Hospital board effectiveness: relationships between governing board composition and hospital financial viability
Two theories--agency and managerialism--are compared with respect to their usefulness in explaining the role of insiders on the hospital board: whether their participation enhances or impairs board financial decision making. The study used 1985 hospital financial and governing board data for a repre...
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| Veröffentlicht in: | Health services research 1993-08, Vol.28 (3), p.358-377 |
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| container_title | Health services research |
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| creator | Molinari, C Morlock, L Alexander, J Lyles, C A |
| description | Two theories--agency and managerialism--are compared with respect to their usefulness in explaining the role of insiders on the hospital board: whether their participation enhances or impairs board financial decision making.
The study used 1985 hospital financial and governing board data for a representative sample of acute care California hospitals.
Relationships were examined cross-sectionally between the presence or absence of insiders on the board and measures of hospital financial viability while controlling for the organizational factors of system affiliation, ownership, size, region, and corporate restructuring.
Multiple regression analysis found significant relationships between insider (CEO, medical staff) participation and hospital viability.
These results support the managerial theory of governance by suggesting that the CEO and medical staff provide informational advantages to the hospital governing board. However, the cross-sectional design points to the need for future longitudinal studies in order to sequence these relationships between insider participation and improved hospital viability. |
| format | Article |
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The study used 1985 hospital financial and governing board data for a representative sample of acute care California hospitals.
Relationships were examined cross-sectionally between the presence or absence of insiders on the board and measures of hospital financial viability while controlling for the organizational factors of system affiliation, ownership, size, region, and corporate restructuring.
Multiple regression analysis found significant relationships between insider (CEO, medical staff) participation and hospital viability.
These results support the managerial theory of governance by suggesting that the CEO and medical staff provide informational advantages to the hospital governing board. However, the cross-sectional design points to the need for future longitudinal studies in order to sequence these relationships between insider participation and improved hospital viability.</description><identifier>ISSN: 0017-9124</identifier><identifier>EISSN: 1475-6773</identifier><identifier>PMID: 8344824</identifier><identifier>CODEN: HESEA5</identifier><language>eng</language><publisher>United States: Health Research and Educational Trust</publisher><subject><![CDATA[Administration ; Analysis of Variance ; Bias ; Boards of trustees ; Business community ; California ; Chief executive officers ; Chief Executive Officers, Hospital - statistics & numerical data ; Corporate governance ; Decision making ; Decision Making, Organizational ; Evaluation Studies as Topic ; Financial analysis ; Financial Management, Hospital - standards ; Financial Management, Hospital - statistics & numerical data ; Financial ratios ; Governing Board - organization & administration ; Governing Board - statistics & numerical data ; Health care industry ; Health Services Research - methods ; Horizontal integration ; Hospital administration ; Hospitals ; Hypotheses ; Impacts ; Industry - statistics & numerical data ; Insiders ; Medical Staff, Hospital - statistics & numerical data ; Medicare ; Organizational structure ; Participation ; Performance evaluation ; Profits ; Regression Analysis ; Statistical analysis ; Stockholders ; Surveys and Questionnaires]]></subject><ispartof>Health services research, 1993-08, Vol.28 (3), p.358-377</ispartof><rights>COPYRIGHT 1993 Health Research and Educational Trust</rights><rights>COPYRIGHT 1993 Health Research and Educational Trust</rights><rights>Copyright Hospital Research and Educational Trust Aug 1993</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1069940/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1069940/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,30999,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8344824$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Molinari, C</creatorcontrib><creatorcontrib>Morlock, L</creatorcontrib><creatorcontrib>Alexander, J</creatorcontrib><creatorcontrib>Lyles, C A</creatorcontrib><title>Hospital board effectiveness: relationships between governing board composition and hospital financial viability</title><title>Health services research</title><addtitle>Health Serv Res</addtitle><description>Two theories--agency and managerialism--are compared with respect to their usefulness in explaining the role of insiders on the hospital board: whether their participation enhances or impairs board financial decision making.
The study used 1985 hospital financial and governing board data for a representative sample of acute care California hospitals.
Relationships were examined cross-sectionally between the presence or absence of insiders on the board and measures of hospital financial viability while controlling for the organizational factors of system affiliation, ownership, size, region, and corporate restructuring.
Multiple regression analysis found significant relationships between insider (CEO, medical staff) participation and hospital viability.
These results support the managerial theory of governance by suggesting that the CEO and medical staff provide informational advantages to the hospital governing board. However, the cross-sectional design points to the need for future longitudinal studies in order to sequence these relationships between insider participation and improved hospital viability.</description><subject>Administration</subject><subject>Analysis of Variance</subject><subject>Bias</subject><subject>Boards of trustees</subject><subject>Business community</subject><subject>California</subject><subject>Chief executive officers</subject><subject>Chief Executive Officers, Hospital - statistics & numerical data</subject><subject>Corporate governance</subject><subject>Decision making</subject><subject>Decision Making, Organizational</subject><subject>Evaluation Studies as Topic</subject><subject>Financial analysis</subject><subject>Financial Management, Hospital - standards</subject><subject>Financial Management, Hospital - statistics & numerical data</subject><subject>Financial ratios</subject><subject>Governing Board - organization & administration</subject><subject>Governing Board - statistics & numerical data</subject><subject>Health care industry</subject><subject>Health Services Research - methods</subject><subject>Horizontal integration</subject><subject>Hospital administration</subject><subject>Hospitals</subject><subject>Hypotheses</subject><subject>Impacts</subject><subject>Industry - statistics & numerical data</subject><subject>Insiders</subject><subject>Medical Staff, Hospital - statistics & numerical data</subject><subject>Medicare</subject><subject>Organizational structure</subject><subject>Participation</subject><subject>Performance evaluation</subject><subject>Profits</subject><subject>Regression Analysis</subject><subject>Statistical analysis</subject><subject>Stockholders</subject><subject>Surveys and Questionnaires</subject><issn>0017-9124</issn><issn>1475-6773</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1993</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNpt0lFr3SAUAOAwVrq7dj9hEAYbe2hAo4lmD4NyWdvBhb60z6LmJLEYzaK5W__9XHs3mnHxQdHPczhHX2UbTFlV1IyR19kGIcyKBpf0TfY2hAeEECecnmannFDKS7rJphsfJhOlzZWXc5tD14GOZg8OQviSz2BlNN6FwUwhVxB_Ari893uYnXH94ZL24-SD-QNz6dp8-BuzM046bdJqb6Qy1sTH8-ykkzbAu8N8lt1ffbvb3hS72-vv28td0dOaxIJjhsqykhLhjhDMKdRVSRE0rC1BtkpjomjNGQKFtFa1IgpXHS-VAtZ2SpKz7Otz3GlRI7QaXJylFdNsRjk_Ci-NWJ84M4hUmMCobhqKUoBPhwCz_7FAiGI0QYO10oFfgmAV5w0mOMEP_8EHv8wuFSdKjBnmNacJXTyjXloQxnU-JdV9anPK7R10Jm1fYkpxVbIm8eIIT6OF0ehj_vPKJxLhV-zlEoLg17sVvThGtbcWehDpEba3K_7xBR9A2jgEb5enX7Fy71_2-1-jDz-N_AY5StFH</recordid><startdate>19930801</startdate><enddate>19930801</enddate><creator>Molinari, C</creator><creator>Morlock, L</creator><creator>Alexander, J</creator><creator>Lyles, C A</creator><general>Health Research and Educational Trust</general><general>Blackwell Publishing Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>8GL</scope><scope>7QJ</scope><scope>K9.</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>19930801</creationdate><title>Hospital board effectiveness: relationships between governing board composition and hospital financial viability</title><author>Molinari, C ; Morlock, L ; Alexander, J ; Lyles, C A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-g463t-8170225aa01f33184e65240e97d2eadbc13b46870eb0ccb6b3b15f82bbe7dfba3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1993</creationdate><topic>Administration</topic><topic>Analysis of Variance</topic><topic>Bias</topic><topic>Boards of trustees</topic><topic>Business community</topic><topic>California</topic><topic>Chief executive officers</topic><topic>Chief Executive Officers, Hospital - statistics & numerical data</topic><topic>Corporate governance</topic><topic>Decision making</topic><topic>Decision Making, Organizational</topic><topic>Evaluation Studies as Topic</topic><topic>Financial analysis</topic><topic>Financial Management, Hospital - standards</topic><topic>Financial Management, Hospital - statistics & numerical data</topic><topic>Financial ratios</topic><topic>Governing Board - organization & administration</topic><topic>Governing Board - statistics & numerical data</topic><topic>Health care industry</topic><topic>Health Services Research - methods</topic><topic>Horizontal integration</topic><topic>Hospital administration</topic><topic>Hospitals</topic><topic>Hypotheses</topic><topic>Impacts</topic><topic>Industry - statistics & numerical data</topic><topic>Insiders</topic><topic>Medical Staff, Hospital - statistics & numerical data</topic><topic>Medicare</topic><topic>Organizational structure</topic><topic>Participation</topic><topic>Performance evaluation</topic><topic>Profits</topic><topic>Regression Analysis</topic><topic>Statistical analysis</topic><topic>Stockholders</topic><topic>Surveys and Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Molinari, C</creatorcontrib><creatorcontrib>Morlock, L</creatorcontrib><creatorcontrib>Alexander, J</creatorcontrib><creatorcontrib>Lyles, C A</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>Gale In Context: High School</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Health services research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Molinari, C</au><au>Morlock, L</au><au>Alexander, J</au><au>Lyles, C A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Hospital board effectiveness: relationships between governing board composition and hospital financial viability</atitle><jtitle>Health services research</jtitle><addtitle>Health Serv Res</addtitle><date>1993-08-01</date><risdate>1993</risdate><volume>28</volume><issue>3</issue><spage>358</spage><epage>377</epage><pages>358-377</pages><issn>0017-9124</issn><eissn>1475-6773</eissn><coden>HESEA5</coden><abstract>Two theories--agency and managerialism--are compared with respect to their usefulness in explaining the role of insiders on the hospital board: whether their participation enhances or impairs board financial decision making.
The study used 1985 hospital financial and governing board data for a representative sample of acute care California hospitals.
Relationships were examined cross-sectionally between the presence or absence of insiders on the board and measures of hospital financial viability while controlling for the organizational factors of system affiliation, ownership, size, region, and corporate restructuring.
Multiple regression analysis found significant relationships between insider (CEO, medical staff) participation and hospital viability.
These results support the managerial theory of governance by suggesting that the CEO and medical staff provide informational advantages to the hospital governing board. However, the cross-sectional design points to the need for future longitudinal studies in order to sequence these relationships between insider participation and improved hospital viability.</abstract><cop>United States</cop><pub>Health Research and Educational Trust</pub><pmid>8344824</pmid><tpages>21</tpages></addata></record> |
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| ispartof | Health services research, 1993-08, Vol.28 (3), p.358-377 |
| issn | 0017-9124 1475-6773 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_1069940 |
| source | Applied Social Sciences Index & Abstracts (ASSIA); MEDLINE; PubMed Central; Alma/SFX Local Collection; EZB Electronic Journals Library |
| subjects | Administration Analysis of Variance Bias Boards of trustees Business community California Chief executive officers Chief Executive Officers, Hospital - statistics & numerical data Corporate governance Decision making Decision Making, Organizational Evaluation Studies as Topic Financial analysis Financial Management, Hospital - standards Financial Management, Hospital - statistics & numerical data Financial ratios Governing Board - organization & administration Governing Board - statistics & numerical data Health care industry Health Services Research - methods Horizontal integration Hospital administration Hospitals Hypotheses Impacts Industry - statistics & numerical data Insiders Medical Staff, Hospital - statistics & numerical data Medicare Organizational structure Participation Performance evaluation Profits Regression Analysis Statistical analysis Stockholders Surveys and Questionnaires |
| title | Hospital board effectiveness: relationships between governing board composition and hospital financial viability |
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