Sağlık Kurumlarında Kurumsal Sosyal Sorumluluk ve Finansal Performans İlişkisi: Uluslararası Kanıtlar
Yıl 2025,
Cilt: 17 Sayı: 32, 378 - 389, 30.05.2025
Hüseyin Temiz
,
Fatih Şantaş
,
Gülcan Şantaş
Öz
Amaç: Bu çalışma sağlık kuruluşlarının kurumsal sosyal sorumluluk performansı ile finansal performansı arasındaki ilişkiyi uluslararası örneklem kullanarak incelemektedir.
Tasarım/Yöntem: Bu çalışmada Sıradan En Küçük Kareler, Ağırlıklı En Küçük Kareler, Ülke ve Kurum Sabit Etkiler Modelleri dâhil olmak üzere kuruluşların kurumsal sosyal sorumluluk performansı ve metodolojileri için çeşitli alternatif temsillerinden yararlanılmıştır. Çalışmanın örneklemini 21 ülkeden firmaların 1514 firma yılı gözlemi oluşturmaktadır ve ilgili veriler Refinitiv veri tabanından elde edilmiştir.
Bulgular: Kuruluşların kurumsal sosyal sorumluluk performansı ile finansal performansı arasındaki ilişkinin sağlık sektöründe anlamlı olduğunu doğrulamaktadır. Diğer bir ifadeyle, bu çalışma kuruluşların kurumsal sosyal sorumluluk performansının finansal performans üzerinde pozitif ve istatistiksel olarak anlamlı bir etkiye sahip olduğunu gösteren kanıtlar sunmaktadır.
Sınırlılıklar: Örneklemin veri tabanında yer alan sağlık kuruluşlarını ve mevcut dönemlerini içermesi araştırımın sınırlılıklarıdır.
Özgünlük/Değer: Diğer alanlarda yoğun olarak çalışılmasına karşın sağlık kuruluşları kapsamında sınırlı sayıda incelenen kurumsal sosyal sorumluluk ve finansal performans ilişkisinin bu çalışmada incelenmesi ve kurumsal sosyal sorumluluk ile ilgili konuların sağlık kuruluşlarının karlılığı ve hayatta kalmaları için önemli olduğuna dair kanıtların sunulması araştırmanın özgün değerini oluşturmaktadır.
Kaynakça
- Abderraouf, G. & Nadira R. (2018). The Impact of Corporate Social Responsibility On Quality Health,
Safety and Environment, European Journal of Multidisciplinary Studies, 3(2): 43-52.
https://doi.org/10.26417/ejms.v7i2.p43-52
- Bodenheimer, T., & Sinsky, C. (2014). From triple to quadruple aim: care of the patient requires care of
the provider. The Annals of Family Medicine, 12(6), 573-576. https://doi.org/10.1370/afm.1713
- Brandao, C., Rego, G., Duarte, I. and Nunes, R. (2013). Social Responsibility: A New Paradigm of
Hospital Governance? Health Care Anal, 21: 390–402. https://doi.org/10.1007/s10728-012-
0206-3
- Cho, S., Chung, C.Y. & Young, J. (2019). Study on the Relationship Between CSR and Financial
Performance. Sustainability, 11(343): 1-26. https://doi.org/10.3390/su11020343
- Chowdhury, M., Paul, S. K., Kaisar, S., & Moktadir, M. A. (2021). COVID-19 pandemic related supply
chain studies: A systematic review. Transportation Research Part E: Logistics and
Transportation Review, 145, 102206. https://doi.org/10.1016/j.tre.2021.102271
- Detthamrong, U., Chancharat, N. & Vithessonthi, C. (2017). Corporate Governance, Capital Structure
and Firm Performance: Evidence from Thailand. Research in International Business and Finance,
42: 689-709. https://doi.org/10.1016/j.ribaf.2017.07.011
- Droppert, H. & Bennett S. (2015). Corporate Social Responsibility in Global Health: An Exploratory
Study of Multinational Pharmaceutical Firms. Globalization and Health, 11(15): 1-8.
https://doi.org/10.1186/s12992-015-0100-5
- Friede, G., Busch, T., & Bassen, A. (2015). ESG and financial performance: Aggregated evidence from
more than 2000 empirical studies. Journal of Sustainable Finance & Investment, 5(4), 210-233.
https://doi.org/10.1080/20430795.2015.1118917
- Gharaee, H., Bahrami, M.A., Rejaliyan, F., Atashbahar, O.B., Homayouni, A., Ataollahi, F. & Jamali,
E. (2013). Corporate Social Responsibility of Hospitals: The Effect of Emotional Intelligence.
Middle-East Journal of Scientific Research, 17(7): 842-847.
https://doi.org/10.5829/idosi.mejsr.2013.17.07.7649
- Griffin, J.J. & Mahon J.F. (1997). The Corporate Social Performance and Corporate Financial
Performance Debate: Twenty-Five Years of Incomparable Research. Business Society, 36(5): 5-
31. https://doi.org/10.1177/00076503970360010
- Gujarati, D.N. (2009). Basic Econometrics, New York: TataMcGraw-Hill Education.
- Han, S., Kang, T., Salter, S., & Yoo, Y.K. (2010). A Cross-Country Study on the Effects of National
Culture on Earnings Management. Journal of International Business Studies, 41(1): 123-141.
https://doi.org/10.1057/jibs.2008.78
- Hwang, Y.I. & Chung S.A. (2018). Market Orientation, Social Responsibility, And Performance in
Korea's Healthcare Industry. International Journal of Healthcare Management, 11(4): 325-332.
https://doi.org/10.1080/20479700.2017.1404728
- Ioannou, I. & Serafeim, G. (2012). What Drives Corporate Social Performance? The Role of NationLevel Institutions. Journal of International Business Studies, 43(9): 834-864.
https://doi.org/10.1057/jibs.2012.26
- Jang, S.S., Ko, H., Chung, Y. & Woo, C. (2019). CSR, Social Ties and Firm Performance. Corporate
Governance, 19(6): 1310-1323. https://doi.org/10.1108/CG-02-2019-0068
- Jayachandran, S., Kalaignanam, K. & Eilert, M. (2013). Product and Environmental Social
Performance: Varying Effect on Firm Performance. Strategic Management Journal, 34(10):
1255-1264. https://doi.org/10.1002/smj.2054
- Kumari, S., & Kumar, R. (2020). Green hospital-A necessity and not option. Journal of Management
Research and Analysis, 7(2), 46-51. https://doi.org/10.18231/j.jmra.2020.010
- Leela, V. (2014). Corporate social responsibility in hospitals: need for transparent CSR initiatives for
internal and external stakeholders. International Journal of Business Ethics in Developing
Economies, 3(1), 8-18. http://www.publishingindia.com/ijbede/51/corporate-socialresponsibility-in-hospitals-need-for-transparent-csr-initiatives-for-internal-and-externalstakeholders/333/2432/
- Lubis, A.N. (2018). Corporate Social Responsibility in Health Sector: A Case Study in the Government
Hospitals in Medan, Indonesia, Business: Theory and Practice, 19:25–36.
https://doi.org/10.3846/btp.2018.04
- Macuda, M. (2016). Corporate Social Responsibility: A New Trend in Hospital Accounting? Prace
Naukowe Uniwersytetu Ekonomicznego w Katowicach, 284: 76–86.
https://www.ue.katowice.pl/fileadmin/user_upload/wydawnictwo/SE_Artyku%C5%82y_271_2
90/SE_284/07.pdf
- Mak, Y.T. & Kusnadi, Y. (2005). Size Really Matters: Further Evidence on the Negative Relationship
Between Board Size and Firm Value. Pacific-Basin Finance Journal, 13(3): 301-318.
https://doi.org/10.1016/j.pacfin.2004.09.002
- Miller, S.R., Eden, L. & Li D. (2020). CSR Reputation and Firm Performance: A Dynamic Approach.
Journal of Business Ethics, 163: 619–636. https://doi.org/10.1007/s10551-018-4057-1
- Mishra, S., & Suar, D. (2010). Does Corporate Social Responsibility Influence Firm Performance of
Indian Companies? Journal of Business Ethics, 95(4): 571-601. https://doi.org/10.1007/s10551-
010-0441-1
- Porter, M. E., & Kramer, M. R. (2011). Creating shared value. Harvard Business Review, 89(1/2), 62-
77. https://hbr.org/2011/01/the-big-idea-creating-shared-value
- Refinitive Environmental, Social and Governance (ESG) Scores from Refinitive (2021). Retrieved from:
https://www.refinitiv.com/content/dam/marketing/en_us/documents/methodology/refinitiv-esgscores-methodology.pdf
- Roman, R.M., Hayıbor, S. & Agle, B.R. (1999). The Relationship Between Social and Financial
Performance. Business Society, 38: 109-125. https://doi.org/10.1177/000765039903800105
- Russo, F. (2016). What is the CSR’s Focus in Healthcare? Journal of Business Ethics, 134: 323-334.
https://doi.org/10.1007/s10551-014-2430-2
- Safkaur O. (2016). Corporate Social Responsibility in The Health Sector for Papua Indonesia.
International Journal of Scientific & Technology Research, 5(04): 159-167.
https://www.ingentaconnect.com/content/doaj/22778616/2015/00000004/00000008/art00594
- Shaukat, A., Qiu, Y. & Trojanowski, G. (2016). Board Attributes, Corporate Social Responsibility
Strategy, and Corporate Environmental and Social Performance. Journal of Business Ethics,
35(3): 569-585. https://doi.org/10.1007/s10551-014-2460-9
- Takahashi, T., Ellen, M. & Brown, A. (2013). Corporate Social Responsibility and Hospitals: US
Theory, Japanese Experiences, And Lessons for Other Countries. Healthcare Management
Forum, 26:176–179. https://doi.org/10.1016/j.hcmf.2013.07.0
- Waddock, S.A. & Graves SB. (1997). The Corporate Social Performance– Financial Performance link.
Strategic Management Journal, 18(4): 303–319. https://doi.org/10.1002/(SICI)1097-
0266(199704)18:4<303::AID-SMJ869>3.0.CO;2-G
- Yang M, Bento P, & Akbar A. (2019). Does CSR Influence Firm Performance Indicators? Evidence
from Chinese Pharmaceutical Enterprises. Sustainability, 11(5656): 1-18.
https://doi.org/10.3390/su11205656
Corporate Social Responsibility and Financial Performance Relationship in Healthcare Institutions: International Evidence
Yıl 2025,
Cilt: 17 Sayı: 32, 378 - 389, 30.05.2025
Hüseyin Temiz
,
Fatih Şantaş
,
Gülcan Şantaş
Öz
Purpose: This study examines the relationship between corporate social responsibility performance and financial performance of healthcare organisations using an international sample.
Design/Methodology: This study utilises various alternative representations of corporate social responsibility performance and methodologies for organisations, including Ordinary Least Squares, Weighted Least Squares, Country and Institution Fixed Effects Models. The sample of the study consists of 1514 firm-year observations of firms from 21 countries and the relevant data were obtained from the Refinitiv database.
Findings: The study confirms that the relationship between organisations' corporate social responsibility performance and financial performance is significant in the healthcare sector. In other words, this study provides evidence that organisations' corporate social responsibility performance has a positive and statistically significant effect on financial performance.
Limitations: The fact that the sample consists of healthcare institutions that are covered by the data provider and the sample period only covers the years in which the institutions have required data are the limitations of the study.
Originality/Value: The originality of this study lies in the fact that it examines the relationship between corporate social responsibility and financial performance, which has been extensively researched in other sectors but limited in the context of healthcare organisations, and provides evidence that corporate social responsibility issues are important to the profitability and survival of healthcare organisations.
Kaynakça
- Abderraouf, G. & Nadira R. (2018). The Impact of Corporate Social Responsibility On Quality Health,
Safety and Environment, European Journal of Multidisciplinary Studies, 3(2): 43-52.
https://doi.org/10.26417/ejms.v7i2.p43-52
- Bodenheimer, T., & Sinsky, C. (2014). From triple to quadruple aim: care of the patient requires care of
the provider. The Annals of Family Medicine, 12(6), 573-576. https://doi.org/10.1370/afm.1713
- Brandao, C., Rego, G., Duarte, I. and Nunes, R. (2013). Social Responsibility: A New Paradigm of
Hospital Governance? Health Care Anal, 21: 390–402. https://doi.org/10.1007/s10728-012-
0206-3
- Cho, S., Chung, C.Y. & Young, J. (2019). Study on the Relationship Between CSR and Financial
Performance. Sustainability, 11(343): 1-26. https://doi.org/10.3390/su11020343
- Chowdhury, M., Paul, S. K., Kaisar, S., & Moktadir, M. A. (2021). COVID-19 pandemic related supply
chain studies: A systematic review. Transportation Research Part E: Logistics and
Transportation Review, 145, 102206. https://doi.org/10.1016/j.tre.2021.102271
- Detthamrong, U., Chancharat, N. & Vithessonthi, C. (2017). Corporate Governance, Capital Structure
and Firm Performance: Evidence from Thailand. Research in International Business and Finance,
42: 689-709. https://doi.org/10.1016/j.ribaf.2017.07.011
- Droppert, H. & Bennett S. (2015). Corporate Social Responsibility in Global Health: An Exploratory
Study of Multinational Pharmaceutical Firms. Globalization and Health, 11(15): 1-8.
https://doi.org/10.1186/s12992-015-0100-5
- Friede, G., Busch, T., & Bassen, A. (2015). ESG and financial performance: Aggregated evidence from
more than 2000 empirical studies. Journal of Sustainable Finance & Investment, 5(4), 210-233.
https://doi.org/10.1080/20430795.2015.1118917
- Gharaee, H., Bahrami, M.A., Rejaliyan, F., Atashbahar, O.B., Homayouni, A., Ataollahi, F. & Jamali,
E. (2013). Corporate Social Responsibility of Hospitals: The Effect of Emotional Intelligence.
Middle-East Journal of Scientific Research, 17(7): 842-847.
https://doi.org/10.5829/idosi.mejsr.2013.17.07.7649
- Griffin, J.J. & Mahon J.F. (1997). The Corporate Social Performance and Corporate Financial
Performance Debate: Twenty-Five Years of Incomparable Research. Business Society, 36(5): 5-
31. https://doi.org/10.1177/00076503970360010
- Gujarati, D.N. (2009). Basic Econometrics, New York: TataMcGraw-Hill Education.
- Han, S., Kang, T., Salter, S., & Yoo, Y.K. (2010). A Cross-Country Study on the Effects of National
Culture on Earnings Management. Journal of International Business Studies, 41(1): 123-141.
https://doi.org/10.1057/jibs.2008.78
- Hwang, Y.I. & Chung S.A. (2018). Market Orientation, Social Responsibility, And Performance in
Korea's Healthcare Industry. International Journal of Healthcare Management, 11(4): 325-332.
https://doi.org/10.1080/20479700.2017.1404728
- Ioannou, I. & Serafeim, G. (2012). What Drives Corporate Social Performance? The Role of NationLevel Institutions. Journal of International Business Studies, 43(9): 834-864.
https://doi.org/10.1057/jibs.2012.26
- Jang, S.S., Ko, H., Chung, Y. & Woo, C. (2019). CSR, Social Ties and Firm Performance. Corporate
Governance, 19(6): 1310-1323. https://doi.org/10.1108/CG-02-2019-0068
- Jayachandran, S., Kalaignanam, K. & Eilert, M. (2013). Product and Environmental Social
Performance: Varying Effect on Firm Performance. Strategic Management Journal, 34(10):
1255-1264. https://doi.org/10.1002/smj.2054
- Kumari, S., & Kumar, R. (2020). Green hospital-A necessity and not option. Journal of Management
Research and Analysis, 7(2), 46-51. https://doi.org/10.18231/j.jmra.2020.010
- Leela, V. (2014). Corporate social responsibility in hospitals: need for transparent CSR initiatives for
internal and external stakeholders. International Journal of Business Ethics in Developing
Economies, 3(1), 8-18. http://www.publishingindia.com/ijbede/51/corporate-socialresponsibility-in-hospitals-need-for-transparent-csr-initiatives-for-internal-and-externalstakeholders/333/2432/
- Lubis, A.N. (2018). Corporate Social Responsibility in Health Sector: A Case Study in the Government
Hospitals in Medan, Indonesia, Business: Theory and Practice, 19:25–36.
https://doi.org/10.3846/btp.2018.04
- Macuda, M. (2016). Corporate Social Responsibility: A New Trend in Hospital Accounting? Prace
Naukowe Uniwersytetu Ekonomicznego w Katowicach, 284: 76–86.
https://www.ue.katowice.pl/fileadmin/user_upload/wydawnictwo/SE_Artyku%C5%82y_271_2
90/SE_284/07.pdf
- Mak, Y.T. & Kusnadi, Y. (2005). Size Really Matters: Further Evidence on the Negative Relationship
Between Board Size and Firm Value. Pacific-Basin Finance Journal, 13(3): 301-318.
https://doi.org/10.1016/j.pacfin.2004.09.002
- Miller, S.R., Eden, L. & Li D. (2020). CSR Reputation and Firm Performance: A Dynamic Approach.
Journal of Business Ethics, 163: 619–636. https://doi.org/10.1007/s10551-018-4057-1
- Mishra, S., & Suar, D. (2010). Does Corporate Social Responsibility Influence Firm Performance of
Indian Companies? Journal of Business Ethics, 95(4): 571-601. https://doi.org/10.1007/s10551-
010-0441-1
- Porter, M. E., & Kramer, M. R. (2011). Creating shared value. Harvard Business Review, 89(1/2), 62-
77. https://hbr.org/2011/01/the-big-idea-creating-shared-value
- Refinitive Environmental, Social and Governance (ESG) Scores from Refinitive (2021). Retrieved from:
https://www.refinitiv.com/content/dam/marketing/en_us/documents/methodology/refinitiv-esgscores-methodology.pdf
- Roman, R.M., Hayıbor, S. & Agle, B.R. (1999). The Relationship Between Social and Financial
Performance. Business Society, 38: 109-125. https://doi.org/10.1177/000765039903800105
- Russo, F. (2016). What is the CSR’s Focus in Healthcare? Journal of Business Ethics, 134: 323-334.
https://doi.org/10.1007/s10551-014-2430-2
- Safkaur O. (2016). Corporate Social Responsibility in The Health Sector for Papua Indonesia.
International Journal of Scientific & Technology Research, 5(04): 159-167.
https://www.ingentaconnect.com/content/doaj/22778616/2015/00000004/00000008/art00594
- Shaukat, A., Qiu, Y. & Trojanowski, G. (2016). Board Attributes, Corporate Social Responsibility
Strategy, and Corporate Environmental and Social Performance. Journal of Business Ethics,
35(3): 569-585. https://doi.org/10.1007/s10551-014-2460-9
- Takahashi, T., Ellen, M. & Brown, A. (2013). Corporate Social Responsibility and Hospitals: US
Theory, Japanese Experiences, And Lessons for Other Countries. Healthcare Management
Forum, 26:176–179. https://doi.org/10.1016/j.hcmf.2013.07.0
- Waddock, S.A. & Graves SB. (1997). The Corporate Social Performance– Financial Performance link.
Strategic Management Journal, 18(4): 303–319. https://doi.org/10.1002/(SICI)1097-
0266(199704)18:4<303::AID-SMJ869>3.0.CO;2-G
- Yang M, Bento P, & Akbar A. (2019). Does CSR Influence Firm Performance Indicators? Evidence
from Chinese Pharmaceutical Enterprises. Sustainability, 11(5656): 1-18.
https://doi.org/10.3390/su11205656