Changes in the structure, composition, and activity of hospital governing boards, 1983-1997: Evidence from two national surveys

被引：25

作者：

Alexander, JA

Weiner, BJ

Bogue, RJ

机构：

[1] Univ Michigan, Dept Hlth Serv Management & Policy, Ann Arbor, MI 48109 USA

[2] Univ N Carolina, Chapel Hill, NC USA

来源：

MILBANK QUARTERLY | 2001年 / 79卷 / 02期

关键词：

D O I：

10.1111/1468-0009.00205

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Hospital governance arrangements affect institutional policymaking and strategic decisions and can vary by such organizational attributes as ownership type/control, size, and system membership. A comparison of two national surveys shows how hospital governing boards changed in response to organizational and environmental pressures between 1989 and 1997. The magnitude and direction of changes in (1) board structure, composition, and selection; (2) CEO-board relations; and (3) board activity, evaluation, and compensation are examined for the population of hospitals and for different categories of hospitals. The findings suggest that hospital boards are engaging in selective rather than wholesale change to meet the simultaneous demands of a competitive market and traditional institutional orientations to community, the disenfranchised, and philanthropic service. Results also suggest parallel increases in collaboration between boards and CEOs and in board scrutiny of CEOs.

引用

页码：253 / +

页数：29

共 27 条

[11]

FINE A, 2000, TRUSTEE JUL, P20

[12]

FRIEDMAN BS, 1991, ADV HLTH EC HLTH SER, V11, P131

[13]

Janis I. L., 1967, Victims of groupthink: A psychological study of foreign policy decisions and fiascos

[14]

Kovner A R, 1990, Front Health Serv Manage, V6, P3

[15]

MICK S, 1990, INNOVATIONS HTLH CAR

[16]

MOLINARI C, 1993, HEALTH SERV RES, V28, P357

[17]

PEREGRINE MW, 1999, BNAS HLTH LAW REPORT, V8, P1164

[18]

Pointer D D, 1995, Front Health Serv Manage, V11, P3

[19]

SEAVEY JW, 1992, STRATEGIES ENV AM SM

[20] REINVENTING THE AMERICAN HOSPITAL [J].

SHORTELL, SM ;

GILLIES, RR ;

DEVERS, KJ .

MILBANK QUARTERLY, 1995, 73 (02) :131-160

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