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Physicians in leadership: the association between medical director involvement and staff-to-patient ratios

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  • Ludwig Kuntz

  • Stefan Scholtes

Abstract

In a hospital environment that demands a careful balance between commercial and clinical interests, the extent to which physicians are involved in hospital leadership varies greatly. This paper assesses the influence of the extent of this involvement on staff-to-patient ratios. Using data gathered from 604 hospitals across Germany, this study evidences the positive relationship between a full-time medical director (MD) or heavily involved part-time MD and a higher staff-to-patient ratio. The data allows us to control for a range of confounding variables, such as size, rural/urban location, ownership structure, and case-mix. The results contribute to the sparse body of empirical research on the effect of clinical leadership on organizational outcomes. Copyright Springer Science+Business Media New York 2013

Suggested Citation

  • 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.
    • Handle: RePEc:kap:hcarem:v:16:y:2013:i:2:p:129-138
    DOI: 10.1007/s10729-012-9218-7
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    References listed on IDEAS

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    Cited by:

    1. Kaiser, Florian & Schmid, Andreas & Schlüchtermann, Jörg, 2020. "Physician-leaders and hospital performance revisited," Social Science & Medicine, Elsevier, vol. 249(C).
    2. Maik Lachmann & Rouven Trapp & Felix Wenger, 2024. "Transparency in performance measurement systems: an exploration of rationales and diverging perceptions in the hospital setting," Journal of Management Control: Zeitschrift für Planung und Unternehmenssteuerung, Springer, vol. 35(4), pages 467-507, December.

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