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Clinicians on the board: What difference does it make?

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  • Veronesi, Gianluca
  • Kirkpatrick, Ian
  • Vallascas, Francesco

Abstract

Around the world clinical professionals have increased their involvement in the management of health services. However the evidence to suggest that these changes will lead to improved performance remains fragmented. In this paper we address this matter focussing on the impact of clinicians appointed to the boards of directors of English NHS hospital trusts. Although the number of clinicians involved in the strategic governance of hospital trusts is relatively low by international standards, they do appear to have an impact on overall performance. Drawing on published information from hospital trust annual reports, publicly available performance measures from the Healthcare Commission and data gathered by Dr Foster over a three year period (2006–9), the paper reports two main findings. First, the analysis reveals a significant and positive association between a higher percentage of clinicians on boards and the quality ratings of service providers, especially where doctors are concerned. This positive influence is also confirmed in relation to lower morbidity rates and tests to exclude the possibility of reverse causality (doctors joining boards of already successful organisations). Second, we do not find the same level of support for clinical professions such as nurses and other allied health professions turned directors.

Suggested Citation

  • 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.
    • Handle: RePEc:eee:socmed:v:77:y:2013:i:c:p:147-155
    DOI: 10.1016/j.socscimed.2012.11.019
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    References listed on IDEAS

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    1. Hunter, David J., 1992. "Doctors as managers: Poachers turned gamekeepers?," Social Science & Medicine, Elsevier, vol. 35(4), pages 557-566, August.
    2. Goodall, Amanda H., 2011. "Physician-leaders and hospital performance: Is there an association?," Social Science & Medicine, Elsevier, vol. 73(4), pages 535-539, August.
    3. Gianluca Veronesi & Kevin Keasey, 2011. "National Health Service Boards of Directors and Governance Models," Public Management Review, Taylor & Francis Journals, vol. 13(6), pages 861-885, September.
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    Cited by:

    1. A. Blanco-Oliver & G. Veronesi & I. Kirkpatrick, 2018. "Board Heterogeneity and Organisational Performance: The Mediating Effects of Line Managers and Staff Satisfaction," Journal of Business Ethics, Springer, vol. 152(2), pages 393-407, October.
    2. Jones, Lorelei & Fulop, Naomi, 2021. "The role of professional elites in healthcare governance: Exploring the work of the medical director," Social Science & Medicine, Elsevier, vol. 277(C).
    3. Mannion, R. & Davies, H.T.O. & Jacobs, R. & Kasteridis, P. & Millar, R. & Freeman, T., 2017. "Do Hospital Boards matter for better, safer, patient care?," Social Science & Medicine, Elsevier, vol. 177(C), pages 278-287.
    4. Sara Korlén & Isis Amer‐Wåhlin & Peter Lindgren & Ulrica von Thiele Schwarz, 2019. "Exploring staff experience of economic efficiency requirements in health care: A mixed method study," International Journal of Health Planning and Management, Wiley Blackwell, vol. 34(4), pages 1439-1455, October.
    5. De Regge, Melissa & Eeckloo, Kristof, 2020. "Balancing hospital governance: A systematic review of 15 years of empirical research," Social Science & Medicine, Elsevier, vol. 262(C).
    6. Brown, Alison & Dickinson, Helen & Kelaher, Margaret, 2018. "Governing the quality and safety of healthcare: A conceptual framework," Social Science & Medicine, Elsevier, vol. 202(C), pages 99-107.
    7. Shimaa Elkomy & Zahra Murad & Veronica Veleanu, 2018. "Does Leadership Matter for Healthcare Service Quality? Evidence from NHS England," Working Papers in Economics & Finance 2018-08, University of Portsmouth, Portsmouth Business School, Economics and Finance Subject Group.
    8. Kaiser, Florian & Schmid, Andreas & Schlüchtermann, Jörg, 2020. "Physician-leaders and hospital performance revisited," Social Science & Medicine, Elsevier, vol. 249(C).
    9. Botje, Daan & Klazinga, Niek S. & Wagner, Cordula, 2013. "To what degree is the governance of Dutch hospitals orientated towards quality in care? Does this really affect performance?," Health Policy, Elsevier, vol. 113(1), pages 134-141.
    10. Merlijn C P van de Riet & Mathilde A Berghout & Martina Buljac-Samardžić & Job van Exel & Carina G J M Hilders, 2019. "What makes an ideal hospital-based medical leader? Three views of healthcare professionals and managers: A case study," PLOS ONE, Public Library of Science, vol. 14(6), pages 1-18, June.

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