Do Hospital Boards matter for better, safer, patient care?

Manifest failings in healthcare quality and safety in many countries have focused attention on the role of hospital Boards. While a growing literature has drawn attention to the potential impacts of Board composition and Board processes, little work has yet been carried out to examine the influence...

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Veröffentlicht in:Social science & medicine (1982) 2017-03, Vol.177, p.278-287
Hauptverfasser: Mannion, R., Davies, H.T.O., Jacobs, R., Kasteridis, P., Millar, R., Freeman, T.
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container_issue
container_start_page 278
container_title Social science & medicine (1982)
container_volume 177
creator Mannion, R.
Davies, H.T.O.
Jacobs, R.
Kasteridis, P.
Millar, R.
Freeman, T.
description Manifest failings in healthcare quality and safety in many countries have focused attention on the role of hospital Boards. While a growing literature has drawn attention to the potential impacts of Board composition and Board processes, little work has yet been carried out to examine the influence of Board competencies. In this work, we first validate the structure of an established ‘Board competencies’ self-assessment instrument in the English NHS (the Board Self-Assessment Questionnaire, or BSAQ). This tool is then used to explore in English acute hospitals the relationships between (a) Board competencies and staff perceptions about how well their organisation deals with quality and safety issues; and (b) Board competencies and a raft of patient safety and quality measures at organisation level. National survey data from 95 hospitals (334 Board members) confirmed the factor structure of the BSAQ, validating it for use in the English NHS. Moreover, better Board competencies were correlated in consistent ways with beneficial staff attitudes to the reporting and handling of quality and safety issues (using routinely collected data from the NHS National Staff Survey). However, relationships between Board competencies and aggregate outcomes for a variety of quality and safety measures showed largely inconsistent and non-significant relationships. Overall, these data suggest that Boards may be able to impact on important staff perceptions. Further work is required to unpack the impact of Board attributes on organisational aggregate outcomes. •The Board Self assessment Questionnaire was validated for use in the English NHS.•Board competencies were correlated with beneficial staff attitudes to the reporting and handling of patient safety issues.•Board competencies were not found to be related to a range of patient safety outcomes.
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subjects Attitude of Health Personnel
Board competencies
Board governance
Competence
Delivery of Health Care - standards
Employee attitude
Focused attention
Governing Board - organization & administration
Governing Board - standards
Health services
Healthcare quality
Hospital Administration - methods
Hospital Administration - standards
Hospital Boards
Hospitals
Hospitals - statistics & numerical data
Humans
Measures
Patient safety
Patient Safety - standards
Patient Safety - statistics & numerical data
Patients
Perceptions
Polls & surveys
Professional attitudes
Professional Competence - standards
Quality
Quality of care
Quality of Health Care - standards
Quality of Health Care - statistics & numerical data
Questionnaires
Safety
Safety measures
Self evaluation
State Medicine - organization & administration
State Medicine - statistics & numerical data
Surveys and Questionnaires
United Kingdom
Workforce
title Do Hospital Boards matter for better, safer, patient care?
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