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Financial performance of hospitals: A critical obligation of corporate governance dimensions

Author

Listed:
  • Stephen O. Afriyie
  • Yusheng Kong
  • Peter Y. Lartey
  • Li Kaodui
  • Isaac A. Bediako
  • Wenhao Wu
  • Peter H. Kyeremateng

Abstract

Background This paper aims to investigate the effects of corporate governance mechanisms on the financial performance of hospitals. The statement, “good corporate governance” has been incorporated in the health care sector over the last decade, as an element to improve financial performance. Methods The researchers relied on both primary and secondary data in the study. For the primary data, the authors used structured and nonstructured questionnaires to obtain data from 125 hospitals. The secondary data used emanated from board meetings, financial statements and relevant reports of the selected hospitals from 2010 to 2017. However, the data was then sorted out to get the required information on Chief Executive Officer (CEO) presence, board relationship, governance dynamics, gender diversity and financial performance. Results On the basis of empirical evidence provided in this study, the results show that the Independent Directors (INDPDR) variable has a positive effect on Return on Assets and Net Profit Margin and also a high statistically significant value of 0.000 for both performance measures. This is an indication that the variable, INDPDR, is highly capable of improving hospital financial performance. From our studies, Board Size and CEO Duality exhibited a negative relationship with the financial performance measures. Conclusions Every hospital needs money to maintain a standard health facility and to sustain in operation. However, the inclusion of board of directors improves hospital financial management and enhances performance. Corporate governance mechanisms influence the behavior of health systems in ways that are associated with financial performance.

Suggested Citation

  • Stephen O. Afriyie & Yusheng Kong & Peter Y. Lartey & Li Kaodui & Isaac A. Bediako & Wenhao Wu & Peter H. Kyeremateng, 2020. "Financial performance of hospitals: A critical obligation of corporate governance dimensions," International Journal of Health Planning and Management, Wiley Blackwell, vol. 35(6), pages 1468-1485, November.
  • Handle: RePEc:bla:ijhplm:v:35:y:2020:i:6:p:1468-1485
    DOI: 10.1002/hpm.3049
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    References listed on IDEAS

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    1. Collins Ntim, 2015. "Board diversity and organizational valuation: unravelling the effects of ethnicity and gender," Journal of Management & Governance, Springer;Accademia Italiana di Economia Aziendale (AIDEA), vol. 19(1), pages 167-195, February.
    2. Dimitropoulos, Panagiotis E. & Asteriou, Dimitrios, 2010. "The effect of board composition on the informativeness and quality of annual earnings: Empirical evidence from Greece," Research in International Business and Finance, Elsevier, vol. 24(2), pages 190-205, June.
    3. Garvey, Gerald T. & Swan, Peter L., 1994. "The economics of corporate governance: Beyond the Marshallian firm," Journal of Corporate Finance, Elsevier, vol. 1(2), pages 139-174, August.
    4. Michael Adusei & Samuel Yaw Akomea & Ralph Nyadu-Addo, 2014. "Predicting Bank Credit Risk: Does Board Structure Matter?," The International Journal of Business and Finance Research, The Institute for Business and Finance Research, vol. 8(5), pages 59-70.
    5. Richard Arend, 2014. "Entrepreneurship and dynamic capabilities: how firm age and size affect the ‘capability enhancement–SME performance’ relationship," Small Business Economics, Springer, vol. 42(1), pages 33-57, January.
    6. Jan Luca Pletzer & Romina Nikolova & Karina Karolina Kedzior & Sven Constantin Voelpel, 2015. "Does Gender Matter? Female Representation on Corporate Boards and Firm Financial Performance - A Meta-Analysis," PLOS ONE, Public Library of Science, vol. 10(6), pages 1-20, June.
    7. Erik Berglof & Ernst-Ludwig von Thadden, 1999. "The Changing Corporate Governance Paradigm: Implications for Transition and Developing Countries," William Davidson Institute Working Papers Series 263, William Davidson Institute at the University of Michigan.
    8. Shann Turnbull, 1997. "Corporate Governance: Its scope, concerns and theories," Corporate Governance: An International Review, Wiley Blackwell, vol. 5(4), pages 180-205, October.
    9. Huang, Chi-Jui, 2010. "Board, ownership and performance of banks with a dual board system: Evidence from Taiwan," Journal of Management & Organization, Cambridge University Press, vol. 16(2), pages 219-234, May.
    10. Dan S. Dhaliwal & Phillip T. Lamoreaux & Clive S. Lennox & Landon M. Mauler, 2015. "Management Influence on Auditor Selection and Subsequent Impairments of Auditor Independence during the post†SOX Period," Contemporary Accounting Research, John Wiley & Sons, vol. 32(2), pages 575-607, June.
    11. Stephen Owusu Afriyie & Yusheng Kong & Benjamin Chris Ampimah & Collins Danso Akuamoah & Leslie Nii Otu Vanderpuije & Zhao Xinlei, 2020. "Verifying the impact of corporate governance on hospital performance on HIV and malaria control: A structural equation modelling approach," International Journal of Health Planning and Management, Wiley Blackwell, vol. 35(1), pages 22-35, January.
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    1. Michael Owusu-Kyei & Yusheng Kong & Michael Owusu Akomeah & Stephen Owusu Afriyie, 2023. "Assessing the Influence of Total Quality Management on Customer Satisfaction in the Telecom Industry: A TQM–SERVQUAL Perspective," Businesses, MDPI, vol. 3(2), pages 1-21, April.
    2. Zuchowski, Matthias Lukas & Henzler, Dennis & Alscher, Mark Dominik & Nagel, Eckhard, 2025. "The impact of C-level positions on hospital performance: A scoping review of top management team outcomes," Health Policy, Elsevier, vol. 157(C).

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