Effects of Leadership and Organizational Structure on Institution Culture in Affiliated Hospitals in Turkey

Abstract

The affiliation model which aims more effective use of limited facilities, has began to be implemented in Turkey since 2010. The aim of this study is to determine the effects of leadership and organizational structures on organizational culture and to determine the relationship between leadership styles of health leaders and organizational culture. The population of the study is Head Doctors, Deputy Chief Physicians, Managers, Deputy Managers, Unit Supervisor Nurses.The sample consisted of 435 health workers randomly selected from the specified 6 Affiliated Hospitals.We performed survey questions to this population. It was found that Erzincan Binali Yildirim University (EBYU) Oral and Dental Health Training and Research Hospital (ODHTRH) has the highest mean score among affiliated hospitals in the work-oriented dimension, EBYU ODHTRH also has the highest mean score among affiliated hospitals in the employee-oriented leadership, change-oriented leadership sub-dimensions and the leadership characteristics of managers. The highest mean score in the Authorization and Coordination dimensions was EBYU ODHTRH. The affiliated hospital having the highest mean scores in teamwork, developing talent, reconciliation, participation culture, change, strategic management, organizational goals, vision, adaptation culture, organizational culture was Amasya University Sabuncuoglu Serefeddin Training and Research Hospital. The Rize Recep Tayyip Erdogan University Training and Research Hospital has the highest mean scores in core values, customer centricity and organizational learning dimensions. It has been found that leadership and organizational structures contribute positively to organizational culture. This result will change the structure of administration for affiliated hospitals. This is the first study on affiliated hospitals in Turkey.