非营利性医院治理,行为和首席执行官薪水
Daniel P Kessler1, William Wygal2
1Stanford University and NBER, CA, USA.
概括
非营利性医院的首席执行官在自己的董事会与更高的价格,运营利和首席执行官的薪水相关. 由于管理与控制的分离减少,这种结构可能会增加机构成本.
科学领域:
- 医疗服务研究
- 组织经济学
- 医疗保健管理
背景情况:
- 获利企业的CEO董事会成员的后果已经得到充分证实.
- 对于非营利组织,尤其是非营利性医院的CEO董事会成员来说,
- 由于非营利性医院的普及和医疗保健价格的上升,这一研究差距很大.
研究的目的:
- 调查非营利性医院CEO董事会成员与CEO薪酬之间的关系.
- 研究CEO董事会成员与医院关键绩效指标之间的关系:价格,运营利,质量和对低收入患者的服务.
主要方法:
- 使用回归模型分析非营利性医院的数据.
- 根据医院位置 (县固定的影响),董事会规模和其他相关医院特征进行控制.
- 研究了CEO董事会成员与医院价格,营业利,质量和服务提供之间的相关性.
主要成果:
- 发现CEO董事会成员与非营利性医院价格之间存在显著的积极联系.
- 观察到CEO董事会成员与运营利以及CEO薪酬之间的正相关性.
- 发现与质量的积极关联较弱,与低收入患者服务的负面关联较弱.
结论:
- 非营利性医院的 CEO 董事会成员与价格上,营业利和 CEO 薪酬有关.
- 由于管理和控制相互交织,这种治理结构可能会导致机构成本增加.
- 这些发现表明非营利性医院治理可能存在利益冲突.
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