Document Type : Original Article
Authors
Department of Healthcare Services Management, Isfahan University of Medical Sciences, Isfahan, Iran
Abstract
Background: Considering globalization of health care and quality improvement trend to
respond to competition and customer orientation, attention to organizational structure
and its relationship with market orientation is essential. Therefore, this study reviews the
relationship between organizational structure and market orientation in selected hospitals
of Isfahan (Iran). Materials and Methods: This study was a descriptive survey. The study
population comprised nurse managers from selected hospitals (n = 80). Data collection tools
were two questionnaires (market orientation questionnaire and organizational structure) that
the validity and reliability were confirmed (r = 0.83 for market orientation questionnaire and
r = 0.87 for organizational structure). SPSS (Ver. 16) software was used for the analyses.
Results: The mean score of organizational structure was 65.4 (11.2) and total mean of
market orientation was 51.14 (17.6). All aspects of the organizational structure (Organization
Centralization, Formalization in Organization, and Organization Complication) and market
orientation (responding to competition, accountability, customer satisfaction, intelligent
organization)—except by responding to clients with Formalization in Organization—as well as
all aspects of the Systemic attitude (the system of internal coordination and communication
systems_ and market orientation (responding to competition, accountability, customer
satisfaction, intelligent organization), there was a meaningful relationship (P < 0.05).
Conclusion: Market orientation and its dimensions have a significant relationship with
organizational structure and can lead managers’ view to the analysis and recognizing elements
of success and achievement to goals. With increasing competition in markets, globalization
of health services, and presence in international markets and more attention to patients’
satisfaction, hospitals need to understand and use of market orientation in order to promote
quality and services in the health care system.
Keywords
market orientation‑performance relationship. J Mark 1994;58:46‑55.
2. Narver JC, Slater SF. The effect of a market orientation on business
profitability. J Mark1990;54:20‑35.
3. McDermott DR, Franzak FJ, Little MW. Does Marketing Relate to
Hospital Profitability?. J Health Care Market 1993;13:18‑25.
4. Kohli AK, Jaworski BJ, Kumar A. MARKOR: A Measure of Market
Orientation. J Mark Res 1993;30:467‑77.
5. Langerak F. Effects of market orientation on the behaviors
of salespersons and purchasers, channel relationships, and
performance of manufacturers. Int J Res Mark 2001;18:221‑34.
6. Sin LY, Tse AC, Heung VC, Yim FH. An analysis of the relationship
between market orientation and business performance in the hotel
industry. Int J Hosp Manage 2005;24:555‑77.
7. Smirnova M, Naudé P, Henneberg SC, Stefanos M, Kouchtch SP. The impact of market orientation on the development of relational
capabilities and performance outcomes: The case of Russian industrial
firms Original Research Article. Ind Mark Manage 2011;40:44‑53.
8. Panigyrakis GG, Theodoridis PK. Market orientation and
performance: An empirical investigation in the retail industry in
Greece. J Retailing Consum Serv 2007;14:137‑149.
9. Jing Z, Yanling D. The impact of different types of market orientation
on product innovation performance: Evidence from Chinese
manufacturers. Manage Decis 2010;48:849‑67.
10. Avinandan M. Market orientation in healthcare: Focus on the patient.
Int J Pharm Healthc Mark 2010;4:107.
11. Loubeau PR, Jantzen R. Health care industry (Marketing).
J Healthcare Manage 1998;43:229‑39.
12. Nelson DL, Campbell Quick JC. Organization Behavior. 5th ed.
Thompson. South‑Western College Pub. 2008.
13. Pugh DS, editor. Organization Theory: Selected Readings.
Harmondsworth: Penguin Pub. 1990.
14. Hall R. Organizational Structures, Processed and Outcomes. 4th ed.
Englewood Cliffs, New Jersy: Printice ‑Hall, Inc; 1987.
15. Godarzv Chegini M. Organization structure with customer
satisfaction customer. Management 2001;17:10‑6.
16. Jacobides MG. The inherent limits of organizational structure and
the unfulfilled role of hierarchy: Lessons from a near‑war. Organ
Sci 2007;18:455‑77.
17. Kumar K, Subramanian R, Yauger C. Examining the Market
Orientation‑Performance Relationship: A Context – Specific Study.
Journal of Management 1998;24:201‑20.
18. Raju PS, Lonial SC, Gupta YP, Ziegler C. The Relationship Between
Market Orientation and Performance in the Hospital Industry. Health
Care Manage Sci 2003;3:237‑47.
19. Chen K. Studies of International Academics on Market Orientation
in the Hospital Industry. Manage Rev 2006;18:37‑43.
20. Wrenn B, LaTour SA, Calder BJ. Differences in perceptions
of hospital marketing orientation between administrators and
marketing officers. Hosp Health Serv Admin 1994;39:341‑58.
21. Van de, Ven WPMM. Market‑oriented health care reforms trends
and future options. Soc Sci Med 1996;43:655‑66.
22. Subhash C. Lonial M, Tarim SZ, Halil Z, Ekrem T. The impact
of market orientation on NSD and financial performance of
hospital industry. Industrial Management and Data Systems
2008;108:794‑811.
23. Naidu GM, Kleimenhagen A, Pillari GD. Organization of marketing
in U.S. hospitals: An empirical investigation. Health Care Manage
Rev 1992;17:29‑43.
24. Kenneth W, Green JR, Inman A, Brown G, Hillman Willis T. Market
orientation: Relation to structure and performance. J Bus Ind Mark
2005;20:276‑84.
25. Wrenn B. Marketing orientation in hospitals: Findings from a
multi‑phased research study. Health Mark Q 2007;24:15‑22.
26. Lonial SC, Raju PS. The Impact of Environmental Uncertainty on
the Market Orientation – Performance Relationship: A Study of the
Hospital Industry?. J Econ Soc Res 2001;3:5‑27.
27. Bani Talebi M. Effect of organizational factor on market orientation
in food industry. Iran: Isfahan University; 2009.
28. Kafashpour A, Siahrodi NM. Investigation of marketing
research’s effect on performance via market orientation culture
at travelling agencies located in Mashhad province. Res Manage
2010;1:111‑32.
29. Loubeau PR, Jantzen R. The effect of managed care on hospital
marketing orientation. J Healthc Manag 1998;43:229‑39.
)