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Does Gender and Cultural Diversity Matter for Sustainability in Healthcare? Evidence from Global Organizations

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  • Kylie de Klerk

    (School of Business and Law, Central Queensland University, Melbourne, VIC 3000, Australia)

  • Favil Singh

    (Exercise Medicine Research Institute, Edith Cowan University, Joondalup, WA 6027, Australia
    School of Medical and Health Sciences, Edith Cowan University, Joondalup, WA 6027, Australia)

Abstract

Global healthcare organizations are fundamental in addressing the healthcare needs of local and global communities. This highly regulated sector means it is under constant scrutiny for health, safety, and ethical compliance risks by federal regulatory bodies. Despite higher monitoring, an increasing number of healthcare companies receive fines for their irresponsible practices, manifesting significant questions about their corporate governance and sustainability practices. Against this backdrop, this study examines the relationship between boardroom diversity on the sustainability performance of companies operating in healthcare. Utilizing a global sample of publicly listed healthcare companies, using panel regression data and the system-GMM estimator accounting for endogeneity, we find evidence of a positive association between board diversity (gender and culture) and sustainability performance. These findings support critical mass theoretical expectations for board diversity and sustainability performance, suggesting that a meaningful representation (three or more) of women and ethnic directors on the board of healthcare organizations significantly improves sustainability performance. The findings remain robust in a series of robustness tests and continue to hold after accounting for potential endogeneity concerns. This paper has important implications for global healthcare organizational policy concerning diversity management practices and their implications for sustainability performance.

Suggested Citation

  • Kylie de Klerk & Favil Singh, 2023. "Does Gender and Cultural Diversity Matter for Sustainability in Healthcare? Evidence from Global Organizations," Sustainability, MDPI, vol. 15(15), pages 1-17, July.
    • Handle: RePEc:gam:jsusta:v:15:y:2023:i:15:p:11695-:d:1205461
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    as
    1. Fatemi, Ali & Glaum, Martin & Kaiser, Stefanie, 2018. "ESG performance and firm value: The moderating role of disclosure," Global Finance Journal, Elsevier, vol. 38(C), pages 45-64.
    2. Mariateresa Torchia & Andrea Calabrò & Morten Huse, 2011. "Women Directors on Corporate Boards: From Tokenism to Critical Mass," Journal of Business Ethics, Springer, vol. 102(2), pages 299-317, August.
    3. Martha L. Maznevski & Katherine M. Chudoba, 2000. "Bridging Space Over Time: Global Virtual Team Dynamics and Effectiveness," Organization Science, INFORMS, vol. 11(5), pages 473-492, October.
    4. repec:eme:par000:par-08-2016-0080 is not listed on IDEAS
    5. Giuliana Birindelli & Stefano Dell’Atti & Antonia Patrizia Iannuzzi & Marco Savioli, 2018. "Composition and Activity of the Board of Directors: Impact on ESG Performance in the Banking System," Sustainability, MDPI, vol. 10(12), pages 1-20, December.
    6. Idoya Ferrero‐Ferrero & María Ángeles Fernández‐Izquierdo & María Jesús Muñoz‐Torres, 2015. "Integrating Sustainability into Corporate Governance: An Empirical Study on Board Diversity," Corporate Social Responsibility and Environmental Management, John Wiley & Sons, vol. 22(4), pages 193-207, July.
    7. Gul, Ferdinand A. & Leung, Sidney, 2004. "Board leadership, outside directors' expertise and voluntary corporate disclosures," Journal of Accounting and Public Policy, Elsevier, vol. 23(5), pages 351-379.
    8. Harjoto, Maretno A. & Laksmana, Indrarini & Yang, Ya-wen, 2018. "Board diversity and corporate investment oversight," Journal of Business Research, Elsevier, vol. 90(C), pages 40-47.
    9. Nikolaos SARIANNIDIS & Grigoris GIANNARAKIS & Nicolaos LITINAS & George KONTEOS, 2010. "Á GARCH Examination of Macroeconomic Effects on U.S. Stock Market: A Distinction Between the Total Market Index and the Sustainability Index," European Research Studies Journal, European Research Studies Journal, vol. 0(1), pages 129-142.
    10. Saleh F. A. Khatib & Dewi Fariha Abdullah & Ahmed A. Elamer & Raed Abueid, 2021. "Nudging toward diversity in the boardroom: A systematic literature review of board diversity of financial institutions," Business Strategy and the Environment, Wiley Blackwell, vol. 30(2), pages 985-1002, February.
    11. Kim Beasy & Fred Gale, 2020. "Disrupting the Status-Quo of Organisational Board Composition to Improve Sustainability Outcomes: Reviewing the Evidence," Sustainability, MDPI, vol. 12(4), pages 1-18, February.
    12. Shamsul N. Abdullah & Ku Nor Izah Ku Ismail & Lilac Nachum, 2016. "Does having women on boards create value? The impact of societal perceptions and corporate governance in emerging markets," Strategic Management Journal, Wiley Blackwell, vol. 37(3), pages 466-476, March.
    13. repec:eme:parpps:par-08-2016-0080 is not listed on IDEAS
    14. Jane E. Dutton & Robert B. Duncan, 1987. "The influence of the strategic planning process on strategic change," Strategic Management Journal, Wiley Blackwell, vol. 8(2), pages 103-116, March.
    15. Mert Demir & Maung Min, 2019. "Consistencies and discrepancies in corporate social responsibility reporting in the pharmaceutical industry," Sustainability Accounting, Management and Policy Journal, Emerald Group Publishing Limited, vol. 10(2), pages 333-364, May.
    16. Tom Kuhlman & John Farrington, 2010. "What is Sustainability?," Sustainability, MDPI, vol. 2(11), pages 1-13, November.
    17. Kinateder, Harald & Choudhury, Tonmoy & Zaman, Rashid & Scagnelli, Simone D. & Sohel, Nurul, 2021. "Does boardroom gender diversity decrease credit risk in the financial sector? Worldwide evidence," Journal of International Financial Markets, Institutions and Money, Elsevier, vol. 73(C).
    18. Jeremy Galbreath, 2016. "When do Board and Management Resources Complement Each Other? A Study of Effects on Corporate Social Responsibility," Journal of Business Ethics, Springer, vol. 136(2), pages 281-292, June.
    19. Turner, Marlene E. & Pratkanis, Anthony R., 1998. "A Social Identity Maintenance Model of Groupthink," Organizational Behavior and Human Decision Processes, Elsevier, vol. 73(2-3), pages 210-235, February.
    20. Sonia Boukattaya & Abdelwahed Omri, 2021. "Impact of Board Gender Diversity on Corporate Social Responsibility and Irresponsibility: Empirical Evidence from France," Sustainability, MDPI, vol. 13(9), pages 1-14, April.
    21. Rosenberg-Yunger, Zahava R.S. & Daar, Abdallah S. & Singer, Peter A. & Martin, Douglas K., 2008. "Healthcare sustainability and the challenges of innovation to biopharmaceuticals in Canada," Health Policy, Elsevier, vol. 87(3), pages 359-368, September.
    22. Gregory Jackson & Androniki Apostolakou, 2010. "Corporate Social Responsibility in Western Europe: An Institutional Mirror or Substitute?," Journal of Business Ethics, Springer, vol. 94(3), pages 371-394, July.
    23. Helen Kang & Mandy Cheng & Sidney J. Gray, 2007. "Corporate Governance and Board Composition: diversity and independence of Australian boards," Corporate Governance: An International Review, Wiley Blackwell, vol. 15(2), pages 194-207, March.
    24. Sila, Vathunyoo & Gonzalez, Angelica & Hagendorff, Jens, 2016. "Women on board: Does boardroom gender diversity affect firm risk?," Journal of Corporate Finance, Elsevier, vol. 36(C), pages 26-53.
    25. Mert Demir & Maung Min, 2019. "Consistencies and discrepancies in corporate social responsibility reporting in the pharmaceutical industry," Sustainability Accounting, Management and Policy Journal, Emerald Group Publishing Limited, vol. 10(2), pages 333-364, May.
    26. Won-Kyu Lim & Cheong-Kyu Park, 2022. "Mandating Gender Diversity and the Value Relevance of Sustainable Development Disclosure," Sustainability, MDPI, vol. 14(12), pages 1-12, June.
    27. Lloret, Antonio, 2016. "Modeling corporate sustainability strategy," Journal of Business Research, Elsevier, vol. 69(2), pages 418-425.
    28. Jasmin Joecks & Kerstin Pull & Karin Vetter, 2013. "Gender Diversity in the Boardroom and Firm Performance: What Exactly Constitutes a “Critical Mass?”," Journal of Business Ethics, Springer, vol. 118(1), pages 61-72, November.
    29. Jian Cao & Kimberly M. Ellis & Mingxiang Li, 2019. "Inside the board room: the influence of nationality and cultural diversity on cross-border merger and acquisition outcomes," Review of Quantitative Finance and Accounting, Springer, vol. 53(4), pages 1031-1068, November.
    30. Zaman, Rashid & Atawnah, Nader & Baghdadi, Ghasan A. & Liu, Jia, 2021. "Fiduciary duty or loyalty? Evidence from co-opted boards and corporate misconduct," Journal of Corporate Finance, Elsevier, vol. 70(C).
    31. M. López & Arminda Garcia & Lazaro Rodriguez, 2007. "Sustainable Development and Corporate Performance: A Study Based on the Dow Jones Sustainability Index," Journal of Business Ethics, Springer, vol. 75(3), pages 285-300, October.
    32. Wintoki, M. Babajide & Linck, James S. & Netter, Jeffry M., 2012. "Endogeneity and the dynamics of internal corporate governance," Journal of Financial Economics, Elsevier, vol. 105(3), pages 581-606.
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