Do Hospitals Without Physicians on the Board Deliver Lower Quality of Care?

Ge Bai, Ranjani Krishnan

Research output: Contribution to journalArticlepeer-review

Abstract

This study examines whether hospitals without physician participation on their boards of directors deliver lower quality of care. Using data from California nonprofit hospitals from 2004 to 2008, the authors document that the absence of physicians on the board is associated with a decrease of 3 to 5 percentage points in 3 of 4 measures of care quality. This result was obtained using regression analysis, which controls for various hospital characteristics. The authors also identify factors that influence quality of care in hospitals. Specifically, hospital size, church affiliation, urban location, and system affiliation are positively associated with quality of care; proportion of Medicaid patient revenue and poverty level of the county in which the hospital is located are negatively associated with quality of care. These results highlight the importance of physician participation in hospital governance and indicate areas for hospitals and policy makers to focus on to enhance medical quality management.

Original languageEnglish (US)
Pages (from-to)58-65
Number of pages8
JournalAmerican Journal of Medical Quality
Volume30
Issue number1
DOIs
StatePublished - Jan 21 2015
Externally publishedYes

Keywords

  • board of directors
  • governance
  • hospital quality of care
  • physicians

ASJC Scopus subject areas

  • Health Policy

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