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Physician-Leaders and Hospital Performance: Is There an Association?

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  • Goodall, Amanda H.

    ()
    (Cass Business School)

Abstract

Although it has long been conjectured that having physicians in leadership positions is valuable for hospital performance, there is no published empirical work on the hypothesis. This cross-sectional study reports the first evidence. Data are collected on the top-100 U.S. hospitals in 2009, as identified by a widely-used media-generated ranking of quality, in three specialties: Cancer, Digestive Disorders, and Heart and Heart Surgery. The personal histories of the 300 chief executive officers of these hospitals are then traced by hand. The CEOs are classified into physicians and non-physician managers. The paper finds a strong positive association between the ranked quality of a hospital and whether the CEO is a physician (p

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Bibliographic Info

Paper provided by Institute for the Study of Labor (IZA) in its series IZA Discussion Papers with number 5830.

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Length: 25 pages
Date of creation: Jul 2011
Date of revision:
Publication status: published in: Social Science and Medicine, 2011, 73 (4), 535 - 539, [view press coverage]
Handle: RePEc:iza:izadps:dp5830

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Keywords: organizational performance; expert leaders; hospitals; physicians; professional managers;

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References

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  1. Goodall, Amanda H. & Kahn, Lawrence M. & Oswald, Andrew J., 2008. "Why Do Leaders Matter? The Role of Expert Knowledge," IZA Discussion Papers 3583, Institute for the Study of Labor (IZA).
  2. Amanda Goodall, 2005. "Should Research Universities be led by top researchers? Part 1: Are they?," CEE Discussion Papers 0051, Centre for the Economics of Education, LSE.
  3. Goodall, Amanda H. & Kahn, Lawrence M. & Oswald, Andrew J., 2011. "Why do leaders matter? A study of expert knowledge in a superstar setting," Journal of Economic Behavior & Organization, Elsevier, vol. 77(3), pages 265-284, March.
  4. Pope, Devin G., 2009. "Reacting to rankings: Evidence from "America's Best Hospitals"," Journal of Health Economics, Elsevier, vol. 28(6), pages 1154-1165, December.
  5. Goodall, Amanda H., 2009. "Highly cited leaders and the performance of research universities," Research Policy, Elsevier, vol. 38(7), pages 1079-1092, September.
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Cited by:
  1. Ludwig Kuntz & Stefan Scholtes, 2013. "Physicians in leadership: the association between medical director involvement and staff-to-patient ratios," Health Care Management Science, Springer, vol. 16(2), pages 129-138, June.
  2. Goodall, Amanda H., 2012. "A Theory of Expert Leadership," IZA Discussion Papers 6566, Institute for the Study of Labor (IZA).
  3. Goodall, Amanda H. & Pogrebna, Ganna, 2012. "Expert Leaders in a Fast-Moving Environment," IZA Discussion Papers 6715, Institute for the Study of Labor (IZA).
  4. Amanda Goodall, 2013. "Should Doctors Run Hospitals?," CESifo DICE Report, Ifo Institute for Economic Research at the University of Munich, vol. 11(1), pages 37-40, 04.
  5. Avner Offer, 2012. "A Warrant for Pain: Caveat Emptor vs. the Duty of Care in American Medicine, c. 1970-2010," Economics Series Working Papers Number 102, University of Oxford, Department of Economics.

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