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Trust between managers and physicians in community hospitals: the effects of power over hospital decisions.
J Healthc Manag. 1998 Sep-Oct; 43(5):397-414; discussion 415.JH

Abstract

Trust is a key element of effective work relationships between managers and physicians. Despite its importance, little is known about the factors that promote trust between these two professional groups. We examine whether manager and physician power over hospital decisions fosters manager-physician trust. We expect that with more power, managers and physicians will have greater control to enforce decisions that benefit the interests of both groups. Subsequently, they may gain confidence that their interests are supported and have more trust for each other. We test proposed hypotheses with data collected in a national study of chief executive officers and physician leaders in community hospitals in 1993. Findings indicate that power of managers and physicians over hospital decisions is related to manager-physician trust. Consistent with our expectations, physicians perceive greater trust between the two groups when they hold more power in four separate decision-making areas. Our hypotheses, however, are only partially supported in the manager sample. The relationship between power and trust holds in only one decision area: cost/quality management. Our findings have important implications for physician integration in hospitals. A direct implication is that physicians should be given the opportunity to influence hospital decisions. New initiatives, such as task force committees with open membership or open forums on hospital management, allow physicians a more substantial involvement in decisions. Such initiatives will give physicians more "voice" in hospital decision making, thus creating opportunities for physicians to express their interests and play a more active role in the pursuit of the hospital's mission and objectives.

Authors+Show Affiliations

University of Connecticut, USA. msucci@sbaserv.sba.vconn.eduNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

10182929

Citation

Succi, M J., et al. "Trust Between Managers and Physicians in Community Hospitals: the Effects of Power Over Hospital Decisions." Journal of Healthcare Management / American College of Healthcare Executives, vol. 43, no. 5, 1998, pp. 397-414; discussion 415.
Succi MJ, Lee SY, Alexander JA. Trust between managers and physicians in community hospitals: the effects of power over hospital decisions. J Healthc Manag. 1998;43(5):397-414; discussion 415.
Succi, M. J., Lee, S. Y., & Alexander, J. A. (1998). Trust between managers and physicians in community hospitals: the effects of power over hospital decisions. Journal of Healthcare Management / American College of Healthcare Executives, 43(5), 397-414; discussion 415.
Succi MJ, Lee SY, Alexander JA. Trust Between Managers and Physicians in Community Hospitals: the Effects of Power Over Hospital Decisions. J Healthc Manag. 1998 Sep-Oct;43(5):397-414; discussion 415. PubMed PMID: 10182929.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Trust between managers and physicians in community hospitals: the effects of power over hospital decisions. AU - Succi,M J, AU - Lee,S Y, AU - Alexander,J A, PY - 1998/8/5/pubmed PY - 1998/8/5/medline PY - 1998/8/5/entrez SP - 397-414; discussion 415 JF - Journal of healthcare management / American College of Healthcare Executives JO - J Healthc Manag VL - 43 IS - 5 N2 - Trust is a key element of effective work relationships between managers and physicians. Despite its importance, little is known about the factors that promote trust between these two professional groups. We examine whether manager and physician power over hospital decisions fosters manager-physician trust. We expect that with more power, managers and physicians will have greater control to enforce decisions that benefit the interests of both groups. Subsequently, they may gain confidence that their interests are supported and have more trust for each other. We test proposed hypotheses with data collected in a national study of chief executive officers and physician leaders in community hospitals in 1993. Findings indicate that power of managers and physicians over hospital decisions is related to manager-physician trust. Consistent with our expectations, physicians perceive greater trust between the two groups when they hold more power in four separate decision-making areas. Our hypotheses, however, are only partially supported in the manager sample. The relationship between power and trust holds in only one decision area: cost/quality management. Our findings have important implications for physician integration in hospitals. A direct implication is that physicians should be given the opportunity to influence hospital decisions. New initiatives, such as task force committees with open membership or open forums on hospital management, allow physicians a more substantial involvement in decisions. Such initiatives will give physicians more "voice" in hospital decision making, thus creating opportunities for physicians to express their interests and play a more active role in the pursuit of the hospital's mission and objectives. SN - 1096-9012 UR - https://www.unboundmedicine.com/medline/citation/10182929/Trust_between_managers_and_physicians_in_community_hospitals:_the_effects_of_power_over_hospital_decisions_ L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=linkout&SEARCH=10182929.ui DB - PRIME DP - Unbound Medicine ER -