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A model of voluntary turnover among hospital CEOs.
Hosp Health Serv Adm. 1995 Fall; 40(3):362-85.HH

Abstract

This study examines factors contributing to hospital CEOs' voluntary decisions to leave their positions in 1990. Using a longitudinal design, we contrast 49 leavers with 1,362 stayers. We view turnover as influenced by both "push" factors that promote leaving (dissatisfaction with the position) and "hump" factors that need to be overcome (the cost of job change). Push factors giving rise to dissatisfaction include lower compensation, the predecessor's termination, and value incongruity between the CEO and the hospital. Testing the impact of key variables from Fiedler's contingency theory of leadership, we show that task-oriented leaders are relatively less satisfied when compared with relationship-oriented leaders. CEOs also express less satisfaction in low-situational control settings, a measure heavily influenced by perceived inadequate support from medical staff and subordinates. "Hump" factors that deterred leaving included family-related obstacles such as spouse's work or children's school, features mentioned most often by younger CEOs. The study suggests that boards should structure competitively paid positions with opportunities to generate support from the medical staff and subordinates. Recruiters for CEO positions are apprised of the importance of nonwork features in CEOs' willingness to consider new positions.

Authors+Show Affiliations

American College of Healthcare Executives, Chicago, IL 60606, USA.No affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

10144896

Citation

Weil, P A., and P A. Kimball. "A Model of Voluntary Turnover Among Hospital CEOs." Hospital & Health Services Administration, vol. 40, no. 3, 1995, pp. 362-85.
Weil PA, Kimball PA. A model of voluntary turnover among hospital CEOs. Hosp Health Serv Adm. 1995;40(3):362-85.
Weil, P. A., & Kimball, P. A. (1995). A model of voluntary turnover among hospital CEOs. Hospital & Health Services Administration, 40(3), 362-85.
Weil PA, Kimball PA. A Model of Voluntary Turnover Among Hospital CEOs. Hosp Health Serv Adm. 1995;40(3):362-85. PubMed PMID: 10144896.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A model of voluntary turnover among hospital CEOs. AU - Weil,P A, AU - Kimball,P A, PY - 1995/10/1/pubmed PY - 1999/4/2/medline PY - 1995/10/1/entrez SP - 362 EP - 85 JF - Hospital & health services administration JO - Hosp Health Serv Adm VL - 40 IS - 3 N2 - This study examines factors contributing to hospital CEOs' voluntary decisions to leave their positions in 1990. Using a longitudinal design, we contrast 49 leavers with 1,362 stayers. We view turnover as influenced by both "push" factors that promote leaving (dissatisfaction with the position) and "hump" factors that need to be overcome (the cost of job change). Push factors giving rise to dissatisfaction include lower compensation, the predecessor's termination, and value incongruity between the CEO and the hospital. Testing the impact of key variables from Fiedler's contingency theory of leadership, we show that task-oriented leaders are relatively less satisfied when compared with relationship-oriented leaders. CEOs also express less satisfaction in low-situational control settings, a measure heavily influenced by perceived inadequate support from medical staff and subordinates. "Hump" factors that deterred leaving included family-related obstacles such as spouse's work or children's school, features mentioned most often by younger CEOs. The study suggests that boards should structure competitively paid positions with opportunities to generate support from the medical staff and subordinates. Recruiters for CEO positions are apprised of the importance of nonwork features in CEOs' willingness to consider new positions. SN - 8750-3735 UR - https://www.unboundmedicine.com/medline/citation/10144896/A_model_of_voluntary_turnover_among_hospital_CEOs_ L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=linkout&SEARCH=10144896.ui DB - PRIME DP - Unbound Medicine ER -