Impact of Internationalizing Health Care Facilities Business

This investigation analyzes the impact of internationalizing health care facilities business in the United Kingdom. It explores the performance, trends, challenges, and factors affecting the delivery of health care services. The study aims to provide insights for organizations looking to expand their operations internationally in the health care sector.

An investigation to analyze the impact
of internationalizing health care
facilities business: A study of the health
care sector in the United Kingdom

Abstract
One of the major goals of any organization is to earn profits as well as expand its
business to another countries. There are different factors that can affect the overall process of
internationalization for the company. The health care sector is a very competitive industry as the
companies are constantly innovating their services. The overall impact of internationalization of
a health care business to another country can either be positive or negative. If the company has
taken into account the risks as well as threats, it will be able to develop effective strategies and
make informed decisions regarding the same. There can also be various challenges that the
organization can face while internationalizing its business such as a lack of availability of
resources, lack of labor, intense competition, language barriers etc.

Contents
Abstract......................................................................................................................................................2
Topic: An investigation to analyze the impact of internationalizing health care facilities business: A study
of the health care sector in the United Kingdom..........................................................................................4
INTRODUCTION.....................................................................................................................................4
Research Aim..........................................................................................................................................6
Research Objectives................................................................................................................................6
Research Questions.................................................................................................................................6
Literature Review......................................................................................................................................7
Impact of internationalizing on the performance of a health care facilities business...............................7
Latest trends in the health care sector of Romania...................................................................................8
Challenges faced by an organization while internationalizing its business..............................................8
Factors that can affect the delivery of health care services......................................................................9
Methodology............................................................................................................................................11
Analysis/Evaluation.................................................................................................................................15
Conclusion and Recommendations........................................................................................................26
Conclusion.............................................................................................................................................26
Recommendations.................................................................................................................................27
REFERENCES........................................................................................................................................29
Appendix..................................................................................................................................................31

Topic: An investigation to analyze the impact of internationalizing health care facilities business:
A study of the health care sector in the United Kingdom.
INTRODUCTION
One of the many goals of any organization is to expand its business internationally across
different geographic locations (Alessandri, Cerrato and Eddleston, 2018). And in order to do so,
they adopt various measures and constantly innovate their products as well as services. This
helps in attracting a greater number of customers and also generate awareness among them. The
health care sector in the United Kingdom is huge with a lot of organizations operating within it
(Akoto and Akoto, 2018). They offer services related to different health issues for people
belonging to different age groups. Advancements within the health care sector have improved the
overall delivery of various health care services as well as increasing the overall efficiency.
Besides this, companies in the health care sector are partnering with the other companies within
the industry so that the resources can be utilized in a more efficient manner. this not only helps in
saving costs, but also improves the overall delivery of services to the citizens of the nation. Apart
from this, the overall needs of the people related to their health are also satisfied. As a result, the
overall health of the public is maintained. Companies that operate at a large scale have
operations across different parts of the world. Health care organizations that operate
internationally have to understand the different health care needs of the people.
This is important and can help them in providing a better experience to the people. The
respective dissertation is based on Mapledown School, which is a school for students who have
complex and severe learning difficulties. The students at the school have a diverse range of
needs. And thus, the overall focus of the school is on working together to address the needs of
such students and promote learning. The school has a complete-time Nurse and a nurse assistant,
and students have gotten admission to an integrated carrier supplied via Speech and Language
Therapy, Physiotherapy, Occupational Therapy, Music Therapy, Pediatricians, Dietician, Social
Services and professional peripatetic instructors as required (e.g. Visual or Hearing Impairment).
The college is a registered ‘Regional Training Centre’ for the MOVE Programme – this is a
faculty extensive gadget for assessing and selling bodily independence abilities. Mapledown is
positioned close to a mainstream secondary school and a number of our students attend included
instructions there or use their school facilities – e.g., Technology room, sports corridor, library

and so on (Baba, 2018). The report explains the concept of internationalization among healthcare
organizations, their performance as well as the process of internationalization. There is also an
explanation about the methodology that is used in the report along with the different sources
from which the data was taken. There is also a section that explains how the data was analyzed
as well as evaluated. Lastly, the report also provides recommendations for the organization
regarding expanding its business operations to other countries (Badawi, 2019). In the respective
research, the researcher has used both primary as well as secondary data in order to obtain
reliable information as well as conclusion for the research. The reason behind undertaking this
research is to enhance the existing understanding of the readers about the different factors that
can affect the overall process of internationalizing a business. The researcher has planned to
employ qualitative as well as quantitative research in order to ensure that the overall research is
effective and that the research aim as well as objectives are achieved.
Background information for health sector and the organization
In this report, the respective organization, Mapledown School, which is a school for
children with special needs, is keen on internationalizing its business to Romania. The
management of the school wants to address the needs of students with special needs. The school
is currently situated in London and wants to expand its operations to Romania. Currently the
school offers a variety of facilities to the students who are enrolled there. The different facilities
include a soft play cabin, a library, a multigym, a life skills room etc. The school is organized
into two departments and the school keeps day by day touch with mother and father and carers
through a gadget of Home –School Diaries (Belousova, 2019). The school keeps Coffee
Mornings every half time period for mother and father and carers to return into college. A wide
variety of our college students frequently use the overnight respite facilities supplied via Social
Services and wherein this is the case, we hold the identical stage of links as with the home. All
pupil development is pronounced at Annual Reviews of Education, Health and Care plans.
Parents and carers can name the headteacher at once and the school maintains an open door
coverage. Children with special health needs have to be taken care of very effectively, they have
to be provided with attention (Buckner and Stein, 2020). Different people have different health
needs and this also varies across different countries or geographic regions. Although one of the
goals of the school is to internationalize, but it is also focused on satisfying a greater number of

people with special health needs. Thus, by expanding in Romania, the company will be able to
do so and reach out to a greater number of people.
Research Aim
“To analyze the impact of internationalizing health care facilities business: A study of the
health care sector in the United Kingdom.”
Research Objectives
 To analyze the overall impact of internationalizing on the performance of a health care
facilities business.
 To identify the latest trends in the health care sector of Romania.
 To determine the challenges faced by an organization while internationalizing its
business.
 To identify the factors that can affect the delivery of health care services.
Research Questions
 What is the overall impact of internationalizing on the performance of a health care
facilities business?
 What are the latest trends in the health care sector of Romania?
 What are the challenges faced by an organization while internationalizing its business?
 What are the factors that can affect the delivery of health care services?

Literature Review
Impact of internationalizing on the performance of a health care facilities business
Internationalization can refer to the different steps that are taken by an organization in
order to capture a greater share of market in the industry. Apart from this, another reason behind
an organization to go international is to increase its overall profitability as well as reach out to a
greater number of people and thus, increase its footprint (Cooke, 2018). International business
also increases opposition in home markets and introduces new possibilities to overseas markets.
Global opposition encourages companies to become more innovative and greener in their use of
sources. For purchasers, worldwide commercial enterprise introduces them to a ramification of
products and services.
It can be said that the overall impact of internationalization on the performance of a
health care business can either be positive or negative. The greater the degree of
internationalization of a firm, the greater is its overall performance. The company is able to
perform in an effective manner and there is an increase in the overall profitability of the firm as
well. it is important to take into account the different potential risks that can affect the firm.
These can include changes in the economy, political stability, environmental or technological
changes. All of these changes can affect the performance of the firm to a great extent. It can be
said that performance of the company be improved if it analyzes as well as effectively utilizes
the resources that are available in other countries. Besides this, in order to reduce any negative
impact, the company can develop new technologies that can help it in determining the potential
impact of certain factors.
Companies are seeking for internationalization strategies for numerous motives: to
generate economies of scale, to reap efficient use of resources, to enlarge and diversify the
marketplace, or to manipulate political and economic dangers. Besides that, companies can
amplify to different international locations searching for a market with final purchasers, herbal
resources, understanding, performance, global fee consolidation and geopolitical influence (De
Noni, Orsi and Zanderighi, 2019). From this perspective of innovation, exploratory capability for
price introduction is a essential detail of international enterprise studies, as the competencies
acquired by way of organizations via the collaboration of worldwide networks definitely impact
the conduct of innovation introduction. Hence, a hit multinational movement is primarily based

on hanging a balance between soaking up key aggressive blessings inside the marketplace, whilst
integrating the great of neighborhood resources and aggressive occasions to leverage those
middle skills for maximum strategic effectiveness. Such understandings show the relevance of
internationalization to company overall performance. There are different internationalizing
strategies that can be adopted by an organization. For example, the company can opt for
franchising or build a joint venture in another country, Romania in this case. This can help in
saving unnecessary expenses.
Latest trends in the health care sector of Romania
The healthcare sector in Romania is mainly dominated by the public sector wherein most
of the hospitals are owned by the public sector. And also, almost of the Romanian citizens
receive national health insurance (do Nascimento, 2017). The public healthcare system in the
respective country includes health insurances that cover almost all of the Romanian citizens. The
market in the country for medical devices, dental products as well as diagnostic equipment have
excellent potential for growth. This can be beneficial for the respective company Mapledown
School as it will be able to serve the healthcare needs of the people in an effective manner. but
currently, the balance between the employed as well as unemployed people in the health care
sector is less. Due to this, it can be a little difficult for the firm to internationalize its operations.
Also, currently, the health care sector of the country has a good distribution system.
Also, the country has a high need of hospitalization which means that there is a need for
providing effective services to the citizens (Weerawardena and et.al., 2020). This is because
different people have different healthcare needs and therefore, it is important to take the same
into account. Also, the country is adopting latest technology in order to provide a seamless
experience to the citizens (Hejazi Kenari, 2019). But there are also certain people who have
special health care needs as compared to other people. Artificial intelligence is also one of the
latest trends in the Romania. Apart from this, there are virtual reality as well as augmented
reality are also some of the important trends in the country.
Challenges faced by an organization while internationalizing its business
As per the view point of Katie Reynolds, there can be certain challenges that the
company can face while internationalizing its business (11 Biggest Challenges of International
Business in 2017, 2017). For example, there can be certain economic as well as political

instability of the country and therefore, the overall performance of Mapledown School can be
affected to a great extent. The prices of the medications can also vary and therefore, this can
affect the services to a great extent. Advancements in technology have also affected the delivery
of health care services to a great extent. Therefore, it can be said that the different challenges can
affect the overall delivery of the health care services. Payment method is another challenge that
the company can face while internationalizing its business in Romania. Therefore, it is important
for the company to analyze the different challenges beforehand so that their overall impact can
be eliminated.
The payment options in the country can be different from those in the United Kingdom
and therefore, this can cause problems in transactions (Hudson and Hinman, 2017). Apart from
this, language is also one of the challenges that is important that the company hires health care
professionals, who are able to speak the roman language. Any fluctuation in the currency rates is
another challenge along with a lack of communication among the healthcare professionals as
well as the people who need health care services. There is a huge cultural difference between the
United Kingdom as well as Romania. Thus, this can possibly affect the overall function of the
Mapledown School to a great extent. Availability of labor and raw materials is a factor that has
to be taken into account because otherwise, the organization will not be able to provide
appropriate health care services to the people (Sun and et.al., 2020). Therefore, it can be said that
the organization should analyze the different challenges in the country that it is planning to
internationalize in. this will not only provide a glance at the different challenges, but also the
different possibilities and opportunities as well. the environmental issues are increasing day by
day.
Factors that can affect the delivery of health care services
There can be certain factors that can affect the overall delivery of healthcare services in a
country. Firstly, the main factors that can affect the health care service delivery can include
differences in the culture of the two places. Apart from this, language can affect the same and the
availability of the medica supplies is another factor that has to be taken into account. Health care
services are planned taking into account the health care needs of the people. The level of patient
cooperation can also affect or influence the overall delivery of the service (Iizuka and Ikeda,
2019). This is because if the patients will not be cooperating enough, the service that will be

provided to them, will be different and there are chances that it may not be as effective as it was
intended to be. The knowledge as well as skills of the physician is another factor that can
particular impact not only the delivery of services, but also the overall health of the person.
Random event can affect the overall health of the person if their health needs are different from
others.
Income level of the patients as well as the people living in the country can have a
significant impact on the overall delivery of health services. It is important for the government of
a country to make sure that the people have access to the different health services. Therefore, it is
important to make sure that people receive appropriate health care services as required. In order
to ensure this, community engagement as well as different social norms should be promoted
(Kiggundu and Pal, 2018). Therefore, it can be said that the health care sector can be influenced
by various factors and it is important to identify these factors and adopt appropriate measures
accordingly. this will improve the overall delivery of health care services to the people and also
ensure that they live a healthy as well as positive life.

Methodology
Research methodology is an important component of a study and is the specific
techniques or strategies used to perceive, choose, procedure, and examine statistics
approximately a topic (Lynn, Gailey and Buller, 2018). In a studies paper, the method section
lets in the reader to significantly evaluate a researcher’s usual validity and reliability.
Research Philosophy – It can be defined as a set of beliefs regarding how the research
should be structured or data should be collected. There are different types of research
philosophies such as positivism, pragmatism as well as interpretivism (Lynn, Gailey and Buller,
2018). In context of the respective research, the researcher has used interpretivism in order to
ensure that the research is conducted in an effective manner. the rationale behind choosing this
research philosophy is that it is simple and straight forward. Also, the interviewer will get the
information that he/she needs easily.
Research Approach – Research approach is also an important component of the research
and can be defined as the plans as well as procedures that are used in the research for data
collection, analysis as well as interpretation (Sharma and et.al., 2020). There are two types of
research approaches, inductive as well as deductive. In the respective research, the researcher has
used deductive research approach to conduct the research in an effective manner. This research
approach has been used because it will allow the researcher to explain interrelationship between
two variables. In context to this research, the two variables are performance as well as
internationalization.
Research Strategy – Research strategy can be defined as an overall plan for conducting
a research. It guides the researcher in the process of planning, executing as well as monitoring
the study. In the respective study, the researcher has used case study research strategy (Matsheke
and Dhurup, 2017). This is because a case study research strategy as this will help the researcher
in obtaining appropriate conclusions for this research. Mapledown School has been chosen for
studying the case of people with special health needs.
Research Design – It refers to the overall strategy that is used for the research. The
research design explains the type of research. In context to the respective research, the researcher
will ask questions that are based on the research topic (Matsheke and Dhurup, 2017). In order to

collect the data for the research, the researcher asked both close as well as open ended questions
to the respondents. And it took approximately 2 weeks to collect the required data.
Primary data – There are different ways in which data can be collected for the research.
Primary data refers to the first-hand data which is collected from the respondents directly and is
reliable (Nona and et.al., 2019). There are different ways of collecting primary data such as
questionnaire, interviews, surveys etc. Primary statistics is a type of data this is amassed through
researchers without delay from main resources via interviews, surveys, experiments, and so
forth. Some not unusual advantages of number one data are its authenticity, particular nature, and
updated records even as secondary statistics is very cheap and no longer time-ingesting (Nona
and et.al., 2019). Primary statistics may be very reliable because it is usually objective and
amassed at once from the original source. In the respective research, the researcher has used both
primary as well as secondary data to obtain relevant information. A questionnaire has been used
to gather primary information from the respondents.
Secondary Data – This is another type of data that can also be used by the researcher.
There are different sources that the researcher can refer to in order to collect secondary data.
These can include books, journals, diaries, reports as well as online websites (Sharma and et.al.,
2020). One of the many advantages of using secondary data in a research is that it helps the
researcher in saving a lot of time as well as costs. Also, the researcher can tailor the information
as per the requirements of the research. In context to this research, the researcher has used
secondary data to ensure that the results obtained are reliable. The secondary statistics sources
are very clean to get admission to. The Internet has modified the way secondary studies works
(Singh and Hong, 2017). The majority of secondary resources are honestly loose to be used or at
very low costs. It saves now not handiest your cash however your efforts. In assessment with
primary research in which you need to layout and conduct an entire number one observe
technique from the start. Secondary records research may be done by means of people that aren’t
acquainted with the unique information collection methods. Practically, all of us can accumulate
it. In order to collect secondary data, the researcher has referred to different books, articles as
well as journals
Sampling – It can be defined as selecting a pre-determined number of observations from
a large population. Sampling is an important part of the research because it helps the researcher

to obtain useful insights about the population. There are two types of sampling, probabilistic as
well as non-probabilistic. Sampling saves cost by means of allowing researchers to acquire the
equal answers from a sample that they could obtain from the population. Non-random sampling
is significantly cheaper than random sampling, as it lowers the value related to finding humans
and accumulating records from them. In context to this research, the researcher has used non-
probabilistic sampling method and the sampling size is 50 respondents. The researcher has
ensured that the sample represents that features of the target customers (Singh and Srivastava,
2018). Snowball sampling method has been used in this research. Snowball sampling method,
which is a type of non-probabilistic type of sampling wherein the samples have rare traits that are
not found easily. Snowball sampling technique has been used for this research because the
sample comprises of respondents with special health care needs. Therefore, this type of sampling
will help the researcher in obtaining appropriate results. In order to reach the participant, the
researcher approached the stakeholders of the Mapledown School and contacts of people with
working for the school were asked. The participants with whom consent were obtained were
asked to refer other people from their network.
Questionnaire – It can be defined as a research instrument that is commonly used in
research in order to collect data from the respondents. A questionnaire comprises of a series of
questions that are based on the research topic. This helps the researcher in obtaining appropriate
as well as accurate information from the respondents. Questionnaires offer a fairly reasonably-
priced, quick and green manner of obtaining big quantities of information from a large pattern of
human beings. Data can be gathered distinctly quickly because the researcher could no longer
need to be present while the questionnaires were completed (Trinh and Conner, 2019).
Questionnaires usually consist of open-ended questions, closed ended questions, or a
combination of both. This permits researchers to accumulate statistics this is qualitative and
quantitative in nature depending on their needs. A questionnaire has been used in order to gather
information from the respondents to complete this research. A questionnaire is the best choice
for the respective research because it will allow the researcher to obtain first-hand and reliable
data from the respondents. Also, the time as well as cost involved in the analysis of data is also
very low. For the respective research, the questionnaire will comprise of both open as well as
close-ended questions to gain a better understanding of the responses provided by the
participants.

Data Analysis – Data analysis is another important aspect within a research and involves
the researcher analyzing the different data that has been collected. Data Analysis is the system of
systematically making use of statistical and/or logical techniques to describe and illustrate,
condense and recap, and examine facts. There are some of issues that researchers should be
cognizant of with recognize to records analysis (Tuzikov and et.al., 2019). These consist of:
Having the vital abilties to research. Data evaluation is what helps agencies determine their
positions inside the market relative to competition. Data analysis is critical in business to
understand problems going through a corporation, and to discover information in meaningful
methods. Data in itself is simply information and figures. Data analysis organizes, interprets,
systems and gives the facts into beneficial facts that provides context for the statistics. In context
to this research, the researcher has focused on the data analysis part and made sure that it is
analyzed in an effective manner. Descriptive data analysis has been used in the respective
research. Descriptive analysis will help the researcher in describing the basic data of the study
effectively.
Ethical Consideration – Ethical considerations can be said to be one of the most
important parts of the research. In context of the respective research, the researcher has ensured
that the participants were not subjected to any kind of harm. Also, informed consent was
obtained by the researcher from all the respondents.
Limitations of research – There were some limitations of the research that were
identified. For instance, there were time as well as budget constraints, due to which the outcomes
of the research hot affected (Zahra, 2021). Besides this. There were some participants who did
not show interest in participating in answering the questions.

Analysis/Evaluation
This chapter is structured in a way so as to provide the readers with a proper
understanding of the different respondents as well as their view point. It was observed that many
respondents were interested in answering the questions in the questionnaire. And it can be said
that the overall response rate for the research was 100%.
Theme 1: Knowledge of internationalization of business
Q1. Do you have any knowledge of internationalization of business?
a) Yes 30
b) No 20
a) Yes b) No
0
5
10
15
20
25
30
35
30
20
Chart Title
Interpretation – From the above graph, it can be stated that out of 50 respondents, 60% were
aware about the knowledge of internationalization of business. Whereas the remaining 40%
respondents did not have any knowledge about the concept of internationalization of business.
Therefore, it can be said that majority of the respondents had knowledge about the concept of
internationalization. The respondents who have knowledge of the concept of internationalization,
were of the view point that the organization should go international as this will be beneficial for
it in an effective manner. whereas it was different in the other case wherein the remaining
respondents stated that the company should not expand its business at Romania.

Theme 2: Impact of internationalizing on the performance of a health care facilities
business
Q2. In your opinion, what is the overall impact of internationalizing on the performance
of a health care facilities business?
a) Improved performance 20
b) Greater audience 10
c) Increase in the international footprint 20
a) Improved performance b) Greater audience c) Increase in the
international footprint
0
5
10
15
20
25
20
10
20
Chart Title
Interpretation – From the above graph, it can be said that out of 50 respondents, 40%
respondents stated that the impact of internationalizing on the performance of a healthcare
business is that there is an improvement in the overall performance. 20% respondents stated that
the company is able to reach out to a greater audience and lastly, the remaining 40% respondents
stated that there is an increase in the international footprint and the company is able to expand its
business in other countries. It can also be interpreted that the overall impact of the
internationalization of the business on the performance of the company can be positive. There is
an increase in the performance of the company as well as profitability of the firm. Greater
audience can be reached out by the company as well as there is an increase in the international
footprint of the company.
Theme 3: Latest trends in the health care sector of Romania

Q3. What are the latest trends in the health care sector of Romania?
a) High need of hospitalization 10
b) Latest technology 25
c) National health insurance 15
10
25
15
Chart Title
a) High need of hospitalization b) Latest technology
c) National health insurance
Interpretation – From the above graph, it can be stated that 20% out of the 50 respondents
stated that a high need of hospitalization is one of the latest trends in the health sector of
Romania. Out of the remaining respondents, 50% respondents stated that there are advancements
in technology. Lastly, the remaining 30% respondents stated that national health insurance for
the citizens of the place is a latest trend in the health care sector. Therefore, it can be said that
different trends in the health care sector in Romania. Therefore, it can be said that in order to
overcome the challenges, there are different strategies that the organization should be adopted.
Thus, it is important for Mapledown School to keep a track of the different trends in order to
ensure that it is able to develop effective strategies and thus, implement the same for the benefit
of the people in Romania. This will ensure that the business activities run smoothly and that
there is an increase in its overall performance.
Theme 4: Challenges faced by an organization while internationalizing its business
Q4. What are the challenges faced by an organization while internationalizing its
business?

a) Difficulty in payment 15
b) Language issues 10
c) Availability of raw material 20
d) Cultural gap 5
a) Difficulty in
payment b) Language issues c) Availability of raw
material d) Cultural gap
0
5
10
15
20
25
15
10
20
5
Chart Title
Interpretation – From the above graph, it can be stated that out of the total 50 respondents, 30%
stated that difficulty in payments is one of the challenges that the company can face while
internationalizing its business in other countries. Apart from this, 20% respondents stated that
language is one of the major challenges. 40% respondents stated that availability of raw material
while the remaining 10% respondents stated that cultural gap are among the major challenges
that can be faced by an organization while internationalization of business operation. Therefore,
it can be said that different challenges can affect the internationalization process of the company.
For example, difficulty in payment is a challenge because the currency is different in various
countries. Therefore, the people can face issues with paying for the services that they receive.
Language is different in other countries and therefore, people might find it difficult to
communicate with the health professionals.
Theme 5: Factors that can affect the delivery of health care services
Q5. What are the factors that can affect the delivery of health care services?
a) Availability of health care professionals 20

b) Knowledge about health care services 15
c) Patient Cooperation 5
d) Income level of patients 10
a) Availability of
health care
professionals
b) Knowledge about
health care services c) Patient
Cooperation d) Income level of
patients
0
5
10
15
20
25
20
15
5
10
Chart Title
Interpretation – From the above graph, it can be stated that there are different factors that can
affect the delivery of health care services to the people. Out of the total 50 respondents, it was
found that 40% respondents stated that availability of health care professionals is a major factor
that can affect the health care delivery to those who are in need. 30% respondents stated that
knowledge about the health care service is another factor because some people have adequate
knowledge about the health care delivery services, while some might not be so equipped with
knowledge. It was also found that 10% respondents stated that the level of patient cooperation
while 20% respondents stated that the income levels of patients can affect the overall way in
which health services are delivered. Thus, these factors can affect the overall delivery of health
care services to the people.
Theme 6: Importance of internationalization for a business
Q6. Why do you think internationalization is important for a business?
a) Improved performance 20
b) Increased profitability 20

c) Improved brand image 10
20
20
10
Chart Title
a) Improved performance b) Increased profitability c) Improved brand image
Interpretation – From the above graph, it can be stated that 40% respondents stated that
internationalization of business is important because there is an increase in the overall
profitability of the company. Apart from this, 20% respondents stated that there is an increase in
the overall brand image of the company in the market. Lastly, the remaining 40% respondents
stated that internationalization of a business helps in improving the overall performance.
Therefore, these are some of the reasons that are stated by the respondents as to why
internationalization of business is important. Therefore, it can be said that internationalization is
important for an organization because there are different benefits and the company. Effective
internationalization strategies can not only help the organization in running its business
successfully, but also gaining a competitive advantage against other companies in the market.
Theme 7: Different internationalization strategies that can be adopted by a business
Q7. What are the different internationalization strategies that can be adopted by a
business?
a) Franchising 25
b) Joint Venture 10
c) Multidomestic 15

a) Franchising b) Joint Venture c) Multidomestic
0
5
10
15
20
25
30
25
10
15
Chart Title
Interpretation – There are different internationalization strategies that can be adopted in order
to expand business operations in other geographic locations. From the above graph, it can be
stated that 50% respondents believe that franchising is one of the options that can be adopted.
Apart from this, 20% respondents stated that joint venture is an effective strategy. Whereas the
remaining 30% respondents stated that multidomestic is another effective strategy that can be
adopted by the respective company in order to expand its business operations. It can be said that
all of these strategies that are mentioned by the respondents can help the company in saving a lot
of time as well as unnecessary expenses. These strategies will not only allow the firm to gain a
global brand image across the different parts of the world, including Romania.
Theme 8: Should Mapledown School internationalize its business in Romania
Q8. In your opinion, should Mapledown School internationalize its business in Romania?
a) Yes 30
b) No 20

a) Yes b) No
0
5
10
15
20
25
30
35
30
20
Chart Title
Interpretation – From the above graph, it can be stated that most of the respondents, i.e., 60%
respondents stated that the respective organization, Mapledown School should internationalize
its business operations in Romania. This is because there will be an increase in the overall
growth as well as performance of the firm. On the other hand, it can be stated that the remaining
40% respondents stated that the school should not internationalize its business in Romania as
there can be different factors that can affect the smooth operation of business activities.
Theme 9: Health care system in Romania
Q9. How would you describe the health care system in Romania?
a) Underfunded 25
b) Inefficient 20
c) Favorable Conditions 5

a) Underfunded b) Inefficient c) Favorable Conditions
0
5
10
15
20
25
30
25
20
5
Chart Title
Interpretation – From the above graph, it can be stated that the majority of respondents, 50%
were of the viewpoint that the health care system in Romania is underfunded, which means that
there are not a lot of funds available to deliver effective health care services. On the other hand,
40% respondents described the health care system there to be inefficient and lastly, the
remaining 10% respondents stated that there was a lack of favorable conditions in the nation.
Due to this, the overall delivery of health care services gets impacted. Therefore, it can be said
there is a requirement for the nation to focus on improving its health care delivery.
The public healthcare system consists of national medical health insurance, covering
almost all Romanian residents, as well as a growing and parallel community of personal
healthcare. According to the brand new Government Program (2018-2020), the Ministry of
Health is devoted to the citizen (affected person) and now not the medical gadget, the give up
aim being that the person does now not circulate for a quality scientific act, however the system
is constructed as near as possible to the citizen (affected person). There are extra opportunities in
latest accepted initiatives by means of the Government of Romania in line with the National
Health Strategy 2014-2020, referring to the two critical tasks: production of eight nearby and one
governmental sanatorium, in addition to the overarching aim to improve first-class and
performance.
Theme 10: Effect of different factors in Romania affect the business operations of
Mapledown School

Q10. How do you think the different factors in Romania can affect the business operations
of Mapledown School?
It can be said that out of 50 respondents, 60% respondents were of the view point that
different factors in Romania can affect the overall business operations to a great extent. On the
other hand, 20% respondents stated that the factors cannot affect the operations of Mapledown
School. Lastly, it can be said that the remaining 10% employees stated that there was as such no
effect of the different factors on the business operations of Mapledown School. Quality has come
to be an increasingly foremost part of our lives. People are continuously looking for nice services
and products. The existence of this preference for excellent has caused companies and
corporations during the sector to take into account it as a critical aspect of any carrier and
production procedure (Alessandri, Cerrato and Eddleston, 2018). Quality is a strategic
differentiator device for sustaining aggressive advantage. Improving exceptional via improving
structures and strategies results in a reduction of waste, remodel, and delays, lower fees, better
market share, and a high-quality enterprise photograph. As an end result, productivity and
profitability enhance. Therefore, it is very critical to outline, measure and improve excellent of
healthcare offerings.
An ineffective health care sector can affect the business operations of the respective
company, Mapledown School to a great extent. This can create a need for the company to review
its existing strategies and thus, modify the same in order to make sure that the patients in
Romania receive the best health care service based on their individual health needs. Since the
existing health care sector of the country is inefficient, there are chances that the infrastructure as
well as availability of the resources will also be less (Głodowska, Pera and Wach, 2019).
Therefore, this is another factor that can affect the overall delivery of health care services as well
as the respective company setting up its business in Romania. This is because due to this, the
company can find it difficult to search for effective resources for the delivery of health care
services. Some of the previous researches have shown that the overall condition of the health
care sector in Romania is not good.
Theme 11: Thoughts about the respective company going international
Q11. What are your thoughts about the respective company going international?

Since the respondents who participated in the research were the employees of
Mapledown School, 40% respondents stated that the company should go international because
this will help the company in enhancing its performance as well as brand image of the company.
40% respondents stated that if the company goes international, it will be able to provide better
health care services to the patients. And lastly, the remaining 20% respondents stated that by
going international, the company will be able to understand the health needs of the people in
Romania in an effective manner. some previous studies have shown that internationalization of a
business in other country can be beneficial for it an allows it to attract the attention of a large
number of customers. This happens if the company has taken into account the different risks as
well as potential threats that can have an impact on its business operations.
Therefore, it has been analyzed that the respondents were of the view point that the
respective organization, Mapledown School should internationalize its business operations. This
is because it will be beneficial for it because it will be able to identify and understand the health
care needs of the people in the Romania (Hojnik, Ruzzier and Manolova, 2018). As a result,
going international will be beneficial for the respective organization. It has also been found that
there are different factors that can affect the process of internationalization of an organization. It
is important to take these factors into account as this can help in developing strategies to deliver
the effective health services to the people of Romania. Also, it has been observed that the health
care sector of the company is not effective and is inefficient. And by going international, the
company will be able to attract a greater number of people with different health care needs. This
will further contribute to the overall profitability of the organization in an effective manner.

Conclusion and Recommendations
Conclusion
From the above report, it can be summarized that most of the participants of the research
were aware of the concept of internationalization of a business to other countries. It was also
found that a significant number of employees stated that internationalization can impact the
overall performance of the company (Kim, 2017). This is because most of the respondents had
said that through internationalization, a company can increase its overall performance and some
were of the view that the company gets a chance to reach out to a greater audience and serve
their needs in an effective manner. It was also found that there can be various challenges that the
company has to face while internationalizing its operations. These can include the customers or
patients facing a difficulty while paying for the services that they received. Apart from this, some
respondents also stated that language was one of the major challenges that can impact an
organization which is planning to internationalize its business. It was found that the majority of
the respondents were of the view point that the respective company, Mapledown School should
internationalize its business activities in Romania. This was because the nation did not have an
efficient health care system and by doing so the company will contribute towards enhancing the
way in which health care services are delivered to people who are in need.
It can be said that the objectives of the report were attained to a great extent. This is
because one of the major objectives of this dissertation was to analyze the overall impact of
internationalizing on the performance of a health care facilities business. Mapledown School is
an organization that provides services to people with special health needs. It was found that
although there will be different advantages for the firm, there will still be certain challenges that
the company will have to face. The implication of the findings is that the respective organization
should internationalize its business operations in Romania. This is because it will be beneficial
for the firm as the company will get an enhanced brand image and since the current health care
sector of the nation is not as effective, the respective company will be able to serve the needs of
the people there. Also, it is suggested that the company should keep a track of the different
trends in the health care industry (Lin and et.al., 2017). This will help the firm to design its
health care services as per the needs of the people there. The findings of the study suggest that
the company should analyze the different internal as well as external factors.

In case of future research, the researcher will keep in mind that the different ethical
considerations are taken into account. Apart from this, the researcher will also ensure that the
respondents are briefed about the research topic. This will help the participants to develop an
understanding of the topic and thus provide appropriate responses (Luiz, Stringfellow and
Jefthas, 2017).
Recommendations
The implication for the future research will be based on the findings of this research. In
the future researches, the researcher will ensure that appropriate research methods are adopted.
This will help in conducting the research in an effective manner. Besides this, there are certain
implications that can be made for the respective organization as well as people from health
sector. For instance, for the company, it is suggested that the institution should analyze the health
care sector of Romania. Similarly, the people from the health care sector are suggested to keep
their knowledge about the latest trends in the health care sector. This is because different people
have different health care needs and it is important for the health organizations to provide them
with effective services. This is important because it can help them by ensuring a speedy
recovery.
There are different factors that can affect the overall process if internationalization of a
company. these factors can include the people facing difficulties in paying for the service, a
cultural gap as well as language barriers. Apart from this, it can also be recommended that
internationalization can be beneficial for firms because it can help the company in increasing its
international footprint as well as help in reaching out to a greater audience. Thus, it can be sad
that internationalization can have various advantages for the firm. Also, there are various trends
in the health care sector such as advancements in technology, developments in treatment
processes etc. the respective company is recommended to take into account the current health
care sector of Romania, since it is not very effective and is also under developed, therefore,
through the process of internationalization, companies can enhance as well as strengthen their
brand image. The process of internationalization can impact the performance as well as
profitability of the firm either positively or negatively. Therefore, it is important to implement
the strategies in an effective manner so that the organization is able to provide effective services
to the patients.

Based on the findings, it can also be concluded that the majority of the respondents were
of the view that by going international, a company can reach out to a greater number of people.
Therefore, the company is recommended to ensure that its business objectives are in line with the
current health care needs of the people in Romania. This can be helpful in increasing the overall
profitability as well as performance of the firm. Health needs among people vary from each other
and by providing effective services, a company can improve or enhance the overall health of the
people. The different challenges within the health care sector can impact the overall delivery of
services. Income level of patients, their education level, the level of patient cooperation etc. can
affect the overall delivery of health care to the people. Therefore, these are some of the
recommendations as well as conclusions that can be made on the completion of the research. It
can also be concluded that different trends can also affect the overall delivery of services. If the
respective company, Mapledown School adopts as well as implements the recommendations that
are mentioned above, it will be able to gain a competitive advantage in Romania. This s because
the current health care system of the nation is inefficient as well as ineffective. Thus, it will be of
help to the company in enhancing its brand image in the market of Romania.

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Appendix
Dear Participant,
I am undertaking this research to analyze the impact of internationalizing health care
facilities business: A study of the health care sector in the United Kingdom. It would be of great
help to me if you could assist me by taking out a few minutes to complete all the questions in the
attached questionnaire. The process should not take more than 10-15 minutes.
Please return the completed questionnaire in the envelope by the date specified in the
questionnaire. All the data that will be collected, will be treated confidentially and will certainly
be destroyed once the examination is complete. Also, please ensure that you only choose one
answer for each of the questions.
Thank You.
Best Regards,
Name of the Researcher –
Address –
Name of the Respondent –
Address -

Questionnaire
Q1. Do you have any knowledge of internationalization of business?
a) Yes
b) No
Q2. In your opinion, what is the overall impact of internationalizing on the performance
of a health care facilities business?
a) Improved performance
b) Greater audience
c) Increase in the international footprint
Q3. What are the latest trends in the health care sector of Romania?
a) High need of hospitalization
b) Latest technology
c) National health insurance
Q4. What are the challenges faced by an organization while internationalizing its
business?
a) Difficulty in payment
b) Language issues
c) Availability of raw material
d) Cultural gap
Q5. What are the factors that can affect the delivery of health care services?
a) Availability of health care professionals
b) Knowledge about health care services
c) Patient Cooperation
d) Income level of patients
Q6. Why do you think internationalization is important for a business?
a) Improved performance
b) Increased profitability
c) Improved brand image
Q7. What are the different internationalization strategies that can be adopted by a
business?
a) Franchising

b) Joint Venture
c) Multidomestic
Q8. In your opinion, should Mapledown School internationalize its business in Romania?
a) Yes
b) No
Q9. How would you describe the health care system in Romania?
a) Underfunded
b) Inefficient
c) Favorable Conditions
Q10. How do you think the different factors in Romania can affect the business
operations of Mapledown School?
Q11. What are your thoughts about the respective company going international?
Q12. Any suggestions or recommendations