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The Impact of CEOs’ Gender on Organisational Efficiency in the Public Sector: Evidence from the English NHS

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Abstract

Increasing operational efficiency is an objective relevant for all institutions, but it is essential in public entities and even more in public health systems because of the number of resources they consume and their impact on general welfare. This research analyses the effect that CEOs’ gender has on the operational efficiency of the entities they manage. Despite the impact that the management team and notably the CEO have on the development of institutions, studies on their effect on performance are practically non-existent, especially for public organisations. We have used data from acute care hospital trusts belonging to the English National Health System (NHS) concerning its development. The results were obtained from a two-stage analysis. First, the entities’ economic efficiency and health/social efficiency (two operational efficiency measures) were evaluated using two data envelopment analysis (DEA) models. Secondly, the results have been regressed with the CEOs’ gender. The results obtained are robust and consistent, revealing that male CEOs have greater performance than female CEOs. This result provides insight into determining features that relate to operational efficiency, which it is of interest to the research and policymakers.

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  • , Aisdl, 2021. "The Impact of CEOs’ Gender on Organisational Efficiency in the Public Sector: Evidence from the English NHS," OSF Preprints mhcxv, Center for Open Science.
    • Handle: RePEc:osf:osfxxx:mhcxv
    DOI: 10.31219/osf.io/mhcxv
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    1. Guth, Werner & Levati, M. Vittoria & Sutter, Matthias & van der Heijden, Eline, 2007. "Leading by example with and without exclusion power in voluntary contribution experiments," Journal of Public Economics, Elsevier, vol. 91(5-6), pages 1023-1042, June.
    2. William W. Cooper & Lawrence M. Seiford & Joe Zhu (ed.), 2011. "Handbook on Data Envelopment Analysis," International Series in Operations Research and Management Science, Springer, number 978-1-4419-6151-8, March.
    3. Katharina Janke & Carol Propper & Raffaella Sadun, 2019. "The Role of Top Managers in the Public Sector: Evidence from the English NHS," NBER Working Papers 25853, National Bureau of Economic Research, Inc.
    4. Morey, RC & Fine, DJ & Loree, SW, 1990. "Comparing the allocative efficiencies of hospitals," Omega, Elsevier, vol. 18(1), pages 71-83.
    5. Vishal K. Gupta & Sandra C. Mortal & Xiaohu Guo, 2018. "Revisiting the gender gap in CEO compensation: Replication and extension of Hill, Upadhyay, and Beekun's (2015) work on CEO gender pay gap," Strategic Management Journal, Wiley Blackwell, vol. 39(7), pages 2036-2050, July.
    6. Nemiraja Jadiyappa & Pavana Jyothi & Bhanu Sireesha & Leila Emily Hickman, 2019. "CEO gender, firm performance and agency costs: evidence from India," Journal of Economic Studies, Emerald Group Publishing Limited, vol. 46(2), pages 482-495, March.
    7. U.‐G. Gerdtham & M. Löthgren & M. Tambour & C. Rehnberg, 1999. "Internal markets and health care efficiency: a multiple‐output stochastic frontier analysis," Health Economics, John Wiley & Sons, Ltd., vol. 8(2), pages 151-164, March.
    8. Muriel Niederle & Lise Vesterlund, 2007. "Do Women Shy Away From Competition? Do Men Compete Too Much?," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 122(3), pages 1067-1101.
    9. Quan-Hoang Vuong, 2020. "Reform retractions to make them more transparent," Nature, Nature, vol. 582(7811), pages 149-149, June.
    10. Charnes, A. & Cooper, W. W. & Rhodes, E., 1978. "Measuring the efficiency of decision making units," European Journal of Operational Research, Elsevier, vol. 2(6), pages 429-444, November.
    11. Axel Ockenfels & Gary E. Bolton, 2000. "ERC: A Theory of Equity, Reciprocity, and Competition," American Economic Review, American Economic Association, vol. 90(1), pages 166-193, March.
    12. Linna, Miika & Hakkinen, Unto & Magnussen, Jon, 2006. "Comparing hospital cost efficiency between Norway and Finland," Health Policy, Elsevier, vol. 77(3), pages 268-278, August.
    13. Simar, Leopold & Wilson, Paul W., 2007. "Estimation and inference in two-stage, semi-parametric models of production processes," Journal of Econometrics, Elsevier, vol. 136(1), pages 31-64, January.
    14. Sheikh, Shahbaz, 2018. "The impact of market competition on the relation between CEO power and firm innovation," Journal of Multinational Financial Management, Elsevier, vol. 44(C), pages 36-50.
    15. William W. Cooper & Lawrence M. Seiford & Joe Zhu, 2011. "Data Envelopment Analysis: History, Models, and Interpretations," International Series in Operations Research & Management Science, in: William W. Cooper & Lawrence M. Seiford & Joe Zhu (ed.), Handbook on Data Envelopment Analysis, chapter 0, pages 1-39, Springer.
    16. Gregory F. Branch & Eric A. Hanushek & Steven G. Rivkin, 2012. "Estimating the Effect of Leaders on Public Sector Productivity: The Case of School Principals," NBER Working Papers 17803, National Bureau of Economic Research, Inc.
    17. Drake, Leigh & Hall, Maximilian J.B. & Simper, Richard, 2006. "The impact of macroeconomic and regulatory factors on bank efficiency: A non-parametric analysis of Hong Kong's banking system," Journal of Banking & Finance, Elsevier, vol. 30(5), pages 1443-1466, May.
    18. Adams, Renée B. & Ferreira, Daniel, 2009. "Women in the boardroom and their impact on governance and performance," Journal of Financial Economics, Elsevier, vol. 94(2), pages 291-309, November.
    19. Jie Huang & Marjo-Riitta Diehl & Sandra Paterlini, 2020. "The Influence of Corporate Elites on Women on Supervisory Boards: Female Directors’ Inclusion in Germany," Journal of Business Ethics, Springer, vol. 165(2), pages 347-364, August.
    20. Propper, Carol & Janke, Katharina & Sadun, Raffaella, 2019. "The Impact of CEOs in the Public Sector: Evidence from the English NHS," CEPR Discussion Papers 13726, C.E.P.R. Discussion Papers.
    21. Nermeen Shehata & Ahmed Salhin & Moataz El-Helaly, 2017. "Board diversity and firm performance: evidence from the U.K. SMEs," Applied Economics, Taylor & Francis Journals, vol. 49(48), pages 4817-4832, October.
    22. 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.
    23. Rajiv D. Banker & Ram Natarajan, 2008. "Evaluating Contextual Variables Affecting Productivity Using Data Envelopment Analysis," Operations Research, INFORMS, vol. 56(1), pages 48-58, February.
    24. Wagner, Janet M. & Shimshak, Daniel G., 2007. "Stepwise selection of variables in data envelopment analysis: Procedures and managerial perspectives," European Journal of Operational Research, Elsevier, vol. 180(1), pages 57-67, July.
    25. Cristian L. Dezsö & David Gaddis Ross, 2012. "Does female representation in top management improve firm performance? A panel data investigation," Strategic Management Journal, Wiley Blackwell, vol. 33(9), pages 1072-1089, September.
    26. Jose Apesteguia & Ghazala Azmat & Nagore Iriberri, 2012. "The Impact of Gender Composition on Team Performance and Decision Making: Evidence from the Field," Management Science, INFORMS, vol. 58(1), pages 78-93, January.
    27. Fischer, Eileen M. & Reuber, A. Rebecca & Dyke, Lorraine S., 1993. "A theoretical overview and extension of research on sex, gender, and entrepreneurship," Journal of Business Venturing, Elsevier, vol. 8(2), pages 151-168, March.
    28. R. D. Banker & A. Charnes & W. W. Cooper, 1984. "Some Models for Estimating Technical and Scale Inefficiencies in Data Envelopment Analysis," Management Science, INFORMS, vol. 30(9), pages 1078-1092, September.
    29. Khan, Walayet A. & Vieito, João Paulo, 2013. "Ceo gender and firm performance," Journal of Economics and Business, Elsevier, vol. 67(C), pages 55-66.
    30. Gillian McCallion & Donal G. McKillop & J. Colin Glass & Christine Kerr, 1999. "Rationalizing Northern Ireland Hospital Services Towards Larger Providers: Best-Practice Efficiency Studies and Current Policy," Public Money & Management, Taylor & Francis Journals, vol. 19(2), pages 27-32, April.
    31. Dah, Mustafa A. & Jizi, Mohammad I. & Kebbe, Reem, 2020. "CEO gender and managerial entrenchment," Research in International Business and Finance, Elsevier, vol. 54(C).
    32. Mikko Manner, 2010. "The Impact of CEO Characteristics on Corporate Social Performance," Journal of Business Ethics, Springer, vol. 93(1), pages 53-72, June.
    33. Aaron D. Hill & Arun D. Upadhyay & Rafik I. Beekun, 2015. "Do female and ethnically diverse executives endure inequity in the CEO position or do they benefit from their minority status? An empirical examination," Strategic Management Journal, Wiley Blackwell, vol. 36(8), pages 1115-1134, August.
    34. Rachel Croson & Uri Gneezy, 2009. "Gender Differences in Preferences," Journal of Economic Literature, American Economic Association, vol. 47(2), pages 448-474, June.
    35. Huang, Jiekun & Kisgen, Darren J., 2013. "Gender and corporate finance: Are male executives overconfident relative to female executives?," Journal of Financial Economics, Elsevier, vol. 108(3), pages 822-839.
    36. Mengying Wang & Chunhai Tao, 2019. "Research on the Efficiency of Local Government Health Expenditure in China and Its Spatial Spillover Effect," Sustainability, MDPI, vol. 11(9), pages 1-17, April.
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