Örgütsel Performans ve Sürdürülebilir Rekabet Stratejileri Arasında Örgütsel Çevikliğin Aracılık Rolü

Yıl 2025, Cilt: 10 Sayı: 1, 109 - 121, 30.06.2025

Bülent Akkaya , Ayşe Meriç Yazıcı

Öz

Sağlık hizmetleri firmaları, teknolojik gelişmeler, mevzuat değişiklikleri ve artan rekabet nedeniyle hızla değişen sağlık hizmetleri sektöründe rekabetçi olabilmek için performanslarını iyileştirmelidir. Sağlık kuruluşları, sürdürülebilir bir rekabet stratejisi uygulayabilmek amacıyla hastaların ve toplumun değişen ihtiyaçlarına hızlı bir şekilde uyum sağlayabilmek için çevikliklerini artırmalıdır. Bu çalışmanın amacı, örgütsel çevikliğin örgütsel performans ve sürdürülebilir rekabet stratejileri arasındaki bağlantıya nasıl aracılık ettiğini araştırmaktır. Ege'deki sağlık kurumlarında çalışanlar çalışmanın konusunu oluşturmakta ve hipotezler yapısal eşitlik modellemesi (YEM) kullanılarak test edilmektedir. Bulgular, örgütsel çeviklik ve sürdürülebilir rekabet stratejilerinin her ikisinin de örgütsel başarı üzerinde önemli bir etkiye sahip olduğunu göstermektedir. Ayrıca, örgütsel çevikliğin örgütsel performans ve sürdürülebilir rekabet stratejileri arasındaki bağlantıda önemli bir aracılık rolü oynadığı gösterilmiştir. Bu sonuçlar, her ikisi de sürdürülebilir bir rekabet avantajı elde etmelerine yardımcı olan rekabet stratejilerinin ve performans iyileştirmelerinin geliştirilmesine yardımcı olduğu için örgütsel çevikliğin sağlık kuruluşları için ne kadar önemli olduğunu vurgulamaktadır.

Anahtar Kelimeler

Örgütsel Çeviklik , Örgütsel Performans , Sürdürülebilirlik , Rekabet stratejileri , Sağlık kuruluşları

The Mediating Role of Organizational Agility between Organizational Performance and Sustainable Competitive Strategies

Öz

Healthcare firms must improve their performance to be competitive in the rapidly changing healthcare sector, which is being driven by technological developments, regulatory changes, and growing competition. Healthcare organizations must increase their agility in order to swiftly adjust to the changing needs of patients and society in order to implement a sustainable competitive strategy. The purpose of this study is to investigate how organizational agility mediates the link between organizational performance and sustainable competitive strategies. Employees in Aegean healthcare organizations are the sample of the study, and the hypotheses are tested using structural equation modeling (SEM). The findings demonstrate that organizational agility and sustainable competitive strategies both have a major influence on organizational success. Additionally, it is shown that organizational agility plays a crucial mediating role in the link between organizational performance and sustainable competitive strategies. These results highlight how crucial organizational agility is for healthcare organizations as it aids in the development of competitive strategies and performance enhancements, both of which help them gain a sustained competitive edge.

Anahtar Kelimeler

Organizational Agility , Organizational Performance , Healthcare organisations , Sustainability , Competitive strategies

Etik Beyan

Bu araştırmada etik izin alınmıştır. Makale Uluslararası İşletmecilik Kongresinde bildiri olarak sunulmuştur.

Kaynakça

• Ahmed, W. (2022). Understanding alignment between lean and agile strategies using Triple-A model. International Journal of Productivity and Performance Management, 71(5), 1810-1828. https://doi.org/10.1108/IJPPM-04-2020-0176
• Akkaya, B., & Tabak, A. (2018). Örgütsel çeviklik ölçeğinin Türkçeye uyarlanması: Geçerlik ve güvenirlik çalışması. İş ve İnsan Dergisi, 5(2), 185-206. https://doi.org/10.18394/iid.439184
• Akkaya, B., Kayalıdere, U. K., Aktaş, R., & Karğın, S. (2020). Çevik liderlik yaklaşımı ve çevik lider davranışlarını ölçmeye yönelik bir ölçek geliştirme çalışması. İşletme Araştırmaları Dergisi, 12(2), 1605-1621. https://doi.org/10.20491/isarder.2020.932
• Al Aina, R., & Atan, T. (2020). The impact of implementing talent management practices on sustainable organizational performance. Sustainability, 12(20), 8372. https://doi.org/10.3390/su12208372
• Alkandi, I., & Helmi, M. A. (2024). The impact of strategic agility on organizational performance: the mediating role of market orientation and innovation capabilities in emerging industrial sector. Cogent Business & Management, 11(1), 2396528. https://doi.org/10.1080/23311975.2024.2396528
• Almahamid, S., Awwad, A., & McAdams, A. C. (2010). Effects of organizational agility and knowledge sharing on competitive advantage: an empirical study in Jordan. International journal of management, 27(3), 387.
• Almahirah, M. S. Z. (2020). The effectiveness of organizational agility as a strategic input in the process of enhancing organizational competitiveness. International Journal of Advanced Science and Technology, 29(8s).
• AlTaweel, I. R., & Al-Hawary, S. I. (2021). The mediating role of innovation capability on the relationship between strategic agility and organizational performance. Sustainability, 13(14), 7564. https://doi.org/10.3390/su13147564
• Ameer, R., & Othman, R. (2012). Sustainability practices and corporate financial performance: A study based on the top global corporations. Journal of business ethics, 108, 61-79. https://doi.org/10.1007/s10551-011-1063-y
• Anning-Dorson, T., & Nyamekye, M. B. (2020). Be flexible: turning innovativeness into competitive advantage in hospitality firms. International Journal of Contemporary Hospitality Management, 32(2), 605-624. https://doi.org/10.1108/IJCHM-12-2018-1014
• Arokodare, M. A., & Asikhia, O. U. (2020). Strategic agility: Achieving superior organizational performance through strategic foresight. Global Journal of Management and Business Research, 20(3), 7-16.
• Barlette, Y., & Baillette, P. (2022). Big data analytics in turbulent contexts: towards organizational change for enhanced agility. Production Planning & Control, 33(2-3), 105-122. https://doi.org/10.1080/09537287.2020.1810755
• 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. https://doi.org/10.1037/0022-3514.51.6.1173
• Baškarada, S., & Koronios, A. (2018). The 5S organizational agility framework: a dynamic capabilities perspective. International Journal of Organizational Analysis, 26(2), 331-342. https://doi.org/10.1108/IJOA-05-2017-1163
• Battour, M., Barahma, M., & Al-Awlaqi, M. (2021). The relationship between HRM strategies and sustainable competitive advantage: testing the mediating role of strategic agility. Sustainability, 13(9), 5315. https://doi.org/10.3390/su13095315
• Bessant, J., & Tidd, J. (2007). Innovation and entrepreneurship. John Wiley & Sons.
• Boehm, B., & Turner, R. (2005). Management challenges to implementing agile processes in traditional development organizations. IEEE software, 22(5), 30-39. DOI: 10.1109/MS.2005.129
• Carvalho, H., Azevedo, S. G., & Cruz-Machado, V. (2012). Agile and resilient approaches to supply chain management: influence on performance and competitiveness. Logistics research, 4, 49-62. https://doi.org/10.1007/s12159-012-0064-2
• Choi, T. Y., & Krause, D. R. (2006). The supply base and its complexity: Implications for transaction costs, risks, responsiveness, and innovation. Journal of operations management, 24(5), 637-652. https://doi.org/10.1016/j.jom.2005.07.002
• Chowdhury, S., Dey, P., Joel-Edgar, S., Bhattacharya, S., Rodriguez-Espindola, O., Abadie, A., & Truong, L. (2023). Unlocking the value of artificial intelligence in human resource management through AI capability framework. Human Resource Management Review, 33(1), 100899. https://doi.org/10.1016/j.hrmr.2022.100899
• Clauss, T., Kraus, S., Kallinger, F. L., Bican, P. M., Brem, A., & Kailer, N. (2021). Organizational ambidexterity and competitive advantage: The role of strategic agility in the exploration-exploitation paradox. Journal of Innovation & Knowledge, 6(4), 203-213. https://doi.org/10.1016/j.jik.2020.07.003
• Çakmak, Z. (2023). Adapting to environmental change: The importance of organizational agility in the business landscape. Florya Chronicles of Political Economy, 9(1), 67-87.
• Çalışkan, A., Akkoç, İ., & Turunç, Ö. (2011). Örgütsel Performansın Artırılmasında Motivasyonel Davranışların Rolü: Yenilikilik ve Girişimciliğin Aracılık Rolü. Süleyman Demirel Üniversitesi İktisadi ve İdari Bilimler Fakültesi Dergisi, 16(3), 363-401.
• Deshati, E. (2023). Staying Ahead of the Curve: An Analysis of Strategic Agility and its Role in Ensuring Firm Survival in a Dynamic Business Environment. European Scientific Journal, ESJ, 19(13), 28-48. https://doi.org/10.19044/esj.2023.v19n13p28
• Diana, C., Mirela, I., & Sorin, M. (2017). Approaches on the relationship between competitive strategies and organizational performance through the Total Quality Management (TQM). Quality-Access to Success, 18.
• Dikert, K., Paasivaara, M., & Lassenius, C. (2016). Challenges and success factors for large-scale agile transformations: A systematic literature review. Journal of Systems and Software, 119, 87-108. https://doi.org/10.1016/j.jss.2016.06.013
• Doz, Y., & Kosonen, M. (2008). The dynamics of strategic agility: Nokia's rollercoaster experience. California management review, 50(3), 95-118. https://doi.org/10.2307/41166447
• Dyer, J. H., & Singh, H. (1998). The relational view: Cooperative strategy and sources of interorganizational competitive advantage. Academy of management review, 23(4), 660-679. https://doi.org/10.5465/amr.1998.1255632
• Eccles, R. G., Ioannou, I., & Serafeim, G. (2014). The impact of corporate sustainability on organizational processes and performance. Management science, 60(11), 2835-2857. https://doi.org/10.1287/mnsc.2014.1984
• Eisenhardt, K. M., & Martin, J. A. (2000). Dynamic capabilities: what are they?. Strategic management journal, 21(10‐11), 1105-1121.
• Elali, W. (2021). The importance of strategic agility to business survival during corona crisis and beyond. International Journal of Business Ethics and Governance, 4(2), 1-8. doi: 10.51325/ijbeg.v4i2.64.
• Farida, I., & Setiawan, D. (2022). Business strategies and competitive advantage: the role of performance and innovation. Journal of Open Innovation: Technology, Market, and Complexity, 8(3), 163. https://doi.org/10.3390/joitmc8030163
• Fawzy, R., & Saad, M. (2023). The Relationship between Agility Drivers, Agility Capabilities and Organizational Sustainability. Journal of Business, 11(2), 101-114.
• Freeman, I., & Hasnaoui, A. (2010), The meaning of corporate social responsibility: the vision of four nations. Journal of Business Ethics, 100, 3, 419-443. https://doi.org/10.1007/s10551-010-0688-6
• Gliem, J. A., & Gliem, R. R. (2003). Calculating, interpreting, and reporting Cronbach's alpha reliability coefficient for Likert-type scales. In Midwest research-to-practice conference in adult, continuing, and community education. Ohio State University.
• Hatipoğlu, C. (2011). Kriz döenmlerinde Küçük ve Orta Ölçekli İşletmelerde (KOBİ’lerde) İzlenen Rekabet Stratejileri ve Bir Uygulama, Yayınlanmamış Doktora Tezi, Niğde Üniversitesi, Sosyal Bilimler Enstitüsü, İşletme Anabilim Dalı.
• Harsch, K., & Festing, M. (2020). Dynamic talent management capabilities and organizational agility-A qualitative exploration. Human Resource Management, 59(1), 43-61. https://doi.org/10.1002/hrm.21972
• Haseeb, M., Hussain, H. I., Kot, S., Androniceanu, A., & Jermsittiparsert, K. (2019). Role of social and technological challenges in achieving a sustainable competitive advantage and sustainable business performance. Sustainability, 11(14), 3811. https://doi.org/10.3390/su11143811
• Hermundsdottir, F., & Aspelund, A. (2021). Sustainability innovations and firm competitiveness: A review. Journal of Cleaner Production, 280, 124715. https://doi.org/10.1016/j.jclepro.2020.124715
• Inthavong, P., Rehman, K. U., Masood, K., Shaukat, Z., Hnydiuk-Stefan, A., & Ray, S. (2023). Impact of organizational learning on sustainable firm performance: Intervening effect of organizational networking and innovation. Heliyon, 9(5). https://doi.org/10.1016/j.heliyon.2023.e16177
• Javanmardi, E., Maresova, P., Xie, N., & Mierzwiak, R. (2024). Exploring business models for managing uncertainty in healthcare, medical devices, and biotechnology industries. Heliyon, 10(4). https://doi.org/10.1016/j.heliyon.2024.e25962
• Kago, Z. W., Gichunge, E. M., & Baimwera, B. (2018). Relationship between competitive strategies and organizational performance of petroleum companies in Kenya. International Academic Journal of Human Resource and Business Administration 3(2), 407-429.
• Kang, S., & Na, Y. K. (2020). Effects of strategy characteristics for sustainable competitive advantage in sharing economy businesses on creating shared value and performance. Sustainability, 12(4), 1397. https://doi.org/10.3390/su12041397
• Khairy, H. A., Baquero, A., & Al-Romeedy, B. S. (2023). The effect of transactional leadership on organizational agility in tourism and hospitality businesses: The mediating roles of Organizational Trust and Ambidexterity. Sustainability, 15(19), 14337. https://doi.org/10.3390/su151914337
• Kuhlman, T., & Farrington, J. (2010). What is sustainability?. Sustainability, 2(11), 3436-3448. https://doi.org/10.3390/su2113436
• Lee, O. K. D., Sambamurthy, V., Lim, K., & Wei, K. K. (2008). IT-enabled organizational agility and sustainable competitive advantage. Vallabhajosyula and Lim, Kai and Wei, KK, IT-Enabled Organizational Agility and Sustainable Competitive Advantage (August 23, 2008).
• Li, L., Lin, J., Turel, O., Liu, P., & Luo, X. (2020). The impact of e-commerce capabilities on agricultural firms’ performance gains: the mediating role of organizational agility. Industrial Management & Data Systems, 120(7), 1265-1286. https://doi.org/10.1108/IMDS-08-2019-0421
• Lopes, J. M., Gomes, S., Pacheco, R., Monteiro, E., & Santos, C. (2022). Drivers of sustainable innovation strategies for increased competition among companies. Sustainability, 14(9), 5471. https://doi.org/10.3390/su14095471
• Lorek, S., & Spangenberg, J. H. (2014). Sustainable consumption within a sustainable economy–beyond green growth and green economies. Journal of cleaner production, 63, 33-44. https://doi.org/10.1016/j.jclepro.2013.08.045
• Maletič, M., Maletič, D., Dahlgaard, J. J., Dahlgaard-Park, S. M., & Gomišček, B. (2014). The relationship between sustainability–oriented innovation practices and organizational performance: Empirical evidence from slovenian organizations. Organizacija, 47(1), 3-13. DOI: 10.2478/orga-2014-0001
• Mandal, S. (2018). Influence of human capital on healthcare agility and healthcare supply chain performance. Journal of Business & Industrial Marketing, 33(7), 1012-1026. https://doi.org/10.1108/JBIM-06-2017-0141
• Miceli, A., Hagen, B., Riccardi, M. P., Sotti, F., & Settembre-Blundo, D. (2021). Thriving, not just surviving in changing times: How sustainability, agility and digitalization intertwine with organizational resilience. Sustainability, 13(4), 2052. https://doi.org/10.3390/su13042052
• Mishra, P., & Yadav, M. (2021). Environmental capabilities, proactive environmental strategy and competitive advantage: A natural-resource-based view of firms operating in India. Journal of Cleaner Production, 291, 125249. https://doi.org/10.1016/j.jclepro.2020.125249
• Moore, S. B., & Manring, S. L. (2009). Strategy development in small and medium sized enterprises for sustainability and increased value creation. Journal of cleaner production, 17(2), 276-282. https://doi.org/10.1016/j.jclepro.2008.06.004
• Mrugalska, B., & Ahmed, J. (2021). Organizational agility in industry 4.0: A systematic literature review. Sustainability, 13(15), 8272. https://doi.org/10.3390/su13158272
• Nafei, W. A. (2016). Organizational agility: The key to organizational success. International Journal of Business and Management, 11(5), 296-309.
• Nasomboon, B. (2014). The relationship among leadership commitment, organizational performance, and employee engagement. International Business Research, 7(9), 77. doi:10.5539/ibr.v7n9p77
• Nejatian, M., Zarei, M. H., Rajabzadeh, A., Azar, A., & Khadivar, A. (2019). Paving the path toward strategic agility: a methodological perspective and an empirical investigation. Journal of Enterprise Information Management, 32(4), 538-562. https://doi.org/10.1108/JEIM-10-2018-0233
• Nurcholis, L. (2021). The mediating effect of knowledge exploitability and organizational agility on the relationship between marketing adaptation strategy and sustainable competitive advantage. Contaduría y administración, 66(1), 1-23. https://doi.org/10.22201/fca.24488410e.2020.2393
• Oláh, J., Aburumman, N., Popp, J., Khan, M. A., Haddad, H., & Kitukutha, N. (2020). Impact of Industry 4.0 on environmental sustainability. Sustainability, 12(11), 4674. https://doi.org/10.3390/su12114674
• Onifade, M., Zvarivadza, T., Adebisi, J. A., Said, K. O., Dayo-Olupona, O., Lawal, A. I., & Khandelwal, M. (2024). Advancing toward sustainability: The emergence of green mining technologies and practices. Green and Smart Mining Engineering, 1(2), 157-174. https://doi.org/10.1016/j.gsme.2024.05.005
• Orojloo, M., Feizi, K., & Najafabadi, M. H. (2016). Strategic Agility Capabilities, Factors and their Effect on Organizational Performance: A Case Study of Iranian Banks. International Journal of Humanities, 23(4), 84-105.
• Panayides, P. M. (2003). Competitive strategies and organizational performance in ship management. Maritime Policy & Management, 30(2), 123-140. https://doi.org/10.1080/0308883032000084850
• Panda, S. (2022). Strategic IT-business alignment capability and organizational performance: roles of organizational agility and environmental factors. Journal of Asia Business Studies, 16(1), 25-52. https://doi.org/10.1108/JABS-09-2020-0371
• Pulaj, E., Kume, V., & Cipi, A. (2015). The impact of generic competitive strategies on organizational performance. The evidence from Albanian context. European Scientific Journal, 11(28), 273-284.
• Ravichandran, T. (2018). Exploring the relationships between IT competence, innovation capacity and organizational agility. The journal of strategic information systems, 27(1), 22-42. https://doi.org/10.1016/j.jsis.2017.07.002
• Saha, N., Gregar, A., & Sáha, P. (2017). Organizational agility and HRM strategy: Do they really enhance firms’ competitiveness?. International Journal of Organizational Leadership, 6, 323-334. https://doi.org/10.19236/IJOL2017.03.01
• Saha, N., Sáha, T., Gregar, A., & Sáha, P. (2020). Organizational agility and organizational learning: Do they accelerate organizational innovation and competency?. In Proceedings of the European Conference on Innovation and Entrepreneurship, ECIE. Academic Conferences and Publishing International Limited.
• Saputra, N., Chumaidah, E., & Aryanto, R. (2021). Multi-layer agility: a proposed concept of business agility in organizational behavior perspective. Diponegoro International Journal of Business, 4(1), 30-41. DOI : https://doi.org/10.14710/halal.v%25vi%25i.9238
• Sarmiento Falla, J. F., & Karwowski, W. (2024). Survey-Based Studies of the Agility Construct in the Healthcare Sector: A Systematic Literature Review. Applied Sciences, 14(3), 1097. https://doi.org/10.3390/app14031097
• Sharifi, H., & Zhang, Z. (1999). A methodology for achieving agility in manufacturing organisations: An introduction. International journal of production economics, 62(1-2), 7-22. https://doi.org/10.1016/S0925-5273(98)00217-5
• Souto, J. E. (2022). Organizational creativity and sustainability-oriented innovation as drivers of sustainable development: overcoming firms' economic, environmental and social sustainability challenges. Journal of Manufacturing Technology Management, 33(4), 805-826. https://doi.org/10.1108/JMTM-01-2021-0018
• Sumukadas, N., & Sawhney, R. (2004). Workforce agility through employee involvement. Iie Transactions, 36(10), 1011-1021. https://doi.org/10.1080/07408170490500997
• Tallon, P. P., & Pinsonneault, A. (2011). Competing perspectives on the link between strategic information technology alignment and organizational agility: insights from a mediation model. MIS quarterly, 35(2), 463-486. https://doi.org/10.2307/23044052
• Tseng, Y. F., & Lee, T. Z. (2009). Comparing appropriate decision support of human resource practices on organizational performance with DEA/AHP model. Expert Systems with Applications, 36(3), 6548-6558. https://doi.org/10.1016/j.eswa.2008.07.066
• Tu, Y., & Wu, W. (2021). How does green innovation improve enterprises’ competitive advantage? The role of organizational learning. Sustainable Production and Consumption, 26, 504-516. https://doi.org/10.1016/j.spc.2020.12.031
• Walter, A. T. (2021). Organizational agility: ill-defined and somewhat confusing? A systematic literature review and conceptualization. Management Review Quarterly, 71, 343-391. https://doi.org/10.1007/s11301-020-00186-6
• Yamin, S., Gunasekaran, A., & Mavondo, F. T. (1999). Relationship between generic strategies, competitive advantage and organizational performance: an empirical analysis. Technovation, 19(8), 507-518. https://doi.org/10.1016/S0166-4972(99)00024-3
• Zahoor, N., Golgeci, I., Haapanen, L., Ali, I., & Arslan, A. (2022). The role of dynamic capabilities and strategic agility of B2B high-tech small and medium-sized enterprises during COVID-19 pandemic: Exploratory case studies from Finland. Industrial Marketing Management, 105, 502-514. https://doi.org/10.1016/j.indmarman.2022.07.006
• Zainal, A. Y., Yousuf, H., & Salloum, S. A. (2020). Dimensions of agility capabilities organizational competitiveness in sustaining. In The International Conference on Artificial Intelligence and Computer Vision (pp. 762-772). Cham: Springer International Publishing.