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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

Suggested Citation

  • Goodall, Amanda H., 2011. "Physician-Leaders and Hospital Performance: Is There an Association?," IZA Discussion Papers 5830, Institute for the Study of Labor (IZA).
  • Handle: RePEc:iza:izadps:dp5830
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    References listed on IDEAS

    as
    1. Goodall, Amanda H., 2009. "Highly cited leaders and the performance of research universities," Research Policy, Elsevier, vol. 38(7), pages 1079-1092, September.
    2. 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.
    3. Amanda H Goodall, 2005. "Should Research Universities be Led by Top Researchers? Part 1: Are they?," HEW 0506003, University Library of Munich, Germany.
    4. 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.
    5. 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).
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    Citations

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    Cited by:

    1. Bloom, Nicholas & Lemos, Renata & Sadun, Raffaella & Reenen, John Van, 2017. "Healthy business? Managerial education and management in healthcare," LSE Research Online Documents on Economics 86592, London School of Economics and Political Science, LSE Library.
    2. Avner Offer, 2012. "A Warrant for Pain: Caveat Emptor vs. the Duty of Care in American Medicine, c. 1970-2010," Oxford University Economic and Social History Series _102, Economics Group, Nuffield College, University of Oxford.
    3. Goodall, Amanda H., 2012. "A Theory of Expert Leadership," IZA Discussion Papers 6566, Institute for the Study of Labor (IZA).
    4. Goodall, Amanda H. & Osterloh, Margit, 2015. "Women Have to Enter the Leadership Race to Win: Using Random Selection to Increase the Supply of Women into Senior Positions," IZA Discussion Papers 9331, Institute for the Study of Labor (IZA).
    5. Veronesi, Gianluca & Kirkpatrick, Ian & Vallascas, Francesco, 2013. "Clinicians on the board: What difference does it make?," Social Science & Medicine, Elsevier, vol. 77(C), pages 147-155.
    6. 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.
    7. Avner Offer, 2012. "A Warrant for Pain: Caveat Emptor vs. the Duty of Care in American Medicine, c. 1970-2010," Oxford University Economic and Social History Series _102, Economics Group, Nuffield College, University of Oxford.
    8. Macinati, Manuela S. & Bozzi, Stefano & Rizzo, Marco Giovanni, 2016. "Budgetary participation and performance: The mediating effects of medical managers’ job engagement and self-efficacy," Health Policy, Elsevier, vol. 120(9), pages 1017-1028.
    9. Benjamin M. Artz & Amanda H. Goodall & Andrew J. Oswald, 2017. "Boss Competence and Worker Well-Being," ILR Review, Cornell University, ILR School, vol. 70(2), pages 419-450, March.
    10. Chen-Wei Yang, 2015. "Implementing hospital innovation in Taiwan: the perspectives of institutional theory and social capital," International Journal of Health Planning and Management, Wiley Blackwell, vol. 30(4), pages 403-425, October.
    11. Goodall, Amanda H. & Pogrebna, Ganna, 2012. "Expert Leaders in a Fast-Moving Environment," IZA Discussion Papers 6715, Institute for the Study of Labor (IZA).
    12. Amanda Goodall, 2013. "Should Doctors Run Hospitals?," ifo DICE Report, ifo Institute - Leibniz Institute for Economic Research at the University of Munich, vol. 11(1), pages 37-40, 04.
    13. KURODA Sachiko & YAMAMOTO Isamu, 2016. "Good Boss, Bad Boss, Workers' Mental Health and Productivity: Evidence from Japan," Discussion papers 16101, Research Institute of Economy, Trade and Industry (RIETI).
    14. Avner Offer, 2012. "A Warrant for Pain: Caveat Emptor vs. the Duty of Care in American Medicine, c. 1970-2010," Oxford University Economic and Social History Series _102, University of Oxford, Department of Economics.
    15. repec:ces:ifodic:v:11:y:2013:i:1:p:19078515 is not listed on IDEAS

    More about this item

    Keywords

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

    JEL classification:

    • I19 - Health, Education, and Welfare - - Health - - - Other
    • M12 - Business Administration and Business Economics; Marketing; Accounting; Personnel Economics - - Business Administration - - - Personnel Management; Executives; Executive Compensation
    • M51 - Business Administration and Business Economics; Marketing; Accounting; Personnel Economics - - Personnel Economics - - - Firm Employment Decisions; Promotions

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