yönetme tarzı ve işletmelerin inovasyon performansı arasındaki ilişkiler: KOBİ’ler üzerinde bir araştırma. Journal of Administrative Sciences Cilt, 14(28), 121–156.
• Tamer, G. (2019). The effects of organizational culture on the relationship of organizational learning and innovation: A research in a private health. International European Journal of Mangerial Research (EUJMR), 3(4), 27–44.
• Thijssen, S. v, Jacobs, M. J. G., Swart, R. R., Heising, L., Ou, C. X. J., & Roumen, C. (2021). The barriers and facilitators of radical innovation implementation in secondary healthcare: A systematic review. Journal of Health Organization and Management. https://doi.org/10.1108/JHOM-12-2020-0493
• Wang, Y. X., Yang, Y. J., Wang, Y., Su, D., Li, S. W., Zhang, T., & Li, H. P. (2019). The mediating role of inclusive leadership: Work engagement and innovative behaviour among Chinese head nurses. Journal of Nursing Management, 27(4), 688–696. https://doi.org/10.1111/jonm.12754
• Wardan, S., Ghandour, S., & Mohamed Elghabbour, G. (2020). Entrepreneurship and work innovation among nurse managers at port said governmental hospitals. Port Said Scientific Journal of Nursing, 7(3), 201–217. https://doi.org/10.21608/pssjn.2020.36431.1041
• Weintraub, P., & Mckee, M. (2019). Leadership for innovation in healthcare: An exploration. Kerman University of Medical Sciences, 8(3), 138–144. https://doi.org/10.15171/ijhpm.2018.122
• Yaxuan, C. (2017). Innovation activities,knowledge sourcing and perception of innovation barriers evidence from China [Unpublished PhD Thesis]. University of Durham.
• Zappalà, S., Toscano, F., Polevaya, M. v., & Kamneva, E. v. (2020). Personal initiative, passive-avoidant leadership and support for innovation as antecedents of nurses’ idea generation and implementation. Journal of Nursing Scholarship, 53(1), 96–105. https://doi.org/10.1111/jnu.12615