非营利性医院的首席执行官薪酬:质量是否重要?
Derek Jenkins1, Marah Short1, Vivian Ho1,2,3
1Baker Institute for Public Policy, Rice University, Houston, TX.
Medical care
|August 22, 2025
概括
非营利性医院的CEO薪水越来越多地与医院的规模而不是护理质量有关. 在2012年至2019年间,质量指标与高管薪酬之间的联系显著减弱.
科学领域:
- 医疗服务研究
- 医疗保健管理
- 健康经济学
背景情况:
- 过去的研究表明,从2012年到2019年,增加的利,医疗系统规模以及这些指标的奖励慷慨影响了非营利性医院首席执行官的工资增长.
- 非营利性医院的高管薪酬是一个正在进行的研究和公共利益的主题.
研究的目的:
- 调查医院质量措施是否补充其他因素来确定非营利性医院首席执行官的薪酬.
- 分析医院质量与CEO薪酬之间的关系.
主要方法:
- 为了分析2012年和2019年的CEO工资与医院特征 (包括质量) 之间的关系,使用了线性回归.
- 使用Oaxaca分解来确定导致CEO薪酬差异的因素.
- 数据包括非营利性卫生系统和独立医院,检查了CEO薪酬,利,慈善服务,医院规模和质量指标 (例如,再入院和死亡率) 等指标.
主要成果:
- 2012年与2019年相比,医院质量和CEO薪水之间存在较强的关联.
- 在2012年分析中,包括质量措施降低了领先的大型医院/系统的薪酬溢价,但到2019年,这一效应有所减弱.
- 医院质量与首席执行官薪酬之间的相关性在2012年至2019年间大幅下降.
结论:
- 非营利性医院的首席执行官似乎更多地为领导大型组织而不是为提供优质的患者护理而获得补偿.
- 这些发现表明,非营利性医院部门的高管薪酬优先级发生了变化,重视规模而不是质量.
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