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Formal relationships among governing boards, CEOs, and medical staffs in independent and system hospitals.
Med Care. 1985 Oct; 23(10):1193-213.MC

Abstract

This study examines the impact of hospital participation in multi-institutional arrangements on formal relationships between hospital governing boards and chief executive officers (CEOs) and between governing boards and hospital medical staffs. Hypotheses are derived from Mintzberg's general theory of organizational design and are tested using combined data from three American Hospital Association Surveys of nonfederal, short-term hospitals. Analysis results provide considerable support for the study hypotheses. CEOs were found in general to have more formal influence in decisionmaking but also were more likely to be held accountable for performance standards in those hospitals that are part of multi-institutional arrangements. In addition, analyses using both 1976 and 1982 survey data indicate that hospital participation in multi-institutional arrangements is associated with lower levels of formal involvement of the medical staff in institutional decisionmaking. Relationships, for the most part, remain unchanged after the introduction of statistical controls for hospital size. One important issue raised by these findings is the possible impact on hospital performance of less participation by medical staff in the governance of hospitals whose boards are either responsible for multiple hospitals or accountable to higher organizational authority.

Authors

No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

4058073

Citation

Morlock, L L., et al. "Formal Relationships Among Governing Boards, CEOs, and Medical Staffs in Independent and System Hospitals." Medical Care, vol. 23, no. 10, 1985, pp. 1193-213.
Morlock LL, Alexander JA, Hunter HM. Formal relationships among governing boards, CEOs, and medical staffs in independent and system hospitals. Med Care. 1985;23(10):1193-213.
Morlock, L. L., Alexander, J. A., & Hunter, H. M. (1985). Formal relationships among governing boards, CEOs, and medical staffs in independent and system hospitals. Medical Care, 23(10), 1193-213.
Morlock LL, Alexander JA, Hunter HM. Formal Relationships Among Governing Boards, CEOs, and Medical Staffs in Independent and System Hospitals. Med Care. 1985;23(10):1193-213. PubMed PMID: 4058073.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Formal relationships among governing boards, CEOs, and medical staffs in independent and system hospitals. AU - Morlock,L L, AU - Alexander,J A, AU - Hunter,H M, PY - 1985/10/1/pubmed PY - 1985/10/1/medline PY - 1985/10/1/entrez SP - 1193 EP - 213 JF - Medical care JO - Med Care VL - 23 IS - 10 N2 - This study examines the impact of hospital participation in multi-institutional arrangements on formal relationships between hospital governing boards and chief executive officers (CEOs) and between governing boards and hospital medical staffs. Hypotheses are derived from Mintzberg's general theory of organizational design and are tested using combined data from three American Hospital Association Surveys of nonfederal, short-term hospitals. Analysis results provide considerable support for the study hypotheses. CEOs were found in general to have more formal influence in decisionmaking but also were more likely to be held accountable for performance standards in those hospitals that are part of multi-institutional arrangements. In addition, analyses using both 1976 and 1982 survey data indicate that hospital participation in multi-institutional arrangements is associated with lower levels of formal involvement of the medical staff in institutional decisionmaking. Relationships, for the most part, remain unchanged after the introduction of statistical controls for hospital size. One important issue raised by these findings is the possible impact on hospital performance of less participation by medical staff in the governance of hospitals whose boards are either responsible for multiple hospitals or accountable to higher organizational authority. SN - 0025-7079 UR - https://www.unboundmedicine.com/medline/citation/4058073/Formal_relationships_among_governing_boards_CEOs_and_medical_staffs_in_independent_and_system_hospitals_ L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=linkout&SEARCH=4058073.ui DB - PRIME DP - Unbound Medicine ER -