Korea Journal of Hospital Management (한국병원경영학회지)

Korean Society of Hospital Management (한국병원경영학회)
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An identification of determinants to the development of intrapreneurial intention in small & medium sized local hospital in South Korea

  • Chang Hun Lee (Seoul Business School, aSSIST University & Business School Lausanne) ;
  • Michael G. Hathorn (Business School Lausanne) ;
  • Doo Young Lee (Research Center of Sung-In Medical Foundation)
  • Received : 2024.05.21
  • Accepted : 2024.06.24
  • Published : 2024.06.30
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Abstract

Purpose: The present study identified the determinants in the development of intrapreneurial intention in small and medium-sized local hospitals. A careful literature review led to the development of a conceptual model which identified two types of employee competence-individual competence and managerial competence-to influence intrapreneurial orientation positively. It was hypothesized that intrapreneurial orientation predicts intrapreneurial intention and is mediated by intrapreneurial commitment. Methodology/Approach: The target population was chosen from two medical institutions of 'D' Hospital and 'E' Geriatric Hospital in Changwon City, South Korea. Samples were collected from 299 respondents who completed a structured questionnaire. Findings: The results from a structural equation modeling statistical analysis indicated that (1) individual competence and managerial competence positively and significantly predict intrapreneurial orientation, (2) intrapreneurial orientation positively and significantly influences intrapreneurial intention, (3) intrapreneurial commitment partially mediates the relation of intrapreneurial orientation to intrapreneurial intention, and (4) the mediation effect of intrapreneurial commitment was significant in the medical-personnel group, but not in the non-medical group. Practical Implications: Overall findings from the present work provide vital insights into understanding the preconditions for developing employee intrapreneurship in small and medium-sized local hospitals.

연구의 목적: 본 연구의 목적은 중소 지방 병원 내에서 사내 기업가 활동 의도의 선행요인을 탐색함에 있다. 본 연구는 병원 종사자의 개인적 역량과 경영적 역량이 사내 기업가 지향성에 긍정적인 영향을 미칠 것으로 예측하였다. 그리고 사내 기업가 활동의도에 미치는 사내 기업가 지향성의 영향은 사내 기업가 활동의 헌신에 의해서 매개가 될 것으로 예측하였다. 연구방법론: 우리나라 창원시에 위치한 'D'병원과 'E' 병원에서 종사하는 299명의 의료인으로부터 설문자료를 수집하였다. 그리고 수집된 자료에 대하여 구조방정식 모형분석을 수행하여 연구모형과 연구가설을 통계적 유의수준에서 평가하였다. 연구결과: 본 연구의 주요 결과는 다음과 같다. 첫째, 연구대상자가 인식하는 개인적 역량과 경영적 역량은 사내 기업가 지향성에 유의한 정(+)의 영향을 미치는 것으로 나타났다. 둘째, 사내 기업가 지향성은 사내 기업가 활동 의도에 유의한 정(+)의 영향을 미치는 것으로 나타났다. 셋째, 사내 기업가 활동 의도에 미치는 사내 기업가 지향성의 영향은 사내 기업가 활동 헌신에 의해서 매개가 되는 것으로 나타났다. 넷째, 비의료 집단 내에서의 사내 기업가 활동 헌신의 매개효과는 의료집단 내에서의 매개효과보다 크며, 관찰된 차이는 통계적으로 유의한 것으로 평가되었다. 시사점: 본 연구의 결과는 우리나라 중소병원이 가지는 어려움과 문제점을 해결하기 위해 수행해야 하는 전략 중의 하나인 사내 기업가 활동을 활성화하기 위한 중요한 전제조건과 시사점을 제공한다.

Keywords

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