Footnote:
In: American Journal of Medical Quality, Forthcoming
Nach Informationen von SSRN wurde die ursprüngliche Fassung des Dokuments September 30, 2013 erstellt
Description:
This study examines whether hospitals without physician participation on their boards of directors deliver lower quality of care. Using data from California nonprofit hospitals from 2004 to 2008, we document that the absence of physicians on the board is associated with a decrease of 3-5 percentage points in three out of four measures of care quality. We obtain this result using regression analysis, which controls for various hospital characteristics. We also identify factors that influence quality of care in hospitals. Specifically, hospital size, church affiliation, urban location, and system affiliation are positively associated with quality of care; proportion of Medicaid patient revenue and poverty level of the county where the hospital is located are negatively associated with quality of care. These results highlight the importance of physician participation in hospital governance and indicate areas for hospitals and policy makers to focus on to enhance medical quality management