Increasing performance and innovation in medical centers by implementing a competitive strategy

Subject Areas : Health Management Services

mohamadtaghi amini ¹ , Hassan Forati ² , Mehdi Haddadzadeh ³ , mehrdad parisai ⁴

1 - Associate Professor, Department of Management, Payam Noor University, Tehran, Iran
2 - Associate Professor, Department of Management, Payam Noor University, Tehran, Iran
3 - Department of Management, Payam Noor University, Tehran, Iran
4 - Doctoral student of Management Department, Payam Noor University, Tehran, Iran

Received: 2023-09-18 Accepted : 2024-01-29 Published : 2024-03-11

Keywords: Key words: coopetition , innovation, therapeutic performance Market volatility, competition intensity,

Abstract :

Abstract: Introduction: the problems in the treatment industry have caused a decrease in the innovation and performance of the treatment centers, increased the cost of these centers and increased the recovery time of the patients. The government's attention to this industry and cooperation with competition between these centers can be a solution in this field. The present study aims to identify the impact of this strategy on the innovation and performance of health centers, taking into account the effects of market instability, competition and the effects of medical teams have been made for these factors. Research method: This research is applied and a cross-sectional observational analytical study. Content validity was used to determine validity, and Cronbach's alpha and homogeneity criteria were used to determine reliability. The studied population was 1250 employees and doctors of private hospitals in the south. Sampling method is cluster and data collection is done through questionnaire. The sample size was estimated to be 205 people using Morgan's table and data analysis was done using structural equation modelin. Findings: The findings showed that there is a positive and significant relationship between competitive strategy and innovation and the performance of medical centers Conclusion: While increasing the innovation and performance of medical centers, this strategy helps to reduce costs, increase the quality of services, and reduce the recovery time of patients. The instabilities in the treatment market and the level of competition among hospitals moderate the relationship between the competitive strategy and the innovation of health centers

References:

1- Berta P, Moscone F. The association between hospital cooperation and the quality of healthcare. Regional Studies, 2022; 56(11): 1858-1873.
2- Waszyk-Nowaczyk M, Guzenda W, Kamasa K, Pawlak K, Bałtruszewicz N, K, Białoszewski A and Merks P. Cooperation Between Pharmacists and Physicians – Whether It Was Before and is It Still Ongoing During the Pandemic? J Multidiscip Healthc, 2021; l14: 2101–2110.
3- Bendowska A, Baum E. The Significance of Cooperation in Interdisciplinary Health Care Teams as Perceived by Polish Medical Students; 2023.
4- Boroujerdi, M, Aghazadeh H, Nazari M. Development of a conceptual model of competitive cooperation in the relations of engineering service companies. Management research in Iran, 2021; 25(1): 161-137. [In Persian]
5- Crick J M. Crick D. Coopetition and COVID-19: Collaborative business-to-business marketing strategies in a pandemic crisis, Industrial Marketing Management; 2020.
6- Andrews R, Greasley S, Knight S, Sireau S, Jordan A, Bell A, White P. Collaboration for clinical innovation: a nursing and engineering alliance for better patient care.Journal of Research in Nursing, 2020; 25(3): 291–304.
7- Raza-Ullah T. Experiencing the paradox of coopetition: A moderated mediation framework explaining the paradoxical tension–performance relationship, Long Range Planning; 2020.
8- Sahib al-Dari, M. Examining the role of competitive strategy in the innovative performance of information technology companies with regard to the mediation of the capacity to absorb and share knowledge. Science Promotion, 2021; 11: 245-274. [In Persian]
9- R. Brekke Canta C, Siciliani L, Straume O. Hospital competition in a national health service: Evidence from a patient choice reform Kurt Journal of Health Economics, 2021; 79: 102509
10- Soltani M, Kardnaj A, Irani H, Hassan Beigi N. Presenting a model of factors affecting the formation and consequences of competition: mixed research. Business Management Perspectives, 2021; 20(45): 39-64. [In Persian]
11- Beninger, S, Francis, J. N. Collective Market shaping by competitors and its contribution to market resilience. Journal of Business Research, 2021; 122(1): 293-303
12- Blanka, C., & Traunmüller, V. Blind ate?Intermediaries as matchmakers on the way to start-up-industry coopetition. Industrial Marketing Management, 2020; 90: 1-13.
13- Venkat Venkatraman. Digital Matrix, translated by: Mehdi Shami Zanjani, Mostafa Baziar, Hormazd Publishing House, Tehran; 2018.
14- Sharifi Rad, M S. What is a competitive partner? Available at: Sanjaman's blog. http;//www.WHO/health- services; 2022.
15- vafadar Z. Necessity of teamwork and interprofessional cooperation in intensive care units. Special Care Nursing, 2019; 13(1): 5-10.
16- Stephanie M T, Schaaf M , Sriram V, Scott K, Dalglish S L, Marie N E, & et al. Power analysis in health policy and systems research: a guide to research conceptualization.Bjm Global Health, 2021; 6(11)..
17- Nazari M, Rodani A. Presentation of competitive categories and their ranking based on fuzzy AHP method in milk and dairy industries. Executive Management, 2022; 14(27): 470-492. [In Persian]
18- Soltani M, Shahbazi M, Hamidizadeh A, Ahmadian AA. Analytical and systematic review of theories related to competitive strategy as a conflict in strategic management literature. Iranian Management Sciences, 14th year, 2018; 53: 135-173. [In Persian]
19- Niemczyk J. Trzaska R. Network Approach in Industry 4.0: Perspective of Coopetition, Contemporary Challenges in Cooperation and Coopetition in the Age of Industry, 2020; 4: 139-154.
20- Seostianin M, Neumann-Podczaska A, Wieczorowska-Tobis K. Towards effective collaboration of physicians and pharmacists for the care of older people [including COVID-19 perspective, journal of Medical Science, 2020; 89(2).
21- Shahdoost Moghadam S, Leal S. How Should Physicians and Pharmacists Collaborate to Motivate Health Equity in Underserved Communities?Ama Journal of Ethics, 2021; 23(2): 117-126.
22- Ineveld M V, Wijngaarden J, Scholten G. Choosing cooperation over competition; hospital strategies in response to selective contracting.Health planning and management, 2018; 33(4): 763-1217.
23- Alhosseiny H M. The Impact of Strategic Planning, Strategic Thinking, and Strategic Agility on Competitive Advantage: Literature Review. Academy of Strategic Management Journal; 2023. [Print ISSN: 1544-1458; Online ISSN: 1939-6104]
24- Hunitie M. Affiliation Impact of Strategic Leadership onStrategic Competitive Advantage ThroughStrategic Thinking and Strategic Planning:A A bi-Meditatipnal Research; 2018.
25- Haldane V, . Chuah Fiona L. H. Community participation in health services development, implementation, and evaluation: A systematic review of empowerment, health, community, and process outcomes. PLoS One.; 2019; 14(5): e0216112. Published online 2019 May 10. doi: 10.1371
26- Kelly C J. Promoting innovation in healthcare. Future Healthc J. 2017 Jun; 2017; 4(2): 121–125. doi: 10.7861/futurehosp.4-2-121
27- Ritter A, Barrett l Ven de Ven K. Improve communication, coordination and collaboration between alcohol and other drug treatment funders. Australian Government Department of Health and Aged Care; 2021.
28- Böhm R. Rockenbach B. The inter-group comparison-intra-group cooperation hypothesis: comparisons between groups increase efficiency in public goods provision; 2013.
29- Pita Barros P, Werner B. F. B, Thomson S, and Varkevisser M. Competition among health care providers: helpful or harmful?Eur J Health Econ, 2016; 17: 229–233.
30- Elrod J K, Fortenberry Jr J L. Catalyzing marketing innovation and competitive advantage in the healthcare industry: the value of thinking like an outsider BMC Health Services Research, 2018; Article number: 922.
31- R. Brekke, Canta C, Siciliani L, Straume O R. Hospital competition in a national health service: Evidence from a patient choice reform Kurt Journal of Health Economics, 2021; 79: 102509
32- Cooper z. Bloom N, Gaynor Z M, Gibbons S, Jones S. Does Hospital Competition Save Lives? Evidence from the English NHS Patient Choice Reforms. The Economic Journal, 2011; 121(554): F228–F260. https://doi.org/10.1111/j.1468-0297.2011.02449.x
33- Jahantabinejad A, Golkhand A. The effect of positive and negative shocks on public health expenditures during the periods Business on health status in Iran. Health and treatment management, 2023; 03(4): 87-103. [In Persian]