Innovation capabilities in health organizations. Proposal of a model through structural equation models
DOI:
https://doi.org/10.46661/revmetodoscuanteconempresa.3503Keywords:
capabilities, innovation capabilities, knowledge management, organizational culture, health care organizations, HRM, SEMAbstract
In the present work, we try to find the determinants of innovation capabilities in the health care organizations. Firstly, the structural and measurement model was elaborated to account the relations between the latent variables and the manifest ones. Secondly, the model was identified; subsequent to this, we proceeded to calculate the adjustment indexes and using some techniques of multivariate methods. Then, we analyzed the areas of the model that did not fit properly to intervene them and thus achieve an optimal adjustment. We proposed some hypothesis that allowed us to prove positive causal relationships between the Innovation Capabilities and the variables. We had 283 observations extracted from the network of high complexity hospitals in Colombia during the years 2016 and 2017. A model with a significant adjustment that would account for the triggers of Innovation Capabilities in health care organizations was obtained. Finally, the positive impact of knowledge management, human resource management, management capabilities, organizational culture, and some factors associated with the health care Organizations on Innovation Capabilities was demonstrated.
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References
Black, D.H., & Synan, C.D. (1997). The learning organization: The sixth discipline? Management Accounting British, 75(10), 70-72.
Börjesson, S., & Elmquist, M. (2011). Developing Innovation Capabilities: A Longitudinal Study of a Project at Volvo Cars. Creativity and Innovation Management, 20(3), 171-184.
Bravo-Ibarra, E.R., & Herrera, L. (2009). Capacidad de innovación y configuración de recursos organizativos. Intangible Capital, 5(3), 301-320.
Browne, M.W., & Cudeck, R. (1993). Alternative ways of assessing model fit. In K.A. Bollen & J. S. Long. Testing structural equation models. Newsbury: Sage.
Caccia-Bava, M.C., Guimaraes, T. & Harrington, S.J. (2006). Hospital organization culture,
capacity to innovate and success in technology adoption. Journal of Health Organization and Management, 20(3), 194-217.
Chin, W., Hamermesh, R., Huckman, R., McNeil, B., & Newhouse, J. (2012). 5 Imperatives addressing healthcare’s innovation challenge. Forum on Health Care Innovation. Cambridge.
Cohen, W. M., & Levinthal, D. A. (1990). Absorptive-Capacity - A New Perspective on Learning and Innovation. Administrative Science Quarterly, 35(1), 128-152.
Dias, C., & Escoval, A., (2015). Hospitals as learning organisations: fostering innovation
through interactive learning. Quality Management Health Care, 24(1), 52-59.
Djellal, F. (2005). Mapping innovation dynamics in hospitals. Research Policy, 34, 817-835.
Fierro, E., Cantú, J.L., Martínez, J. & López O.H. (2016). Predictores de la innovación administrativa: funciones y métodos organizacionales - Hospitales de México y Colombia. RGBN, 17(54), 806-821.
Fleuren, M., Wiefferink, K., & Paulussen, T. (2004). Determinants of innovation within health care organizations. International Journal for Quality in Health Care, 16(2), 107-123.
Hoelter, J.W. (1983). The analysis of covariance structures: Goodness-of-fit indices. Sociological Methods and Research, 11, 325-344.
Hu, L., & Bentler, P.M. (1995). Evaluating model fit. In R. H. Hoyle. Structural
equation modeling: Concepts, issues, and applications. London: Sage.
Iestyn, W. (2011). Organizational readiness for innovation in health care: some lessons from the recent literature. Health Services Management Research, 24, 213-218.
Jacobs, S., Weiner, B., Reeve, B., Hofmann, D., Christian, M., & Weinberger, M. (2014). Determining the predictors of innovation implementation in healthcare: a quantitative analysis of implementation effectiveness. BMC Health Services Research, 15(6), 1-13.
Jaramillo, H., Latorre, C., Alban, C., & Lopera, C. (2008). El hospital como organización de conocimiento y espacio de investigación y de formación. Bogotá: Editorial Universidad del Rosario.
Kaluzny, A.D. (1974) Innovation in Health Services: Theoretical Framework and Review of Research. Health Service Research, 9(2), 101-120.
Kimberly, J.R & Evanisko M.J. (1981). Organizational innovation: The influence of individual, organizational and contextual factors on hospital adoption of technological and administrative innovation. Academic of Management of Journal, 24(4), 689-713.
Lawson, B., & Samson D. (2001). Developing innovation capability in organizations: a dynamic capabilities approach. International Journal of Innovation Management, 5(3), 377-400.
Lee, H.S., & Hong, S.A. (2014). Factors affecting hospital employees knowledge sharing
intention and behavior, and innovation behavior. Osong Public Health Research
Perspective, 5(3), 148-155.
López, O.H., Villegas, G.C., & Rodriguez, J.R. (2017). Capacidades de innovación en el contexto de las organizaciones de salud y desarrollo de un modelo teórico. Gac Méd Caracas,125(4),1-12.
Marsh, H.W., Hau, K.T., Balla, J.R., & Grayson, D. (1998). Is more ever too much?
The number of indicators per factor in confirmatory factor analysis. Multivariate Behavioral Research, 33, 181-220.
Martinez-Roman, J.A., Gamero J., & Tamayo, J.A. (2011). Analysis of innovation in SMEs using an innovative capability-based non-linear model: A study in the province of Seville (Spain). Technovation, 31,459-475.
Mylopulos, M., & Scardamalia. (2008). Doctors’ perspectives on their innovations in daily practice: implications for knowledge building in health care. Medical Education, 42(10), 75-81.
Naranjo, J.C., Jiménez, D. & Sanz-Valle, V.R. (2015). Studying the links between organizational culture, innovation, and performance in Spanish companies. Revista Latinoamericana de Psicología, 48, 30-41.
Nonaka, I., & Takeuchi, H. (1995). The Knowledge Creating Company. How Japanese Companies Create the Dynamics of Innovation. New York: Oxford University Press.
Omachunu, V., & Einspruch, N. (2010). Innovation in Healthcare Delivery Systems: A Conceptual Framework. The Innovation Journal: The Public Sector Innovation Journal, 15(1), 1-20.
Parnaby, J., & Towill D.R. (2008). Enabling innovation in health-care delivery. Health Services Management Research, 21, 141-154.
Pen, D. X., Schroeder, R. G. & Shah, R. (2008). Linking routines to operations capabilities: A new perspective. Journal of Operations Management, 26, 730-748.
Plsek, P. (2003). Complexity and the adoption of innovation in health care. Accelerating Quality Improvement in Health Care Strategies to Speed the Diffusion of Evidence-Based Innovations. National Institute for Health Care Management Foundation National Committee for Quality Health Care, Washington, D.C.
Salaman, J.G., & Storey, J. (2002). Managers' theories about the process of innovation', Journal of Management Studies, 39(2), 147-165.
Schreyogg, G., & Kliesch-Eberl, M. (2007). How dynamic can organizational capabilities be? Towards a dual-process model of capability dynamization. Strategic Management Journal, 28(9), 913-933.
Schumacker, R.E., & Lomax, R.G. (2010). Structural Equation Modeling, 3ra Edition. NewYork: Routledge Taylor & Francis Group.
Sharma, S., Conduit, J., & Hill, S. (2014). Organisational capabilities for customer participation in health care service innovation. Australasian Marketing Journal, 22,179-188.
Thakur, R., Hsu, S., & Fontenot, G. (2012). Innovation in healthcare: Issues and future trends. Journal of Business Research, 65, 562-569.
Ugurluoglu, O., Aldogan, E.U., & Dilmac, E. (2013). The impact of manager’s perceptions
of learning organisations on innovation in health care: sample of Turkey. International Journal Health Planning Management, 28, 158-168.
Vasquez, J. (2013). Modelos de ecuaciones estructurales en Psicología. Tesis de Maestría.
Villegas, G.C., Montes, J.M., & López, O.H, (2016). Predictores de la capacidad de innovación en las organizaciones. Revista Espacios, 37(9), 3-10
Yan, E. (2014). Finding knowledge paths among scientific disciplines. Journal of the Association for Information Science and Technology, 65(11), 2331-2347.
Yesil, S., Koska, A., & Buyukbese, T. (2013). Knowledge Sharing Process, Innovation Capability and Innovation Performance: An Empirical Study. Social and Behavioral Sciences, 75, 217-225.
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