Araştırma Makalesi
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THE MULTIDIMENSIONAL MARKETING CULTURE AND ITS IMPACT ON MARKETING INNOVATION IN HOSPITALS ACROSS NORTHERN IRAQ

Yıl 2025, Cilt: 7 Sayı: 2, 211 - 228, 30.12.2025

Öz

This study investigates the complex, multidimensional characteristics of marketing culture (MC) and its influence on marketing innovation (MI) within public and private hospitals in Northern Iraq. Grounded in Webster's theoretical framework, the research assesses six dimensions of MC: service quality, personal contact, sales emphasis, organizational structure, internal relations, and innovation orientation. Correspondingly, six key components of MI are explored: technological advancement, pricing strategies, resource optimization, risk management, creative ideation, and progressive creativity. Data derived from 392 survey responses collected in 2018 were analyzed through Structural Equation Modeling (SEM) to assess these relationships. Results indicate that service quality, internal relations, and invention significantly enhance MI, while personal contact, selling importance, and organizational factors do not show significant relationships. The study highlights the need for improved relationships between managers and employees and recommends providing constructive feedback to enhance performance.

Teşekkür

This study was produced from the doctoral thesis completed by the first author at Kahramanmaraş Sütçü İmam University, Institute of Science and Technology.

Kaynakça

  • Abdulaali, F. K., Jasim, A. K., & Mahmoud, R. A. (2022). Relationship Between Socio-Demographic Characteristics and The Employees’ Knowledge About Occupational Hazards in Al Nasiriya Heart Center, Iraq: 2021-2022. International Journal of Health Sciences, 6(S1), 13536-13542.
  • Abdullah, M.I., Dechun, H., Sarfraz, M., IVASCU, L., & Riaz, A. (2021). Effects of Internal Service Quality on Nurses’ Job Satisfaction, Commitment and Performance: Mediating Role of Employee Well-Being. Nurs Open., 8, 607-619.
  • Alamro, A. (2024). Can Digital Marketing Campaigns Propel Sustainable Business Success? Exploring the Impact of Marketing Agility. Library Progress International, 44(3), 7225-7242.
  • Ali, B. J., & Anwar, G. (2021). The Effect of Marketing Culture Aspects of Healthcare Care on Marketing Creativity. International Journal of English Literature and Social Sciences, 6(2), 171-182.
  • Appiah-Adu, K. & Singh, S. (1999). Marketing Culture and Performance in UK Service Firms. Service Industries Journal, 19(1), 152-170.
  • Appiah-Adu, K., Fyall, A. & Singh, S. (2000). Marketing Culture and Customer Retention in the Tourism Industry. The Service Industries Journal, 20(2), 95-113.
  • Bentler, P.M. (1983). Some Contributions to Efficient Statistics in Structural Models: Specification and Estimation of Moment Structures. Psychometrika, 48(4), 493-517.
  • De Oliveira, P.S.G., Wada, E.K., da Silva, T.G., Machado, C.L., & Mendes, D.C. (2023). The Relationship Between Organisational Culture, Market Orientation and Organisational Performance in the Food and Beverage Sector. Revista de Negócios, 28(1), 27-48.
  • Deshpandé, R. & Farley, J.U. (2004). Organizational Culture, Market Orientation, Innovativeness, and Firm Performance: An International Research Odyssey. International Journal of Research in Marketing, 21(1), 3-22.
  • Dobni, C.B. (2008). Measuring Innovation Culture in Organizations: The Development of a Generalized Innovation Culture Construct Using Exploratory Factor Analysis. European Journal of Innovation Management, 11(4), 539-559.
  • Doty, D.H., & Glick, W.H. (1998). Common Methods Bias: Does Common Methods Variance Really Bias Results? Organizational Research Methods, 1(4): 374-406.
  • Funk, D.C. & Bruun, T.J. (2007). The Role of Socio-Psychological and Culture-Education Motives in Marketing International Sport Tourism: A Cross-Cultural Perspective. Tourism Management, 28(3), 806-819.
  • Gainer, B. & Padanyi, P. (2005). The Relationship Between Market-Oriented Activities and Market-Oriented Culture: Implications for The Development of Market Orientation in Nonprofit Service Organizations. Journal of business research, 58(6), 854-862.
  • Grinstein, A. (2008). The Effect of Market Orientation and Its Components on Innovation Consequences: a Meta-Analysis. Journal of The Academy of Marketing Science, 36(2), 166-173.
  • Harrison, P.J. & Shaw, R.N. (2004). Intra-Organizational Marketing Culture and Market Orientation: A Case Study of the Implementation of The Marketing Concept in A Public Library, Library Management, 25(8/9), 391-398.
  • Hermundsdottir, F. & Aspelund, A. (2021). Sustainability Innovations and Firm Competitiveness: A Review, Journal of Cleaner Production, 280 (1), 124715.
  • Hennerbichler, F. (2018). Future Options of the Kurds: Part II: Historical Background. Advances in Anthropology, 8(03), 235-272.
  • Homburg, C. & Pflesser, C. (2000). A Multiple-Layer Model of Market-Oriented Organizational Culture: Measurement Issues and Performance Outcomes. Journal of Marketing Research, 37(4), 449-462.
  • Karatepe, O.M., Avci, T. & Tekinkus, M. (2005). Measuring Marketing Culture: A Study of Frontline Employees in Turkish Hotels. Journal of Travel & Tourism Marketing, 18(1): 33-47.
  • Kline, R.B. (1998). Software Review: Software Programs for Structural Equation Modeling: Amos, EQS, and LISREL. Journal of Psycho Educational Assessment, 16(4), 343-364.
  • Lambert, T.L.N. (2015). A Structural Equation Model of the Influence of Personal, Behavioral, and Environmental Factors on the Writing Performance of First-year Students at a Selected Michigan Community College, Dissertations. https://digitalcommons.andrews.edu/dissertations/1580
  • Lukas, B.A. & Ferrell, O.C. (2000). The Effect of Market Orientation on Product Innovation. Journal of the Academy of Marketing Science, 28(2), 239.
  • MacCallum, R.C. & Austin, J.T. (2000). Applications of Structural Equation Modeling in Psychological Research. Annual Review of Psychology, 51(1), 201-226.
  • Mavondo, F. & Farrell, M. (2003). Cultural Orientation: Its Relationship with Market Orientation, Innovation and Organizational Performance. Management Decision, 41(3), 241-249.
  • Meyers, M.A., McKittrick, J. & Chen, P.Y. (2013). Structural Biological Materials: Critical Mechanics-Materials Connections. Science, 339(6121), 773-779.
  • OECD (2005). Organization for Economic Co-operation and Development, & Statistical Office of the European Communities, Oslo manual: Guidelines for Collecting and Interpreting Innovation Data (3rd ed.). Paris: OECD Pub.
  • Olawore, O. P., Oyelade, K. A., Tairu, O. A., Oduwole, W. K. & Awofala, H. T. (2024). Entrepreneurial Innovation and Market Share of Small and Medium Enterprises in Lagos State, Nigeria. International Research Journal of Economics and Management Studies, 3(10), 65-75.
  • O'Cass, A. & Viet Ngo, L. (2007). Market Orientation Versus Innovative Culture: Two Routes to Superior Brand Performance. European Journal of Marketing, 41(7/8), 868-887.
  • Robinson, R.B. & Pearce, JA. (1988). Planned Patterns of Strategic Behavior and their Relationship to Business-Unit Performance. Strategic Management Journal, 9(1), 43-60.
  • Rosli, M.M. & Sidek, S. (2013). The Impact of Innovation on the Performance of Small and Medium Manufacturing Enterprises: Evidence from Malaysia. Journal of Innovation Management in Small & Medium Enterprises, 1-16.
  • Samuelsson, P. (2023). The Effects of Innovation Types and Customer Participation on Organizational Performance in Complex Services. European Journal of Marketing, 57(13), 27-55.
  • Speckmayer, P., Höcker, A., Stelzer, J. & Voss, H. (2010). The Toolkit for Multivariate Data Analysis, TMVA 4. In Journal of Physics: Conference Series, 219(3), 032057.
  • Tinoco, J. (2005). Marketing Innovation: The Construct, Antecedents and Consequences. Unpublished Work.
  • Webster, C. (1993). Refinement of The Marketing Culture Scale and The Relationship Between Marketing Culture and Profitability of a Service Firm. Journal of Business Research, 26(2), 111-131.
  • Webster, C. (1995). Marketing Culture and Marketing Effectiveness in Service Firms. Journal of Services Marketing, 9(2), 6-21.
  • Webster, R.L., Hammond, K.L. & Harmon, H.A. (2005). Comparing Market Orientation Culture of Businesses and Schools of Business: An Extension and Refinement, Psychological reports, 96(2), 377-382.
  • Yelmi, A., Yahaya, Y., Muhammed, A., & Oyikwu, L.G., 2021. The Impact of Marketing Innovation on the Performance of Small and Medium Enterprises in Nigeria. Socioeconomic Challenges, 5(3), 98-105.
  • Younus, S.Q., Othman, B.J., Rashad, M.K., Kanabi, I.S., Jamil, D.A., Mahmood, R.K., ... & Ismail, S.J.J. (2022). The Effect of Marketing Culture Aspects of Healthcare Care on Marketing Creativity. International Journal of Advanced Engineering, Management and Science, 8(12), 14-28.

KUZEY IRAK'TAKİ HASTANELERDE ÇOK BOYUTLU PAZARLAMA KÜLTÜRÜ VE PAZARLAMA YENİLİĞİNE ETKİSİ

Yıl 2025, Cilt: 7 Sayı: 2, 211 - 228, 30.12.2025

Öz

Bu çalışma, Kuzey Irak'taki kamu ve özel hastanelerde pazarlama kültürünün çok boyutlu doğasını ve bunun pazarlama yeniliği üzerindeki etkisini incelemektedir. Webster'ın teorik çerçevesine dayanan araştırma, pazarlama kültürünün altı boyutunu değerlendirmektedir: hizmet kalitesi, kişisel temas, satış vurgusu, organizasyon yapısı, iç ilişkiler ve inovasyon yönelimi. Buna karşılık, pazarlama inovasyonunun altı temel bileşeni incelenmektedir: teknolojik ilerleme, fiyatlandırma stratejileri, kaynak optimizasyonu, risk yönetimi, yaratıcı fikir oluşturma ve ilerici yaratıcılık. Toplanan 392 anket yanıtından elde edilen veriler, bu ilişkileri değerlendirmek amacıyla Yapısal Eşitlik Modellemesi kullanılarak analiz edilmiştir. Sonuçlar, hizmet kalitesinin, iç ilişkilerin ve icadın pazarlama inovasyonunu önemli ölçüde artırdığını, kişisel temasın, satış öneminin ve organizasyonel faktörlerin ise önemli ilişkiler göstermediğini göstermektedir. Çalışma, yöneticiler ve çalışanlar arasındaki ilişkilerin iyileştirilmesi ihtiyacını vurgulamakta ve performansı artırmak için yapıcı geri bildirim sağlanmasını tavsiye etmektedir.

Etik Beyan

The authors declare that they have no competing interests. This article does not contain any studies involving animals performed by any of the authors. This article does not contain any studies with human participants or animals performed by any of the authors.

Teşekkür

This study was produced from the doctoral thesis completed by the first author at Kahramanmaraş Sütçü İmam University, Institute of Science and Technology.

Kaynakça

  • Abdulaali, F. K., Jasim, A. K., & Mahmoud, R. A. (2022). Relationship Between Socio-Demographic Characteristics and The Employees’ Knowledge About Occupational Hazards in Al Nasiriya Heart Center, Iraq: 2021-2022. International Journal of Health Sciences, 6(S1), 13536-13542.
  • Abdullah, M.I., Dechun, H., Sarfraz, M., IVASCU, L., & Riaz, A. (2021). Effects of Internal Service Quality on Nurses’ Job Satisfaction, Commitment and Performance: Mediating Role of Employee Well-Being. Nurs Open., 8, 607-619.
  • Alamro, A. (2024). Can Digital Marketing Campaigns Propel Sustainable Business Success? Exploring the Impact of Marketing Agility. Library Progress International, 44(3), 7225-7242.
  • Ali, B. J., & Anwar, G. (2021). The Effect of Marketing Culture Aspects of Healthcare Care on Marketing Creativity. International Journal of English Literature and Social Sciences, 6(2), 171-182.
  • Appiah-Adu, K. & Singh, S. (1999). Marketing Culture and Performance in UK Service Firms. Service Industries Journal, 19(1), 152-170.
  • Appiah-Adu, K., Fyall, A. & Singh, S. (2000). Marketing Culture and Customer Retention in the Tourism Industry. The Service Industries Journal, 20(2), 95-113.
  • Bentler, P.M. (1983). Some Contributions to Efficient Statistics in Structural Models: Specification and Estimation of Moment Structures. Psychometrika, 48(4), 493-517.
  • De Oliveira, P.S.G., Wada, E.K., da Silva, T.G., Machado, C.L., & Mendes, D.C. (2023). The Relationship Between Organisational Culture, Market Orientation and Organisational Performance in the Food and Beverage Sector. Revista de Negócios, 28(1), 27-48.
  • Deshpandé, R. & Farley, J.U. (2004). Organizational Culture, Market Orientation, Innovativeness, and Firm Performance: An International Research Odyssey. International Journal of Research in Marketing, 21(1), 3-22.
  • Dobni, C.B. (2008). Measuring Innovation Culture in Organizations: The Development of a Generalized Innovation Culture Construct Using Exploratory Factor Analysis. European Journal of Innovation Management, 11(4), 539-559.
  • Doty, D.H., & Glick, W.H. (1998). Common Methods Bias: Does Common Methods Variance Really Bias Results? Organizational Research Methods, 1(4): 374-406.
  • Funk, D.C. & Bruun, T.J. (2007). The Role of Socio-Psychological and Culture-Education Motives in Marketing International Sport Tourism: A Cross-Cultural Perspective. Tourism Management, 28(3), 806-819.
  • Gainer, B. & Padanyi, P. (2005). The Relationship Between Market-Oriented Activities and Market-Oriented Culture: Implications for The Development of Market Orientation in Nonprofit Service Organizations. Journal of business research, 58(6), 854-862.
  • Grinstein, A. (2008). The Effect of Market Orientation and Its Components on Innovation Consequences: a Meta-Analysis. Journal of The Academy of Marketing Science, 36(2), 166-173.
  • Harrison, P.J. & Shaw, R.N. (2004). Intra-Organizational Marketing Culture and Market Orientation: A Case Study of the Implementation of The Marketing Concept in A Public Library, Library Management, 25(8/9), 391-398.
  • Hermundsdottir, F. & Aspelund, A. (2021). Sustainability Innovations and Firm Competitiveness: A Review, Journal of Cleaner Production, 280 (1), 124715.
  • Hennerbichler, F. (2018). Future Options of the Kurds: Part II: Historical Background. Advances in Anthropology, 8(03), 235-272.
  • Homburg, C. & Pflesser, C. (2000). A Multiple-Layer Model of Market-Oriented Organizational Culture: Measurement Issues and Performance Outcomes. Journal of Marketing Research, 37(4), 449-462.
  • Karatepe, O.M., Avci, T. & Tekinkus, M. (2005). Measuring Marketing Culture: A Study of Frontline Employees in Turkish Hotels. Journal of Travel & Tourism Marketing, 18(1): 33-47.
  • Kline, R.B. (1998). Software Review: Software Programs for Structural Equation Modeling: Amos, EQS, and LISREL. Journal of Psycho Educational Assessment, 16(4), 343-364.
  • Lambert, T.L.N. (2015). A Structural Equation Model of the Influence of Personal, Behavioral, and Environmental Factors on the Writing Performance of First-year Students at a Selected Michigan Community College, Dissertations. https://digitalcommons.andrews.edu/dissertations/1580
  • Lukas, B.A. & Ferrell, O.C. (2000). The Effect of Market Orientation on Product Innovation. Journal of the Academy of Marketing Science, 28(2), 239.
  • MacCallum, R.C. & Austin, J.T. (2000). Applications of Structural Equation Modeling in Psychological Research. Annual Review of Psychology, 51(1), 201-226.
  • Mavondo, F. & Farrell, M. (2003). Cultural Orientation: Its Relationship with Market Orientation, Innovation and Organizational Performance. Management Decision, 41(3), 241-249.
  • Meyers, M.A., McKittrick, J. & Chen, P.Y. (2013). Structural Biological Materials: Critical Mechanics-Materials Connections. Science, 339(6121), 773-779.
  • OECD (2005). Organization for Economic Co-operation and Development, & Statistical Office of the European Communities, Oslo manual: Guidelines for Collecting and Interpreting Innovation Data (3rd ed.). Paris: OECD Pub.
  • Olawore, O. P., Oyelade, K. A., Tairu, O. A., Oduwole, W. K. & Awofala, H. T. (2024). Entrepreneurial Innovation and Market Share of Small and Medium Enterprises in Lagos State, Nigeria. International Research Journal of Economics and Management Studies, 3(10), 65-75.
  • O'Cass, A. & Viet Ngo, L. (2007). Market Orientation Versus Innovative Culture: Two Routes to Superior Brand Performance. European Journal of Marketing, 41(7/8), 868-887.
  • Robinson, R.B. & Pearce, JA. (1988). Planned Patterns of Strategic Behavior and their Relationship to Business-Unit Performance. Strategic Management Journal, 9(1), 43-60.
  • Rosli, M.M. & Sidek, S. (2013). The Impact of Innovation on the Performance of Small and Medium Manufacturing Enterprises: Evidence from Malaysia. Journal of Innovation Management in Small & Medium Enterprises, 1-16.
  • Samuelsson, P. (2023). The Effects of Innovation Types and Customer Participation on Organizational Performance in Complex Services. European Journal of Marketing, 57(13), 27-55.
  • Speckmayer, P., Höcker, A., Stelzer, J. & Voss, H. (2010). The Toolkit for Multivariate Data Analysis, TMVA 4. In Journal of Physics: Conference Series, 219(3), 032057.
  • Tinoco, J. (2005). Marketing Innovation: The Construct, Antecedents and Consequences. Unpublished Work.
  • Webster, C. (1993). Refinement of The Marketing Culture Scale and The Relationship Between Marketing Culture and Profitability of a Service Firm. Journal of Business Research, 26(2), 111-131.
  • Webster, C. (1995). Marketing Culture and Marketing Effectiveness in Service Firms. Journal of Services Marketing, 9(2), 6-21.
  • Webster, R.L., Hammond, K.L. & Harmon, H.A. (2005). Comparing Market Orientation Culture of Businesses and Schools of Business: An Extension and Refinement, Psychological reports, 96(2), 377-382.
  • Yelmi, A., Yahaya, Y., Muhammed, A., & Oyikwu, L.G., 2021. The Impact of Marketing Innovation on the Performance of Small and Medium Enterprises in Nigeria. Socioeconomic Challenges, 5(3), 98-105.
  • Younus, S.Q., Othman, B.J., Rashad, M.K., Kanabi, I.S., Jamil, D.A., Mahmood, R.K., ... & Ismail, S.J.J. (2022). The Effect of Marketing Culture Aspects of Healthcare Care on Marketing Creativity. International Journal of Advanced Engineering, Management and Science, 8(12), 14-28.
Toplam 38 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Yönetimi
Bölüm Araştırma Makalesi
Yazarlar

Rizgar Saed Hussein 0009-0007-1163-4374

Cuma Akbay 0000-0001-7673-7584

Gönderilme Tarihi 31 Temmuz 2024
Kabul Tarihi 16 Aralık 2025
Yayımlanma Tarihi 30 Aralık 2025
Yayımlandığı Sayı Yıl 2025 Cilt: 7 Sayı: 2

Kaynak Göster

APA Saed Hussein, R., & Akbay, C. (2025). THE MULTIDIMENSIONAL MARKETING CULTURE AND ITS IMPACT ON MARKETING INNOVATION IN HOSPITALS ACROSS NORTHERN IRAQ. SDÜ Sağlık Yönetimi Dergisi, 7(2), 211-228.
AMA Saed Hussein R, Akbay C. THE MULTIDIMENSIONAL MARKETING CULTURE AND ITS IMPACT ON MARKETING INNOVATION IN HOSPITALS ACROSS NORTHERN IRAQ. SDÜ Sağlık Yönetimi Dergisi. Aralık 2025;7(2):211-228.
Chicago Saed Hussein, Rizgar, ve Cuma Akbay. “THE MULTIDIMENSIONAL MARKETING CULTURE AND ITS IMPACT ON MARKETING INNOVATION IN HOSPITALS ACROSS NORTHERN IRAQ”. SDÜ Sağlık Yönetimi Dergisi 7, sy. 2 (Aralık 2025): 211-28.
EndNote Saed Hussein R, Akbay C (01 Aralık 2025) THE MULTIDIMENSIONAL MARKETING CULTURE AND ITS IMPACT ON MARKETING INNOVATION IN HOSPITALS ACROSS NORTHERN IRAQ. SDÜ Sağlık Yönetimi Dergisi 7 2 211–228.
IEEE R. Saed Hussein ve C. Akbay, “THE MULTIDIMENSIONAL MARKETING CULTURE AND ITS IMPACT ON MARKETING INNOVATION IN HOSPITALS ACROSS NORTHERN IRAQ”, SDÜ Sağlık Yönetimi Dergisi, c. 7, sy. 2, ss. 211–228, 2025.
ISNAD Saed Hussein, Rizgar - Akbay, Cuma. “THE MULTIDIMENSIONAL MARKETING CULTURE AND ITS IMPACT ON MARKETING INNOVATION IN HOSPITALS ACROSS NORTHERN IRAQ”. SDÜ Sağlık Yönetimi Dergisi 7/2 (Aralık2025), 211-228.
JAMA Saed Hussein R, Akbay C. THE MULTIDIMENSIONAL MARKETING CULTURE AND ITS IMPACT ON MARKETING INNOVATION IN HOSPITALS ACROSS NORTHERN IRAQ. SDÜ Sağlık Yönetimi Dergisi. 2025;7:211–228.
MLA Saed Hussein, Rizgar ve Cuma Akbay. “THE MULTIDIMENSIONAL MARKETING CULTURE AND ITS IMPACT ON MARKETING INNOVATION IN HOSPITALS ACROSS NORTHERN IRAQ”. SDÜ Sağlık Yönetimi Dergisi, c. 7, sy. 2, 2025, ss. 211-28.
Vancouver Saed Hussein R, Akbay C. THE MULTIDIMENSIONAL MARKETING CULTURE AND ITS IMPACT ON MARKETING INNOVATION IN HOSPITALS ACROSS NORTHERN IRAQ. SDÜ Sağlık Yönetimi Dergisi. 2025;7(2):211-28.


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