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Journals / Hacettepe Sağlık İdaresi Dergisi / 2026 / Cilt: 28 Sayı: 2

THE BIBLIOMETRIC ANALYSIS OF STRATEGIC CHANGE STUDIES IN THE HEALTHCARE SECTOR

SAĞLIK SEKTÖRÜNDEKİ STRATEJİK DEĞİŞİM ÇALIŞMALARININ BİBLİYOMETRİK ANALİZİ

İsmail Biçer(PAMUKKALE ÜNİVERSİTESİ)0000-0003-1878-0546
Pages
293–320
Publication Date
2025-06-28
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

In conclusion, this study highlights the concepts that support strategic change and are related to improving implementation.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:The aim of this study is to examine the concept of strategic change in the healthcare sector in terms of bibliometric indicators and to analyze the content of the studies.
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Key Findings & Data:In this context, a bibliometric analysis was conducted to evaluate the strategic change studies in the healthcare sector.
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Conclusion & Impact:In conclusion, this study highlights the concepts that support strategic change and are related to improving implementation.
🔬Design:Derleme
📍Scope:2024 Verileri
⚙️Variables:Stratejik değişim · sağlık hizmetleri · sağlık sektörü

Abstract

The aim of this study is to examine the concept of strategic change in the healthcare sector in terms of bibliometric indicators and to analyze the content of the studies. In this context, a bibliometric analysis was conducted to evaluate the strategic change studies in the healthcare sector. The studies included in the analysis encompass 175 articles published between 1983-2024 in the Web of Science, limited to the terms "strategic change" and (health or healthcare or hospital). According to the findings of the research, the highest number of publications occurred in 2015. The countries with the most publications were identified as the United States, the United Kingdom, and Canada, respectively. The most frequently recurring keywords were found to be strategic change, organizational change, and healthcare. Based on the results, concepts such as leadership, implementing strategic change, innovation, change management, and organizational culture stand out, in connection with the most used keywords. The most cited authors were identified as Denis Jean-Louis, Langley Ann, and Lamothe Lise. In conclusion, this study highlights the concepts that support strategic change and are related to improving implementation. Designing more in-depth studies related to initiating and implementing strategic change in the healthcare sector and healthcare institutions is crucial for contributing to the literature.

Özet

Bu çalışmanın amacı, sağlık sektöründe stratejik değişim kavramının bibliyometrik göstergeler açısından incelenmesi ve çalışmaların içeriklerinin incelenmesidir. Bu kapsamda sağlık sektöründeki stratejik değişim çalışmalarının değerlendirilmesi için bibliyometrik analiz yapılmıştır. Araştırmada analize dahil edilen çalışmalar 1983-2024 yılları arasında Web of Science’da yayınlanan “strategic change” and (health or healthcare or hospital) terimleri ile sınırlandırılmış 175 makaleyi kapsamaktadır. Araştırmanın bulgularına göre en fazla yayın 2015 yılında gerçekleştirilmiştir. En çok yayın yapılan ülkeler sırasıyla ABD, İngiltere ve Kanada olarak tespit edilmiştir. En fazla tekrar eden anahtar sözcükler ise stratejik değişim, organizasyonel değişim ve sağlık hizmetleri olarak tespit edilmiştir. Sonuçlara göre en sık kullanılan anahtar kelimelerle bağlantılı olarak liderlik, stratejik değişimi uygulama, yenilik, değişim yönetimi, örgüt kültürü gibi kavramlar ön plana çıkmaktadır. En fazla atıf yapılan yazarlar Denis Jean-Louis, Langley Ann ve Lamothe Lise olarak tespit edilmiştir. Sonuç olarak bu çalışma stratejik değişimi destekleyen ve uygulamayı geliştirmek için ilişkili kavramların neler olduğunu göstermektedir. Sağlık sektöründe ve sağlık kurumlarında stratejik değişimi başlatma ve uygulama alanıyla ilişkili kavramlarla daha derinlemesine çalışmaların tasarlanması literatüre katkı açısından son derece önemlidir.

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Cite This Article

Biçer, İ. (2025). THE BIBLIOMETRIC ANALYSIS OF STRATEGIC CHANGE STUDIES IN THE HEALTHCARE SECTOR. Hacettepe Sağlık İdaresi Dergisi, Cilt: 28 Sayı: 2, 293–320. https://doi.org/10.61859/hacettepesid.1560640

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References (52)

  1. Abernethy, M. A., & Brownell, P. (1999). The role of budgets in organizations facing strategic change: an exploratory study. Accounting, organizations and society, 24(3), 189-204. https://doi.org/10.1016/S0361-3682(98)00059-2
  2. Appio, F. P., Cesaroni, F., & Di Minin, A. (2014). Visualizing the structure and bridges of the intellectual property management and strategy literature: A document co-citation analysis. Scientometrics, 101(1), 623–661. https://doi.org/10.1007/s11192-014-1329-0
  3. Ash, M., Seago, J. A., & Spetz, J. (2014). What do health care unions do?: A response to Manthous. Medical Care, 52(5), 393–397. https://doi.org/10.1097/MLR.0000000000000124
  4. Astley, W. G., & Van de Ven, A. H. (1983). Central perspectives and debates in organization theory. Administrative Science Quarterly, 28(2), 245–273. https://doi.org/10.2307/2392620
  5. Bahuguna, P. C., Srivastava, R., & Tiwari, S. (2023). Two-decade journey of green human resource management research: A bibliometric analysis. Benchmarking: An International Journal, 30(2), 585–602. https://doi.org/10.1108/BIJ-10-2021-0619
  6. Baker, H. K., Pandey, N., Kumar, S., & Haldar, A. (2020). A bibliometric analysis of board diversity: Current status, development, and future research directions. Journal of Business Research, 108, 232–246. https://doi.org/10.1016/j.jbusres.2019.11.025
  7. Barnett, W. P., & Carroll, G. R. (1995). Modeling internal organizational change. Annual Review of Sociology, 21(1), 217–236. https://doi.org/10.1146/annurev.so.21.080195.001245
  8. Begun, J. W., Zimmerman, B., & Dooley, K. (2003). Health care organizations as complex adaptive systems. In S. S. Mick & M. Wyttenbach (Eds.), Advances in health care organization theory (pp. 253–288). Jossey-Bass.
  9. Belke, M. (2020). CRITIC ve MAIRCA yöntemleriyle G7 ülkelerinin makroekonomik performansının değerlendirilmesi. İstanbul Ticaret Üniversitesi Sosyal Bilimler Dergisi, 19(Temmuz 2020, Özel Ek), 120–139.
  10. Cisneros, L., Ibanescu, M., Keen, C., Lobato-Calleros, O., & Niebla-Zatarain, J. (2018). Bibliometric study of family business succession between 1939 and 2017: Mapping and analyzing authors’ networks. Scientometrics, 117, 919–951. https://doi.org/10.1007/s11192-018-2889-1
  11. Clark, S. M., Gioia, D. A., Ketchen Jr, D. J., & Thomas, J. B. (2010). Transitional identity as a facilitator of organizational identity change during a merger. Administrative science quarterly, 55(3), 397-438. https://doi.org/10.2189/asqu.2010.55.3.397
  12. Currie, G. (2000). The public manager in 2010: The role of middle managers in strategic change in the public sector. Public Money and Management, 20(1), 17–22. https://doi.org/10.1111/1467-9302.00197
  13. Davies, C., Bullman, A., & Finlay, L. (2000). Changing practice in health and social care. Sage.
  14. Denis, J. L., Lamothe, L., & Langley, A. (2001). The dynamics of collective leadership and strategic change in pluralistic organizations. Academy of Management Journal, 44(4), 809–837. https://doi.org/10.5465/3069417
  15. Denis, J. L., Lamothe, L., & Langley, A. (2001). The dynamics of collective leadership and strategic change in pluralistic organizations. Academy of Management journal, 44(4), 809-837. https://doi.org/10.5465/3069417
  16. Dirik, D., Eryılmaz, İ., & Erhan, T. (2023). Post-truth kavramı üzerine yapılan çalışmaların VOSviewer ile bibliyometrik analizi. Sosyal Mucit Academic Review, 4(2), 164–188. https://doi.org/10.54733/smar.1271369
  17. Donthu, N., Kumar, S., Mukherjee, D., Pandey, N., & Lim, W. M. (2021). How to conduct a bibliometric analysis: An overview and guidelines. Journal of Business Research, 133, 285–296. https://doi.org/10.1016/j.jbusres.2021.04.070
  18. Dunk, A. M., & Arbon, P. (2009). Is it time for a new descriptor ‘pressure injury’: A bibliometric analysis. Wound Practice & Research: Journal of the Australian Wound Management Association, 17(4), 201–207.
  19. Egghe, L., & Rousseau, R. (2002). Co-citation, bibliographic coupling and a characterization of lattice citation networks. Scientometrics, 55(3), 349–361. https://doi.org/10.1023/a:1020458612014
  20. Ferlie, E., & Bennett, C. (1992). Patterns of strategic change in health care: District health authorities respond to AIDS. British Journal of Management, 3(1), 21–37. https://doi.org/10.1111/j.1467-8551.1992.tb00033.x
  21. Free, C., Phillips, G., Watson, L., Galli, L., Felix, L., Edwards, P.,. & Haines, A. (2013). The effectiveness of mobile-health technologies to improve health care service delivery processes: A systematic review and meta-analysis. PLOS Medicine, 10(1), e1001363. https://doi.org/10.1371/journal.pmed.1001363
  22. Galpin, T. J. (2018). Realizing your strategy’s potential: A seven-step model for its effective execution. Strategy & Leadership, 46(6), 35–43. https://doi.org/10.1108/SL-09-2018-0088
  23. Glänzel, W., & Czerwon, H. (1996). A new methodological approach to bibliographic coupling and its application to the national, regional and institutional level. Scientometrics, 37(2), 195–221.
  24. Golden, B. R., & Zajac, E. J. (2001). When will boards influence strategy? Inclination× power= strategic change. Strategic management journal, 22(12), 1087-1111. https://doi.org/10.1002/smj.202
  25. Gök, H. S. (2021). Gönüllü turizm konusunda yapılan araştırmaların bibliyometrik analizi: Scopus örneği. Türk Turizm Araştırmaları Dergisi, 5(2), 1546–1567.
  26. Greenfield, D., Nugus, P., Travaglia, J., & Braithwaite, J. (2011). Factors that shape the development of interprofessional improvement initiatives in health organisations. BMJ Quality & Safety, 20(4), 332–337. https://doi.org/10.1136/bmjqs.2010.044545
  27. Hannan, M. T., & Freeman, J. (1977). The population ecology of organizations. American Journal of Sociology, 82(5), 929–964.
  28. Hjørland, B. (2013). Facet analysis: The logical approach to knowledge organization. Information Processing & Management, 49(2), 545–557. https://doi.org/10.1016/j.ipm.2012.10.001
  29. Kessler, M. M. (1963). Bibliographic coupling between scientific papers. American Documentation, 14(1), 10–25. https://doi.org/10.1002/asi.5090140103
  30. Kickbusch, I., & Gleicher, D. E. (2012). Governance for health in the 21st century. World Health Organization.
  31. Leonard, K. L. (2014). Active patients in rural African health care: Implications for research and policy. Health Policy and Planning, 29(1), 85–95. https://doi.org/10.1093/heapol/czs137
  32. Liu, X., Zhan, F. B., Hong, S., Niu, B., & Liu, Y. (2012). A bibliometric study of earthquake research: 1900–2010. Scientometrics, 92(3), 747–765. https://doi.org/10.1007/s11192-011-0599-z
  33. Lv, P. H., Wang, G. F., Wan, Y., Liu, J., Liu, Q., & Ma, F. C. (2011). Bibliometric trend analysis on global graphene research. Scientometrics, 88(2), 399–419. https://doi.org/10.1007/s11192-011-0386-x
  34. MacKay, R. B., & Chia, R. (2013). Choice, chance, and unintended consequences in strategic change: A process understanding of the rise and fall of NorthCo Automotive. Academy of Management Journal, 56(1), 208–230. https://doi.org/10.5465/amj.2010.0734
  35. Mantere, S., Schildt, H. A., & Sillince, J. A. (2012). Reversal of strategic change. Academy of Management Journal, 55(1), 172–196. https://doi.org/10.5465/amj.2008.0045
  36. Meara, J. G., Leather, A. J., Hagander, L., Alkire, B. C., Alonso, N., Ameh, E. A.,. & Yip, W. (2015). Global Surgery 2030: Evidence and solutions for achieving health, welfare, and economic development. The Lancet, 386(9993), 569–624. http://dx.doi.org/10.1016/S0140-6736(15)60160-X
  37. Mintzberg, H. (1978). Patterns in strategy formation. Management Science, 24(9), 934–948. https://doi.org/10.1287/mnsc.24.9.934
  38. Naranjo-Gil, D. (2015). The role of top management teams in hospitals facing strategic change: Effects on performance. International Journal of Healthcare Management, 8(1), 34–41. https://doi.org/10.1179/2047971914Y.0000000078
  39. Naranjo-Gil, D., & Hartmann, F. (2007). Management accounting systems, top management team heterogeneity and strategic change. Accounting, organizations and society, 32(7-8), 735-756. https://doi.org/10.1016/j.aos.2006.08.003
  40. Pereira, S. A., Ferreira, J. J., Rammal, H. G., & Peris-Ortiz, M. (2023). Strategic change in the health sector: A literature review and future challenges. Journal of Organizational Change Management, 36(2), 346–388. https://doi.org/10.1108/JOCM-05-2022-0144
  41. Perla, R. J., Bradbury, E., & Gunther-Murphy, C. (2013). Large-scale improvement initiatives in healthcare: A scan of the literature. The Journal for Healthcare Quality (JHQ), 35(1), 30–40. https://doi.org/10.1111/j.1945-1474.2011.00164.x
  42. Price, D. J. D. S. (1963). Little science, big science. Columbia University Press.
  43. Ridder, H. G., & Schrader, J. S. (2019). Processing of intended and unintended strategic issues and integration into the strategic agenda. Health Care Management Review, 44(4), 332–343. https://doi.org/10.1097/HMR.0000000000000184
  44. Small, H. (1973). Co‐citation in the scientific literature: A new measure of the relationship between two documents. Journal of the American Society for Information Science, 24(4), 265–269. https://doi.org/10.1002/asi.4630240406
  45. Trinh, H. Q., & O'Connor, S. J. (2000). The strategic behavior of US rural hospitals: A longitudinal and path model examination. Health Care Management Review, 25(2), 48–64.
  46. Van de Ven, A. H., & Poole, M. S. (1995). Explaining development and change in organizations. Academy of Management Review, 20(3), 510–540. https://doi.org/10.5465/amr.1995.9508080329
  47. Van Nunen, K., Li, J., Reniers, G., & Ponnet, K. (2018). Bibliometric analysis of safety culture research. Safety Science, 108, 248–258. https://doi.org/10.1016/j.ssci.2017.08.011
  48. World Health Organization. (2013). Health 2020: A European policy framework and strategy for the 21st century. World Health Organization, Regional Office for Europe.
  49. Yang, L., Chen, Z., Liu, T., Gong, Z., Yu, Y., & Wang, J. (2013). Global trends of solid waste research from 1997 to 2011 by using bibliometric analysis. Scientometrics, 96, 133–146. https://doi.org/10.1007/s11192-012-0911-6
  50. Zajac, E. J., & Kraatz, M. S. (1993). A diametric forces model of strategic change: Assessing the antecedents and consequences of restructuring in the higher education industry. Strategic Management Journal, 14(S1), 83–102. https://doi.org/10.1002/smj.4250140908
  51. Free, C., Phillips, G., Watson, L., Galli, L., Felix, L., Edwards, P.,. & Haines, A. (2013). The effectiveness of mobile-health technologies to improve health care service delivery processes: A systematic review and meta-analysis. PLOS Medicine, 10(1), e1001363. https://doi.org/10.1371/journal.pmed.1001363
  52. Meara, J. G., Leather, A. J., Hagander, L., Alkire, B. C., Alonso, N., Ameh, E. A.,. & Yip, W. (2015). Global Surgery 2030: Evidence and solutions for achieving health, welfare, and economic development. The Lancet, 386(9993), 569–624. http://dx.doi.org/10.1016/S0140-6736(15)60160-X