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Understanding competitive advantage in the general hospital industry: evaluating strategic competencies

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  • Thomas J. Douglas
  • Joel A. Ryman

Abstract

This study examines the drivers of competitive advantage within the hospital industry. Specifically, we examine both the direct and joint effects of market structure, firm‐level competencies, and interorganizational relationships on organizational performance. The results of this approach indicated that managers, through their strategic actions related to the capabilities and relationships they develop and deploy, can establish advantageous competitive positions and influence the negative effects of market structure by developing important strategic competencies. Copyright © 2003 John Wiley & Sons, Ltd.

Suggested Citation

  • Thomas J. Douglas & Joel A. Ryman, 2003. "Understanding competitive advantage in the general hospital industry: evaluating strategic competencies," Strategic Management Journal, Wiley Blackwell, vol. 24(4), pages 333-347, April.
    • Handle: RePEc:bla:stratm:v:24:y:2003:i:4:p:333-347
    DOI: 10.1002/smj.301
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    1. Takács, András, 2024. "A tőkestruktúra és a piaci érték közötti kapcsolat a hazai kis- és középvállalati szektorban [The relationship between capital structure and market value in the domestic small and medium-sized ente," Közgazdasági Szemle (Economic Review - monthly of the Hungarian Academy of Sciences), Közgazdasági Szemle Alapítvány (Economic Review Foundation), vol. 0(9), pages 915-929.
    2. Jerónimo García-Fernández & Pablo Gálvez-Ruiz & M. Rocío Bohórquez & Moisés Grimaldi-Puyana & Ignacio Cepeda-Carrión, 2020. "The Relationship between Technological Capabilities and Organizational Impact: Direct and Indirect Routes for Employed and Self-Employed Personal Fitness Trainers," Sustainability, MDPI, vol. 12(24), pages 1-19, December.
    3. Panagiotis Mitropoulos & Kostas Kounetas & Ioannis Mitropoulos, 2016. "Factors affecting primary health care centers’ economic and production efficiency," Annals of Operations Research, Springer, vol. 247(2), pages 807-822, December.
    4. Chakraborty, Subhajit & Kaynak, Hale & Pagán, José A., 2021. "Bridging hospital quality leadership to patient care quality," International Journal of Production Economics, Elsevier, vol. 233(C).
    5. Sipos, Norbert & Lukovszki, Lívia & Rideg, András & Varga, Anna Róza, 2023. "A magyar családi mikro-, kis- és középvállalatok erőforrás- és képességkonfigurációi [Resource and capability configurations of Hungarian family-owned micro, small and medium-sized enterprises]," Közgazdasági Szemle (Economic Review - monthly of the Hungarian Academy of Sciences), Közgazdasági Szemle Alapítvány (Economic Review Foundation), vol. 0(12), pages 1389-1413.
    6. Rexford E. Santerre & John A. Vernon, 2006. "The consumer welfare implications of the hospital ownership mix in the US: an exploratory study," Health Economics, John Wiley & Sons, Ltd., vol. 15(11), pages 1187-1199, November.
    7. Camisón, César & Forés, Beatriz, 2011. "Knowledge creation and absorptive capacity: The effect of intra-district shared competences," Scandinavian Journal of Management, Elsevier, vol. 27(1), pages 66-86, March.
    8. Márkus, Gábor & Rideg, András, 2021. "A magyar mikro-, kis- és középvállalatok versenyképessége és pénzügyi teljesítménye [Modelling and empirical analysis of relations between the competence-based competitiveness and financial perform," Közgazdasági Szemle (Economic Review - monthly of the Hungarian Academy of Sciences), Közgazdasági Szemle Alapítvány (Economic Review Foundation), vol. 0(6), pages 617-644.
    9. Lafuente, Esteban & Vaillant, Yancy & Rabetino, Rodrigo, 2023. "Digital disruption of optimal co-innovation configurations," Technovation, Elsevier, vol. 125(C).
    10. Sipos, Norbert & Lukovszki, Lívia & Rideg, András, 2022. "A kisvállalati termék- vagy szolgáltatásinnováció erőforrás-alapú megközelítése [A resource-based view of small business product/service innovation]," Közgazdasági Szemle (Economic Review - monthly of the Hungarian Academy of Sciences), Közgazdasági Szemle Alapítvány (Economic Review Foundation), vol. 0(7), pages 929-961.
    11. Balogh, Gábor & Sipos, Norbert & Rideg, András, 2020. "A javadalmazási rendszerek hatása a magyarországi kis- és középvállalati szektorban [Relations between corporate competencies and the application of remuneration systems in Hungarys SME sector]," Közgazdasági Szemle (Economic Review - monthly of the Hungarian Academy of Sciences), Közgazdasági Szemle Alapítvány (Economic Review Foundation), vol. 0(12), pages 1217-1244.
    12. Vilmar Antônio Gonçalves Tondolo & Cláudia Cristina Bitencourt, 2014. "Understanding Dynamic Capabilities from Its Antecedents, Processes and Outcomes," Brazilian Business Review, Fucape Business School, vol. 11(5), pages 122-144, October.
    13. Sipos, Norbert & Lukovszki, Lívia & Rideg, András & Varga, Anna Róza, 2022. "A magyar családi mikro-, kis- és középvállalatok erőforrásai és képességei [Resources and capabilities of Hungarian family-owned firms]," Közgazdasági Szemle (Economic Review - monthly of the Hungarian Academy of Sciences), Közgazdasági Szemle Alapítvány (Economic Review Foundation), vol. 0(6), pages 739-757.
    14. Laurie Bates & Rexford Santerre, 2008. "Do health insurers possess monopsony power in the hospital services industry?," International Journal of Health Economics and Management, Springer, vol. 8(1), pages 1-11, March.
    15. Rexford E. Santerre & John A. Vernon, 2005. "Hospital Ownership Mix Efficiency in the US: An Exploratory Study," NBER Working Papers 11192, National Bureau of Economic Research, Inc.
    16. Rohit Kumar & Aditya Duggirala, 2021. "Health Insurance as a Healthcare Financing Mechanism in India: Key Strategic Insights and a Business Model Perspective," Vikalpa: The Journal for Decision Makers, , vol. 46(2), pages 112-128, June.
    17. Amit Karna & Ansgar Richter & Eberhard Riesenkampff, 2016. "Revisiting the role of the environment in the capabilities–financial performance relationship: A meta-analysis," Strategic Management Journal, Wiley Blackwell, vol. 37(6), pages 1154-1173, June.
    18. Madureira Simaens, Ana, 2015. "Responding to complexity : A systems approach to strategy and interorganizational networks in the context of third sector organizations," Other publications TiSEM 84077bdb-a62a-478f-ba4e-4, Tilburg University, School of Economics and Management.
    19. Miguel Cruz, Antonio & Maria Rios Rincon, Adriana, 2012. "Medical device maintenance outsourcing: Have operation management research and management theories forgotten the medical engineering community? A mapping review," European Journal of Operational Research, Elsevier, vol. 221(1), pages 186-197.
    20. Eman AbuKhousa & Nader Mohamed & Jameela Al-Jaroodi, 2012. "e-Health Cloud: Opportunities and Challenges," Future Internet, MDPI, vol. 4(3), pages 1-25, July.

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