Araştırma Makalesi
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Kamu ve Özel Sağlık Kuruluşlarında Çevresel Belirsizlik, Örgütsel Ustalık ve Performans Etkileşimi

Yıl 2025, Cilt: 20 Sayı: 1, 255 - 280

Öz

Bu çalışmanın amacı, sağlık kuruluşlarında çevresel belirsizlik, örgütsel performans ve örgütsel ustalık etkileşimini incelemektir. Orta Karadeniz Bölgesi'ndeki kamu ve özel hastanelerde çalışan 266 yöneticiye anket uygulanmıştır. Çalışmada nicel araştırma yöntemi kullanılmıştır. Araştırmada veriler yüz yüze ve çevrim içi (Google Form aracılığıyla) anket tekniği ile toplanmıştır. Verilerin analizinde SPSS ve AMOS programları ile analiz edilmiştir. Sonuçlar, sağlık kuruluşları yöneticilerinin algıladıkları çevresel belirisizliğin hastane performansı üzerindeki etkisinde örgütsel ustalığın aracılık etkisini göstermiştir. Bu nedenle, hastanelerin çevresel belirsizlik ve yoğun rekabet ortamında etkin olabilmeleri için örgütsel ustalık stratejilerini benimsemeleri önerilmektedir.

Kaynakça

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Interaction of Environmental Uncertainty, Organisational Ambidexterity and Performance in Public and Private Healthcare Organisations

Yıl 2025, Cilt: 20 Sayı: 1, 255 - 280

Öz

This study examines the interaction of environmental uncertainty, organizational performance, and organizational ambidexterity in healthcare organizations. A questionnaire was applied to 266 managers working in public and private hospitals in the Central Black Sea Region. A quantitative research method was used in the study. Data were collected through face-to-face and online (via Google Forms) questionnaire techniques. The data were analyzed using SPSS and AMOS programs. The results showed the mediating effect of organizational mastery on the effect of environmental uncertainty perceived by health institution managers on hospital performance. Therefore, it is recommended that hospitals adopt organizational mastery strategies to be effective in dealing with environmental uncertainty and intense competition.

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  • Nguyen, O T. K., Liu, L. Y. J., Haslam, J., & McLaren, J. (2021). The moderating effect of perceived environmental uncertainty and task uncertainty on the relationship between performance management system practices and organizational performance: evidence from Vietnam. Production Planning & Control, 1-19, https://doi.org/10.1080/09537287.2021.1934586
  • Nikpour, A. (2017). The impact of organizational culture on organizational performance: The mediating role of employee’s organizational commitment. International Journal of Organizational Leadership ,6, 65-72. https://doi.org/10.33844/ijol.2017.60432
  • Nosella, A., Cantarello, S.,& Filippini, R. (2012). The intellectual structure of organizational ambidexterity: A bibliographic investigation into the state of the art. Strategic Organization, 10(4), 450–465. https://doi.org/10.1177/1476127012457979
  • Ogunyomi, P.& Bruning, N. S. (2015). Human resource management and organizational performance of small and medium enterprises (SMEs) in Nigeria. The International Journal of Human Resource Management, 27 (6), 612-634. https://doi.org/10.1080/09585192.2015.1033640
  • Porter, M. (1985). Competitive advantage: Creating and sustaining competitive performance. Free Press. Raisch, S., & Birkinshaw, J. (2008). Organizational ambidexterity: Antecedents, outcomes, and moderators. Journal of Management, 34 (3), 375-409. https://doi.org/10.1177/0149206308316058
  • Raisch, S., Birkinshaw, J., Probst, G., & Tushman, M. L. (2009). Organizational ambidexterity: Balancing exploitation and exploration for sustained performance. Organization Science, 20(4), 685-695. https://doi.org/10.1287/orsc.1090.0428
  • Reis, J., & Spencer, P. S. (2019). Decision-making under uncertainty in environmental health policy: new approaches. Environmental Health and Preventive Medicine, 24(57). https://doi.org/10.1186/s12199-019-0813-9
  • Richard, O. C., Wu, P., & Chadwick, K. (2009). The impact of entrepreneurial orientation on firm performance: the role of CEO position tenure and industry tenure. The International Journal of Human Resource Management, 20 (5), 1078-1095. https://doi.org/10.1080/09585190902850281
  • Rowe, W. G.,& Morrow Jr, J. L. (1999). A note on the dimensionality of the firm financial performance construct using accounting, market, and subjective measures. Canadian Journal of Administrative Sciences/Revue Canadienne des Sciences de l'Administration, 16 (1), 58-71.
  • Sabherwal, R., Sabherwal, S., Havakhor, T.,& Steelman, Z. (2019). How does strategic alignment affect firm performance? the roles of information technology investment and environmental uncertainty. MIS Quarterly, 43 (2), 453-474. https://doi.org/10.25300/misq/2019/13626
  • Sahi, G. K., Gupta, M. C., & Cheng, T. C. E. (2020). The effects of strategic orientation on operational ambidexterity: A study of indian SMEs in the industry 4.0 era. International Journal of Production Economics, 220, 1-12, 107395.
  • Sezer, B. (2016). Örgütsel ustalığın performans üzerindeki etkisi: Bir alan araştırması. [Yayımlanmamış yüksek lisans tezi] Kahramanmaraş Sütçü İmam Üniversitesi.
  • Shannassy, T. O. (2007). Perceived environmental uncertainty and organization performance. Perceived Environmental Uncertainty and Organization Performance, 1-19.
  • Sicotte C, Champagne F., Contandriopoulos A. P., Barnsley J., Béland, F., Leggat, S. G., Denis, J. L., Bilodeau, H., Langley, A., Brémond, M., & Baker G. R. (1998). A conceptual framework for analysis of health care organizations performance. Health Services Management Research, 11 (1), 24-41. https://doi.org/10.1177/09514848
  • Sürücü, L., & Maslakçı, A. (2020). Validity and reliability ın quantitative research. Busıness &Management Studıes:An Internatıonal Journal, 8(3): 2694-2726. https://doi.org/10.15295/bmij.v8i3.1540
  • Şimşek, M. Ş., Özgener, Ş., Kaplan, M., & Ulu, S. (2010, 8-10Temmuz). Strategic intent, organizational ambidexterity and performance: A test of the moderating role of perceived environmental uncertainty. [Panel] 6th International Strategic Management Conference, St.Petersburg. Russia.
  • Şimşek, Z. (2009). Organizational ambidexterity: Towards a multilevel understanding. Journal of Management Studies, 46 (4), 597-624. https://doi.org/10.1111/j.1467-6486.2009.00828.x
  • Taştan, S. B., & Torun, A. (2015). Examining the relationship between cultural values, degree of embeddedness, trust perception and environmental uncertainty with social capital structure in organizations: a study on small and medium-sized firms. Journal of Academic Overview, 49, 412-439.
  • Tan, M. & Liu, Z. (2014). Paths to success: An ambidexterity perspective on how responsive and proactive market orientations affect SMEs’ business performance. Journal of Strategic Marketing, 22 (5), 420-441. https://doi.org/10.1080/0965254x.2013.876084
  • Tan, R., & Hu, X. (2020). A review of Chinese literature on ambidexterity innovation and its future prospects. International Journal of Scientific Engineering and Science, 4(8), 70-76. https://doi.org/10.1561/0300000097
  • Teeratansirikol, L., Siengthai, S., Badir, Y., & Charoenngam, C. (2013). Competitive strategies and firm performance: The mediating role of performance measurement. International Journal of Productivity and Performance Management, 62 (2), 168-184. https://doi.org/10.1108/17410401311295722
  • Turan, A. (2014). Temel yetenek ve dış kaynaklardan yararlanma tekniklerine felsefik bir bakış: dinamik beceriler ve iş modeli yaklaşımlarıyla ilişkilendirme. Kafkas Üniversitesi İktisadi ve İdari Bilimler Fakültesi Dergisi, 5 (7), 147-170.
  • Turner, N., Maylor, H., & Swart, J. (2015). Ambidexterity in projects: An intellectual capital perspective. International Journal of Project Management, 33(1), 177–188. https://doi.org/10.1016/j.ijproman.2014.05.002
  • Tüfekçi, N., & Tüfekçi Ö. K. (2006). Bankacılık sektöründe farklı olma üstünlüğünün ve müsteri sadakatinin yarattığı değer: ısparta ilinde bir uygulama. Süleyman Demirel Üniversitesi Sosyal Bilimler Enstitüsü Dergisi, 2(4), 170-183.
  • Uotila, J., Maula, M., Keil, T., & Zahra, S. A. (2009). Exploration, exploitation, and financial performance: analysis of S&P 500 corporations. Strategic Management Journal 30(2), 221-231. https://doi.org/10.1002/smj.738.
  • Uzkurt, C. (2002). Çevresel belirsizliklere karşı rekabet avantajı yakalamada stratejik esnekliğin rolü ve firma performansına etkileri. Eskişehir Osmangazi Üniversitesi Sosyal Bilimler Dergisi, 3(1), 1-20.
  • Van de Wetering, R.,& Versendaal, J. (2021). Information technology ambidexterity, digital dynamic capability, and knowledge processes as enablers of patient agility: Empirical study. JMIRx Med 2 (4),1-19. https://doi.org/10.2196/32336
  • van de Wetering, R., Bosua, R., Boersma, C., & Dohmen, D. (2022). Information technology ambidexterity-driven patient agility, patient service-and market performance: a variance and fsqca approach. Sustainability, 14(7), 4371, 1. https://doi.org/10.3390/su14074371
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  • Vélez-González, H., Pradhan, R., & Weech-Maldonado, R. (2011). The role of non-financial performance measures in predicting hospital financial performance: the case of for-profit system hospitals. Journal of health care finance, 38(2), 12-23. https://doi.org/10.1186/s12913-021-07402-3
  • Venkatraman, N., Lee, C.H., & Iyer, B. (2009). Strategic ambidexterity and sales growth: a longitudinal test in the software sector. Organization Science, 20(4), 685-695.
  • Wang, H., & Li, J. (2008). Untangling the effects of overexploration and overexploitation on organizational performance: The moderating role of environmental dynamism. Journal of Management 34(5), 925-951. https://doi.org/10.1177/0149206308321547
  • Yıldız, D., & Genç, K. Y. (2020). Sürdürülebilir rekabet üstünlüğünde entelektüel sermayenin önemi: Kaynak tabanlı bir yaklaşım. Asya Studies, 4(14), 119-134. https://doi.org/10.31455/asya.756687
  • Yıldız, H., & Karataş, G. (2018). Kuzeydoğu anadolu bölgesi’ndeki kobi’lerde örgütsel ustalık (çift yönlülük): Çatışan stratejilerin birleşimi. Manisa Celal Bayar Üniversitesi Sosyal Bilimler Dergisi, 16(4), 99-122. https://doi.org/10.18026/cbayarsos.505921
  • Yu, X., Tao, Y., Tao, X., Xia, F., & Li, Y. (2018). Managing uncertainty in emerging economies: The interaction effects between causation and effectuation on firm performance. Technological Forecasting and Social Change, 135, 121-131. https://doi.org/10.1016/j.techfore.2017.11.017
  • Yuchtman, E., & Seashore, S. E.(1967). A system resource approach to organizational effectiveness. American Sociological Review, 32(6), 891-903. https://doi.org/10.2307/2092843
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  • Zhaxylyk, S. (2020). Organizational ambidexterity and resilience: empirical evidence from uncertain transition economic context. PressAcademia Procedia, 11, 47-51.
Toplam 127 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Kamu Yönetimi, İşletme
Bölüm Makaleler
Yazarlar

Mesut Ardıç 0000-0002-6630-0669

Mahmut Akbolat 0000-0002-2899-6722

Musa Said Döven 0000-0001-7499-8430

Yayımlanma Tarihi
Gönderilme Tarihi 2 Ağustos 2024
Kabul Tarihi 25 Ekim 2024
Yayımlandığı Sayı Yıl 2025 Cilt: 20 Sayı: 1

Kaynak Göster

APA Ardıç, M., Akbolat, M., & Döven, M. S. (t.y.). Kamu ve Özel Sağlık Kuruluşlarında Çevresel Belirsizlik, Örgütsel Ustalık ve Performans Etkileşimi. Eskişehir Osmangazi Üniversitesi İktisadi Ve İdari Bilimler Dergisi, 20(1), 255-280.