Changes in the structure, composition, and activity of hospital governing boards, 1989-1997: evidence from two national surveys
NLM Title Abbreviation
The Milbank quarterly
DOI of Published Version
Hospital governance arrangements affect institutional policymaking and strategic decisions and can vary by such organizational attributes as ownership type/control, size, and system membership. A comparison of two national surveys shows how hospital governing boards changed in response to organizational and environmental pressures between 1989 and 1997. The magnitude and direction of changes in (1) board structure, composition, and selection; (2) CEO-board relations; and (3) board activity, evaluation, and compensation are examined for the population of hospitals and for different categories of hospitals. The findings suggest that hospital boards are engaging in selective rather than wholesale change to meet the simultaneous demands of a competitive market and traditional institutional orientations to community, the disenfranchised, and philanthropic service. Results also suggest parallel increases in collaboration between boards and CEOs and in board scrutiny of CEOs.
Data Collection, Governing Board/organization & administration/trends, Health Policy/trends, Hospital Administration/trends, Hospital Bed Capacity, Humans, United States
Published Article/Book Citation
The Milbank quarterly, 79:2 (2001) pp.253-79, IV-V.