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Clinicians on the board: what difference does it make?
Gianluca Veronesi1, Ian Kirkpatrick, Francesco Vallascas
1Leeds University Business School, The University of Leeds, Maurice Keyworth Building, Leeds LS2 9JT, UK. G.Veronesi@leeds.ac.uk
Social Science & Medicine (1982)
|December 13, 2012
Summary
Including doctors on hospital boards is linked to better healthcare quality and lower patient morbidity. However, this positive impact was not observed for nurses or allied health professionals serving as directors.
Area of Science:
- Health Services Management
- Clinical Governance
- Organizational Performance
Background:
- Increasing involvement of clinical professionals in health service management globally.
- Fragmented evidence on the performance improvements resulting from this shift.
- Focus on clinicians in leadership roles within English National Health Service (NHS) hospital trusts.
Purpose of the Study:
- To investigate the impact of clinicians on the boards of directors of English NHS hospital trusts.
- To determine if clinical representation on boards correlates with improved organizational performance.
- To examine the differential impact of various clinical professions on hospital outcomes.
Main Methods:
- Analysis of data from hospital trust annual reports.
- Utilizing publicly available performance measures from the Healthcare Commission.
- Incorporating data from Dr Foster's research over a three-year period (2006-2009).
Main Results:
- A significant positive association found between a higher percentage of clinicians on boards and service provider quality ratings, particularly for doctors.
- Lower morbidity rates were also linked to increased clinician representation on boards.
- No similar positive association was found for nurses or allied health professionals serving as directors.
Conclusions:
- The presence of doctors on hospital boards is associated with enhanced service quality and reduced patient morbidity.
- The positive impact on performance appears specific to medical professionals, not extending to nurses or allied health professionals in director roles.
- Further research may be needed to understand the mechanisms behind these differential effects.
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