Suchergebnisse

Background: Dynamic and complex transformations in the hospital market increase the relevance of good corporate governance. However, hospital performance and the characteristics of supervisory boards differ depending on ownership. The question therefore arises whether hospital owners can influence performance by addressing supervisory board characteristics. Purpose: The objective of this study is to explain differences in the financial performance of hospitals with regard to ownership by studying the size and composition of supervisory boards. Methodology: The AMADEUS database was used to collect information on hospital financial performance in 2009 and 2010. Business and quality reports, hospital websites, and data from health insurer were used to obtain information on hospital and board characteristics. The resulting sample consisted of 175 German hospital corporations. We utilized ANOVA and regression analysis to test a mediation hypothesis that investigated whether decisions regarding board size and composition were associated with financial performance and could explain performance differences. Findings: Financial performance and board size and composition depend on ownership. An increase in board size and greater politician participation were negatively associated with all five tested measures of financial performance. Furthermore, an increase in physician participation was positively associated with one dimension of financial performance, whereas one negative relationship was identified for nurse and economist participation. For clerics, no associations were found. Practice Implications: Decisions concerning board size and composition are important as they relate to hospital financial performance. We contribute to existing research by showing that, in addition to board size and physician participation, the participation of other professionals can also influence financial performance.

Gesundheitseinrichtungen sind in besonderer Weise normativ geprägt, sie zielen auf Heilung und Unterstützung von kranken, pflegebedürftigen Menschen. Was bedeutet diese normative Ausrichtung für das Management? Das Management richtet seine Handlungen an ebendiesen normativen Überzeugungen aus, um ökonomisch in sozialer Verantwortung zu handeln. Somit wirkt das normative Management für eine Unternehmung identitätsstiftend und integrierend nach innen wie außen: Es schafft Transparenz in Bezug auf Leitideen, Werte und Prinzipien, aber auch Klarheit in Bezug auf die formale Ordnung und Struktur. Die Spannweite und Beziehungen der Begriffe um das Normative wie Normen, Gesetzmäßigkeiten, Tugenden oder Ethik und Moral sind herauszuarbeiten. Die Gestaltungsfelder des normativen Managements sind zu beschreiben. Es sind Instrumente zu konzipieren, die helfen, eine normative Ausrichtung zu erreichen.