Research Article
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The Use of Strategic Management Tools in Changing Environment: A Qualitative Case Study in a Turkish University Hospital During Covid-19

Year 2023, Volume 14, Issue 2, 241 - 249, 17.03.2023
https://doi.org/10.31067/acusaglik.1221812

Abstract

Purpose- This study aims to examine the managerial practices of a hospital managers to keep up with the changing environment during the Covid-19 (pandemic) period. The authors aim to better understand and research what the managers of this hospital do while keeping up with the staggering change, by placing the use of strategic management tools (SMTs) on the theoretical ground of the Normative Model of Strategic Management (NMSM). Methods- This is exploratory, qualitative, and a single case study. The data were collected through in-depth interviews with 12 mid-level and senior managers of hospital’s, each of which lasted an average of 50 minutes, through a semi-structured form. The data were analyzed using inductive content analysis methods in line with predetermined themes. Results- The main finding is that both middle and senior managers use 16 SMTs at various stages of strategic management process to respond to the changing internal and external environment during the pandemic. SMTs were used most intensively in the strategic analysis phase. At this phase, with the reengineering, which is the most used tool, and non-emergency health services were postponed, workflows were renewed, and many services were digitized. Conclusion: By using different SMTs in their decisions, managers can gain strategic advantage for their purposes. While supply chain management is a tool used only by the purchasing unit manager, reengineering can be a tool that every manager uses to adapt to the environment. Being aware of these tools by managers at all levels and diversifying them will enable them to make better managerial practices.

References

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  • Pascuci LM., Júnior VM, Crubellate JM. Strategic Management in Hospitals: Tensions Between the Managerial and Institutional Lens, Brazilian Administration Review. 2017; 14 (2): http://dx.doi.org/10.1590/1807-7692bar2017160092
  • Phiri W. A critical analysis of strategic management process, International Journal of Commerce and Management Research. 2019; 5 (1), 138-142.
  • Jaworzynska M. Using Tools of Strategic Management in Medical Facilities of Lublin Region, Engineering Management in Production and Services. 2017; 9 (2): 82-89. https://doi.org/10.1515/emj-2017-0017
  • Ridder HG, Doege V, Martini S. Differences in the Implementation of Diagnosis-Related Groups across Clinical Departments: A German Hospital Case Study, Health Research and Educational Trust. 2007; 42 (6): 2120-2139. https://doi.org/10.1111/j.1475-6773.2007.00723.x
  • Stenfors S, Tanner L, Syrjänen M, Seppälä T, Haapalinna, I. Executive Views Concerning Decision Support Tools, European Journal of Operational Research . 2007; 181 (2): 929-938. https://doi.org/10.1016/j.ejor.2006.06.024
  • Hussey DE. Glossary of Techniques for Strategic Analysis. Strategic Change. 1997; (6): 97-115. https://doi.org/10.1002/(SICI)1099-1697(199703)6:2<97::AID-JSC223>3.0.CO;2-I
  • Qehaja AB, Kutlovci E, Pula JS. Strategic Management Tools and Techniques Usage: a Qualitative Review. Acta Universitatis Agriculturae et Silviculturae Mendelianae Brunensis. 2017; 65 (2): 585-600. https://doi.org/10.11118/actaun201765020585
  • Clark DW. Strategic Management Tool Usage. Journal of Strategic Chance. 1997; (6): 417-427. https://doi.org/10.1002/(SICI)1099-1697(199711)6:7<417::AID-JSC281>3.0.CO;2-9
  • Grint K. Fuzzy Management: Contemporary Ideas and Practices. Oxford : Oxford University Press. 1997.
  • Özzeybek Taş M. Seyhan F. Sağlık çalışanlarının stratejik yönetim araçları bilgi ve kullanım düzeyleri hakkında görüşleri üzerine bir araştırma: Ankara ili örneği. SagAkaDerg. 2021; 8(4): 304-322.
  • Çağatay A, Öztürk Z. Sağlık Kurumlarındaki Yöneticilerin Stratejik Yönetim Araçları Kullanım Görüşleri, Cumhuriyet Üniversitesi İktisadi ve İdari Bilimler Dergisi. 2021; 22, 1-29. https://doi.org/10.37880/cumuiibf.743058
  • Çınar F, Demircan F, Nişancı Z. Hastane Yöneticilerinin Stratejik Yönetim Araçlarını Kullanım Durumlarının İncelenmesi: Nitel Bir Çalışma, Sağlık ve Sosyal Refah Araştırmaları Dergisi. 2019; 1 (2): 40-52. Retrieved from https://dergipark.org.tr/tr/pub/sarad/issue/46957/594234
  • Biçer EB. Sağlık Kurumları Yöneticilerinin Stratejik Yönetim Tekniklerine Bakış Açılarının ve Yaklaşım Tarzlarının Belirlenmesi: Sivas İli Örneği, Yönetim ve Ekonomi Araştırmaları Dergisi. 2018; 16(4): 405-427. https://doi.org/10.11611/yead.482685
  • Stoner JAF, Freeman RE. Management. New Jersey: Prentice Hall. 1989.
  • Currie G, Procter SJ. The Antecedents of Middle Managers Strategic Contribution: The Case of Professional Bureaucracy, Journal of Management Studies. 2005; 42 (7): 1325-1355. https://doi.org/10.1111/j.1467-6486.2005.00546.x
  • Gökçe Ş. Stratejik Yönetim Sürecinde Orta Düzey Yöneticiler, Yeni Ekonomik Trendler ve İş Fırsatları. 5. Uluslararası Ekonomi ve İşletme Kongresi. Bursa. 2019; 10(5): 601-607.
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  • Yin RK. Case Study Research: Design and Methods. 5th Edition.Thousand Oaks, CA: Sage Publications. 2014
  • Palinkas LA, Horwitz SM, Green CA, Wisdom JP, Duan N, Hoagwood K. Purposeful Sampling for Qualitative Data Collection and Analysis in Mixed Method Implementation Research, Adm Policy Ment Health. 2015; 42 (5): 533-544. https://doi.org/10.1007/s10488-013-0528-y.
  • Daniela RM. Determining the Sample Size in Qualitative Research. International Multidisciplinary Scientific Conference on the Dialogue between Sciences and Arts, Religion and Education. 2020; 181-187. Romania. https://doi.org/10.26520/mcdsare.2020.4
  • Boddy CR. Sample size for Qualitative Research. Qualitative Market Research: An International Journal. 2016; 19 (4), 1352-2752. https://doi.org/10.1108/QMR-06-2016-0053
  • Clark DN, Scott JL.Strategic Level MS/OR Tool in the United Kingdom: An Empirical Survey, The Journal of the Operational Research Society. 1995; 46(9): 1041-1051.
  • Kyngas H., Mikkonen K., Kaariainen M.. Inductive Content Analysis. The Application of Content Analysis in Nursing Science Research, Springer. 13–21. https://doi.org/10.1007/978-3-030-30199-6. 2020.
  • Miles MB, Huberman AM. Qualitative Data Analysis: An Expanded Sourcebook, 2nd ed. Sage. 1994
  • Young GJ, Charns MP, Shortell SM. Top Manager and Network Effects on the Adoption of Innovative Management Practices: A study of TQM in a Public Hospital System, Strategic Management Journal. 2001; 22 (10): 935–951. https://doi.org/10.1002/smj.194
  • Saleh S, Kaissi A, Semaan A, Natafgi NM. Strategic Planning Proccesses and Financial Performance Among Hospitals in Lebonan, The International Journal of Health Planning and Management. 2012; 28 (1): 34-45. https://doi.org/10.1002/hpm.2128
  • Schneider LN. Strategic Management as Adaptation to Changes in the Ecosystems of Public Hospitals in Israel, Naamati Schneider Israel Journal of Health Policy Research. 2020; 9(65): 2-11. https://doi.org/10.1186/s13584-020-00424-y
  • Bartlett, D.L., Howe, J.R., Chang, G. et al. Management of Cancer Surgery Cases During the COVID-19 Pandemic: Considerations. Ann Surg Oncol. 2020; 27: 1717–1720. https://doi.org/10.1245/s10434-020-08461-2

Year 2023, Volume 14, Issue 2, 241 - 249, 17.03.2023
https://doi.org/10.31067/acusaglik.1221812

Abstract

References

  • Demir Bilgin İ, Uğurluoğlu Ö. Evaluation of the use of Strategic Management Tools by Hospital Executives in Turkey, Journal of Health Management. 2019; 21 (1): 38-52. https://doi.org/10.1177/0972063418822216
  • Pascuci LM., Júnior VM, Crubellate JM. Strategic Management in Hospitals: Tensions Between the Managerial and Institutional Lens, Brazilian Administration Review. 2017; 14 (2): http://dx.doi.org/10.1590/1807-7692bar2017160092
  • Phiri W. A critical analysis of strategic management process, International Journal of Commerce and Management Research. 2019; 5 (1), 138-142.
  • Jaworzynska M. Using Tools of Strategic Management in Medical Facilities of Lublin Region, Engineering Management in Production and Services. 2017; 9 (2): 82-89. https://doi.org/10.1515/emj-2017-0017
  • Ridder HG, Doege V, Martini S. Differences in the Implementation of Diagnosis-Related Groups across Clinical Departments: A German Hospital Case Study, Health Research and Educational Trust. 2007; 42 (6): 2120-2139. https://doi.org/10.1111/j.1475-6773.2007.00723.x
  • Stenfors S, Tanner L, Syrjänen M, Seppälä T, Haapalinna, I. Executive Views Concerning Decision Support Tools, European Journal of Operational Research . 2007; 181 (2): 929-938. https://doi.org/10.1016/j.ejor.2006.06.024
  • Hussey DE. Glossary of Techniques for Strategic Analysis. Strategic Change. 1997; (6): 97-115. https://doi.org/10.1002/(SICI)1099-1697(199703)6:2<97::AID-JSC223>3.0.CO;2-I
  • Qehaja AB, Kutlovci E, Pula JS. Strategic Management Tools and Techniques Usage: a Qualitative Review. Acta Universitatis Agriculturae et Silviculturae Mendelianae Brunensis. 2017; 65 (2): 585-600. https://doi.org/10.11118/actaun201765020585
  • Clark DW. Strategic Management Tool Usage. Journal of Strategic Chance. 1997; (6): 417-427. https://doi.org/10.1002/(SICI)1099-1697(199711)6:7<417::AID-JSC281>3.0.CO;2-9
  • Grint K. Fuzzy Management: Contemporary Ideas and Practices. Oxford : Oxford University Press. 1997.
  • Özzeybek Taş M. Seyhan F. Sağlık çalışanlarının stratejik yönetim araçları bilgi ve kullanım düzeyleri hakkında görüşleri üzerine bir araştırma: Ankara ili örneği. SagAkaDerg. 2021; 8(4): 304-322.
  • Çağatay A, Öztürk Z. Sağlık Kurumlarındaki Yöneticilerin Stratejik Yönetim Araçları Kullanım Görüşleri, Cumhuriyet Üniversitesi İktisadi ve İdari Bilimler Dergisi. 2021; 22, 1-29. https://doi.org/10.37880/cumuiibf.743058
  • Çınar F, Demircan F, Nişancı Z. Hastane Yöneticilerinin Stratejik Yönetim Araçlarını Kullanım Durumlarının İncelenmesi: Nitel Bir Çalışma, Sağlık ve Sosyal Refah Araştırmaları Dergisi. 2019; 1 (2): 40-52. Retrieved from https://dergipark.org.tr/tr/pub/sarad/issue/46957/594234
  • Biçer EB. Sağlık Kurumları Yöneticilerinin Stratejik Yönetim Tekniklerine Bakış Açılarının ve Yaklaşım Tarzlarının Belirlenmesi: Sivas İli Örneği, Yönetim ve Ekonomi Araştırmaları Dergisi. 2018; 16(4): 405-427. https://doi.org/10.11611/yead.482685
  • Stoner JAF, Freeman RE. Management. New Jersey: Prentice Hall. 1989.
  • Currie G, Procter SJ. The Antecedents of Middle Managers Strategic Contribution: The Case of Professional Bureaucracy, Journal of Management Studies. 2005; 42 (7): 1325-1355. https://doi.org/10.1111/j.1467-6486.2005.00546.x
  • Gökçe Ş. Stratejik Yönetim Sürecinde Orta Düzey Yöneticiler, Yeni Ekonomik Trendler ve İş Fırsatları. 5. Uluslararası Ekonomi ve İşletme Kongresi. Bursa. 2019; 10(5): 601-607.
  • Quinn JB. Strategic change: Logical Incrementalism, Sloan Management Review. (pre-1986); 20: 7-21.
  • Yin RK. Case Study Research: Design and Methods. 5th Edition.Thousand Oaks, CA: Sage Publications. 2014
  • Palinkas LA, Horwitz SM, Green CA, Wisdom JP, Duan N, Hoagwood K. Purposeful Sampling for Qualitative Data Collection and Analysis in Mixed Method Implementation Research, Adm Policy Ment Health. 2015; 42 (5): 533-544. https://doi.org/10.1007/s10488-013-0528-y.
  • Daniela RM. Determining the Sample Size in Qualitative Research. International Multidisciplinary Scientific Conference on the Dialogue between Sciences and Arts, Religion and Education. 2020; 181-187. Romania. https://doi.org/10.26520/mcdsare.2020.4
  • Boddy CR. Sample size for Qualitative Research. Qualitative Market Research: An International Journal. 2016; 19 (4), 1352-2752. https://doi.org/10.1108/QMR-06-2016-0053
  • Clark DN, Scott JL.Strategic Level MS/OR Tool in the United Kingdom: An Empirical Survey, The Journal of the Operational Research Society. 1995; 46(9): 1041-1051.
  • Kyngas H., Mikkonen K., Kaariainen M.. Inductive Content Analysis. The Application of Content Analysis in Nursing Science Research, Springer. 13–21. https://doi.org/10.1007/978-3-030-30199-6. 2020.
  • Miles MB, Huberman AM. Qualitative Data Analysis: An Expanded Sourcebook, 2nd ed. Sage. 1994
  • Young GJ, Charns MP, Shortell SM. Top Manager and Network Effects on the Adoption of Innovative Management Practices: A study of TQM in a Public Hospital System, Strategic Management Journal. 2001; 22 (10): 935–951. https://doi.org/10.1002/smj.194
  • Saleh S, Kaissi A, Semaan A, Natafgi NM. Strategic Planning Proccesses and Financial Performance Among Hospitals in Lebonan, The International Journal of Health Planning and Management. 2012; 28 (1): 34-45. https://doi.org/10.1002/hpm.2128
  • Schneider LN. Strategic Management as Adaptation to Changes in the Ecosystems of Public Hospitals in Israel, Naamati Schneider Israel Journal of Health Policy Research. 2020; 9(65): 2-11. https://doi.org/10.1186/s13584-020-00424-y
  • Bartlett, D.L., Howe, J.R., Chang, G. et al. Management of Cancer Surgery Cases During the COVID-19 Pandemic: Considerations. Ann Surg Oncol. 2020; 27: 1717–1720. https://doi.org/10.1245/s10434-020-08461-2

Details

Primary Language English
Subjects Health Policy and Services
Journal Section Research Article
Authors

Pınar AKTÜRK>
ISTANBUL MEDIPOL UNIVERSITY
0000-0002-6957-565X
Türkiye


Aliye Aslı SONSUZ> (Primary Author)
ISTANBUL MEDIPOL UNIVERSITY
0000-0002-1451-6388
Türkiye

Supporting Institution İstanbul Medipol Üniversitesi
Project Number 2021-08
Thanks İstanbul Medipol Üniversitesi Bilimsel Araştırmalar Kurulu
Publication Date March 17, 2023
Submission Date December 20, 2022
Acceptance Date February 27, 2023
Published in Issue Year 2023, Volume 14Issue 2

Cite

EndNote %0 Acıbadem Üniversitesi Sağlık Bilimleri Dergisi The Use of Strategic Management Tools in Changing Environment: A Qualitative Case Study in a Turkish University Hospital During Covid-19 %A Pınar Aktürk , Aliye Aslı Sonsuz %T The Use of Strategic Management Tools in Changing Environment: A Qualitative Case Study in a Turkish University Hospital During Covid-19 %D 2023 %J Acıbadem Üniversitesi Sağlık Bilimleri Dergisi %P 1309-470X-1309-5994 %V 14 %N 2 %R doi: 10.31067/acusaglik.1221812 %U 10.31067/acusaglik.1221812