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. 1992 Oct;27(4):543–564.

Governing board structure, business strategy, and performance of acute care hospitals: a contingency perspective.

G Young 1, R I Beekun 1, G O Ginn 1
PMCID: PMC1069893  PMID: 1399656

Abstract

Contingency theory suggests that for a hospital governing board to be effective in taking on a more active role in strategic management, the board needs to be structured to complement the overall strategy of the organization. A survey study was conducted to examine the strategies of acute care hospitals as related to the structural characteristics of their governing boards. After controlling for organizational size and system membership, results indicated a significant relationship between the governing board structure of 109 acute care hospitals and their overall business strategy. Strategy also accounted for more of the variance in board structure than either organization size or system membership. Finally, the greater the match between board structure and hospital strategy, the stronger the hospitals' financial performance.

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Selected References

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  1. Alexander J. A. Governance for whom? The dilemmas of change and effectiveness in hospital boards. Front Health Serv Manage. 1990 Spring;6(3):38-41, 46. [PubMed] [Google Scholar]
  2. Alexander J. A., Morrisey M. A. Hospital-physician integration and hospital costs. Inquiry. 1988 Fall;25(3):388–401. [PubMed] [Google Scholar]
  3. Barrett D., Windham S. R. Hospital boards and adaptability to competitive environments. Health Care Manage Rev. 1984 Fall;9(4):11–20. doi: 10.1097/00004010-198400940-00003. [DOI] [PubMed] [Google Scholar]
  4. Clement J. P. Does hospital diversification improve financial outcomes? Med Care. 1987 Oct;25(10):988–1001. doi: 10.1097/00005650-198710000-00007. [DOI] [PubMed] [Google Scholar]
  5. Delbecq A. L., Gill S. L. Developing strategic direction for governing boards. Hosp Health Serv Adm. 1988 Spring;33(1):25–35. [PubMed] [Google Scholar]
  6. Friedman B., Shortell S. The financial performance of selected investor-owned and not-for-profit system hospitals before and after Medicare prospective payment. Health Serv Res. 1988 Jun;23(2):237–267. [PMC free article] [PubMed] [Google Scholar]
  7. Ginn G. O. Strategic change in hospitals: an examination of the response of the acute care hospital to the turbulent environment of the 1980s. Health Serv Res. 1990 Oct;25(4):565–591. [PMC free article] [PubMed] [Google Scholar]
  8. Hambrick D. C. Some tests of the effectiveness and functional attributes of Miles and Snow's strategic types. Acad Manage J. 1983 Mar;26(1):5–26. [PubMed] [Google Scholar]
  9. Kaufman K., Shortell S., Becker S., Neuhauser D. The effects of board composition and structure on hospital performance. Hosp Health Serv Adm. 1979 Winter;24(1):37–62. [PubMed] [Google Scholar]
  10. Koska M. T. CEOs make the most of trustees' business acumen. Hospitals. 1990 Jun 5;64(11):28–33. [PubMed] [Google Scholar]
  11. Morlock L. L., Alexander J. A., Hunter H. M. Formal relationships among governing boards, CEOs, and medical staffs in independent and system hospitals. Med Care. 1985 Oct;23(10):1193–1213. doi: 10.1097/00005650-198510000-00008. [DOI] [PubMed] [Google Scholar]
  12. Relman A. S. The allocation of medical resources by physicians. J Med Educ. 1980 Feb;55(2):99–104. doi: 10.1097/00001888-198002000-00002. [DOI] [PubMed] [Google Scholar]
  13. Shortell S. M. New directions in hospital governance. Hosp Health Serv Adm. 1989 Spring;34(1):7–23. [PubMed] [Google Scholar]
  14. Sloan F. A., Becker E. R. Internal organization of hospitals and hospital costs. Inquiry. 1981 Fall;18(3):224–239. [PubMed] [Google Scholar]

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