TY - JOUR
T1 - Hands and gloves
T2 - The relationship between CEOs and organizational context in U.S. hospitals
AU - Silvera, Geoffrey
AU - Hamadi, Hanadi Y.
AU - Tafili, Aurora
N1 - Geoffrey Silvera, Hanadi Hamadi & Aurora Tafili (2021) Hands and gloves: The relationship between CEOs and organizational context in U.S. hospitals, International Journal of Healthcare Management, DOI: 10.1080/20479700.2020.1870351
PY - 2021
Y1 - 2021
N2 - The upper echelons perspective states that the backgrounds and experiences of strategic managers, especially CEOs, influence organization performance. This study seeks to determine if there is a corresponding variety in the demographic and experiential backgrounds of hospital CEOs relates to hospital profit status, rurality, and competition. Multivariable logistic regression is used to examine a sample of 407 hospital-CEO dyads, created by merging a nationally representative random sample of hospital CEOs (2009–2011), the American Hospital Association database (2013), and Medicare Cost Report Database (2009–2011). The results show significant differences between For-profit (FP) and Not-for-profit (NFP) hospital CEOs, as NFP CEOs are more likely to be older and to have longer tenures within their organizations than their FP counterparts. These results hold even as hospital’s organizational and environmental contexts become similar in terms of rurality and levels of competition. Given the finding that there are differences between hospital CEO backgrounds based on organizational and environmental contexts, future scholarship should examine the degree to which these differences influence hospital performance and care quality outcomes so that hospital governing boards might consider the degree to which executives’ demographic backgrounds and professional experiences align with the hospital’s strategic mission, vision, and goals.
AB - The upper echelons perspective states that the backgrounds and experiences of strategic managers, especially CEOs, influence organization performance. This study seeks to determine if there is a corresponding variety in the demographic and experiential backgrounds of hospital CEOs relates to hospital profit status, rurality, and competition. Multivariable logistic regression is used to examine a sample of 407 hospital-CEO dyads, created by merging a nationally representative random sample of hospital CEOs (2009–2011), the American Hospital Association database (2013), and Medicare Cost Report Database (2009–2011). The results show significant differences between For-profit (FP) and Not-for-profit (NFP) hospital CEOs, as NFP CEOs are more likely to be older and to have longer tenures within their organizations than their FP counterparts. These results hold even as hospital’s organizational and environmental contexts become similar in terms of rurality and levels of competition. Given the finding that there are differences between hospital CEO backgrounds based on organizational and environmental contexts, future scholarship should examine the degree to which these differences influence hospital performance and care quality outcomes so that hospital governing boards might consider the degree to which executives’ demographic backgrounds and professional experiences align with the hospital’s strategic mission, vision, and goals.
KW - American Hospital Association
KW - CEO characteristics
KW - CEO demographic background
KW - CEO professional experience
KW - for-profit not-for-profit
KW - hospitals
KW - organizational performance
KW - upper echelons perspective
U2 - 10.1080/20479700.2020.1870351
DO - 10.1080/20479700.2020.1870351
M3 - Article
SN - 2047-9700
SP - 188
EP - 195
JO - International Journal of Healthcare Management
JF - International Journal of Healthcare Management
ER -