Exploring healthcare governance literature: systematic review and paths for future research

The paper aims to illustrate the stance of existing research on governance in healthcare organizations (hereafter HCOs), in order to appreciate the structure of literature and its evolution. More specifically, thorough a keywords analysis of 91 articles published in 1985-2010 timeframe, the article attempts to understand how setting peculiarities affect the healthcare governance field and to provide some suggestions for future research. The findings enlighten the existence of three main research streams, as well as the absence of a research evolution. The novelty of the paper relies on its contributions for academics by providing a keywords map as a useful tool to understand greatest concentration areas and vice versa never investigated issues whereon focusing future efforts.

[1]  E. Cardinaels.  Governance in non-for-profit hospitals: effects of board members' remuneration and expertise on CEO compensation. , 2009, Health policy.

[2]  A. Calabrò,et al.  Public–Private Partnerships in the Health Care Sector: A systematic review of the literature , 2015 .

[3]  S. Krein,et al.  Physician-ownership of ambulatory surgery centers linked to higher volume of surgeries. , 2010, Health affairs.

[4]  J. Cioffi,et al.  The Political Paradox of Finance Capitalism: Interests, Preferences, and Center-Left Party Politics in Corporate Governance Reform , 2006 .

[5]  M. Fennell,et al.  Leadership instability in hospitals: the influence of Board-CEO relations and organizational growth and decline. , 1993, Administrative science quarterly.

[6]  T. V. D. van der Grinten,et al.  The integration of medical specialists in hospitals. Dutch hospitals and medical specialists on the road to joint regulation. , 2005, Health policy.

[7]  Richard L. Johnson.  Hospital governance in a competitive environment , 1995, Health care management review.

[8]  James A. Brickley,et al.  Board composition and nonprofit conduct: Evidence from hospitals , 2010 .

[9]  D. Carlow,et al.  Changing Perspectives on Hospital Governance , 1993, Healthcare management forum.

[10]  C. Bart,et al.  Mission statements in Canadian not-for-profit hospitals: does process matter? , 2000, Health care management review.

[11]  G. Bazzoli,et al.  Governance Forms in Health Systems and Health Networks , 2003, Health care management review.

[12]  J. Tritter,et al.  Revolution or evolution: the challenges of conceptualizing patient and public involvement in a consumerist world , 2009, Health expectations : an international journal of public participation in health care and health policy.

[13]  Jonathan R. Clark,et al.  The internal processes and behavioral dynamics of hospital boards: an exploration of differences between high- and low-performing hospitals. , 2009, Health care management review.

[14]  Boards, Governance and Value Creation: List of tables , 2007 .

[15]  J. Alexander,et al.  Changes in the Monitoring and Oversight Practices of Not-for-Profit Hospital Governing Boards 1989-2005 , 2009, Medical care research and review : MCRR.

[16]  I. Fraser,et al.  Board Oversight of Quality: Any Differences in Process of Care and Mortality? , 2009, Journal of healthcare management / American College of Healthcare Executives.

[17]  M. Dent.  Post-New Public Management in public sector hospitals? The UK, Germany and Italy , 2005 .

[18]  C. Molinari,et al.  The Effects of CEO–Board Relations on Hospital Performance , 1997, Health care management review.

[19]  G. Young,et al.  Governing board structure, business strategy, and performance of acute care hospitals: a contingency perspective. , 1992, Health services research.

[20]  Gavin J. Nicholson,et al.  How Boards Strategise: A Strategy as Practice View , 2010 .

[21]  D Kirk Hamilton.  The challenge of sustainable hospital building. , 2008, Frontiers of health services management.

[22]  Charo Rodríguez,et al.  Governance, Power, and Mandated Collaboration in an Interorganizational Network , 2007 .

[23]  L. Eldenburg,et al.  The Influence of Ownership on Hospital Financial Performance Strategies , 2003 .

[24]  Rajneesh Narula,et al.  Choosing Organizational Modes of Strategic Technology Partnering: International and Sectoral Differences , 1996 .

[25]  J. Alexander,et al.  Does the Hospital Board Need a Doctor?: The Influence of Physician Board Participation on Hospital Financial Performance , 1995, Medical care.

[26]  Rafik I. Beekun,et al.  Board Characteristics, Managerial Controls and Corporate Strategy: A Study of U.S. Hospitals , 1998 .

[27]  Guilhermina Rego,et al.  The Rise of Independent Regulation in Health Care , 2007, Health Care Analysis.

[28]  L. Eldenburg,et al.  Public versus private governance: a study of incentives and operational performance , 2003 .

[29]  Faïz Gallouj,et al.  Mapping innovation dynamics in hospitals , 2005 .

[30]  J. Alexander,et al.  Models of Governance in Multihospital Systems: Implications for Hospital and System-Level Decision-Making , 1986, Medical care.

[31]  I. Fraser,et al.  Board Engagement in Quality: Findings of a Survey of Hospital and System Leaders , 2008, Journal of healthcare management / American College of Healthcare Executives.

[32]  James A. Brickley,et al.  Managerial Incentives in Nonprofit Organizations: Evidence from Hospitals* , 2002, The Journal of Law and Economics.

[33]  Tim D. Schramko,et al.  The Characteristics of an Effective Physician–Hospital Working Relationship: An Exploratory Study , 2007, Health Care Analysis.

[34]  H. Thomas,et al.  The Structure and Evolution of the Strategic Management Field: A Content Analysis of 26 Years of Strategic Management Research , 2008 .

[35]  B. Weiner,et al.  Community accountability among hospitals affiliated with health care systems. , 2000, The Milbank quarterly.

[36]  John T. Gardner,et al.  The Intellectual Structure of Supply Chain Management: A Bibliometric Approach , 2008 .

[37]  R. Bakker.  Taking Stock of Temporary Organizational Forms : A Systematic Review and Research , 2010 .

[38]  M. Greenacre,et al.  Multiple Correspondence Analysis and Related Methods , 2006 .

[39]  Judith L. Miller-Millesen.  Understanding the Behavior of Nonprofit Boards of Directors: A Theory-Based Approach , 2003 .

[40]  T. Weil.  Governance in a period of strategic change in U.S. healthcare. , 2003, The International journal of health planning and management.

[41]  B. Weiner,et al.  Governance and community benefit: are nonprofit hospitals good candidates for Sarbanes-Oxley type reforms? , 2008, Journal of Health Politics Policy and Law.

[42]  A. Langley,et al.  GOVERNANCE STRUCTURES AND POLITICAL PROCESSES IN A PUBLIC SYSTEM: LESSONS FROM QUEBEC , 2004 .

[43]  K. Keasey,et al.  NHS boards: knowing the ‘what’ but not the ‘how’ , 2010 .

[44]  M. Fetscherin,et al.  30 Years of foreign direct investment to China: An interdisciplinary literature review , 2010 .

[45]  N. Chambers.  Healthcare board governance. , 2012, Journal of health organization and management.

[46]  The development of medical‐manager roles in European hospital systems: a framework for comparison , 2012, International journal of clinical practice.

[47]  Thomas Bodenheimer,et al.  High and Rising Health Care Costs. Part 4: Can Costs Be Controlled While Preserving Quality? , 2005, Annals of Internal Medicine.

[48]  C. Cuccurullo,et al.  Effective strategizing practices in pluralistic settings: the case of Academic Medical Centers , 2013 .

[49]  G Pink,et al.  Balancing incentives in the compensation contracts of nonprofit hospital CEOs. , 2001, Journal of health economics.

[50]  Andrew von Nordenflycht.  What Is a Professional Service Firm? Toward a Theory and Taxonomy of Knowledge-Intensive Firms , 2010 .

[51]  B. Golden,et al.  When will boards influence strategy? Inclination × power = strategic change , 2001 .

[52]  E. Blankmeyer,et al.  Administrative Compensation and Organizational Performance in Texas Nursing Facilities , 2004 .

[53]  Vivek Goel,et al.  Leadership and priority setting: the perspective of hospital CEOs. , 2006, Health policy.

[54]  Multi-institutional arrangements: relationships between governing boards and hospital chief executive officers. , 1985, Health services research.

[55]  R. Santerre,et al.  Not-for-Profit Hospital CEO Performance and Pay: Some Evidence from Connecticut , 2010, Inquiry : a journal of medical care organization, provision and financing.

[56]  M. Marsilio,et al.  The Intellectual Structure Of Research Into PPPs , 2011 .

[57]  B. Weiner,et al.  Changes in the structure, composition, and activity of hospital governing boards, 1989-1997: evidence from two national surveys. , 2001, The Milbank quarterly.

[58]  R. McDaniel,et al.  Hospital boards and hospital strategic focus: The impact of board involvement in strategic decision making , 2011, Health care management review.

[59]  A. Ramos-Rodríguez,et al.  Changes in the intellectual structure of strategic management research: a bibliometric study of the Strategic Management Journal, 1980–2000 , 2004 .

[60]  C. Harvey,et al.  The Contestation of Archetypes: Negotiating Scripts in a UK Hospital Trust Board , 2003 .

[61]  A. Vleugels,et al.  From corporate governance to hospital governance. Authority, transparency and accountability of Belgian non-profit hospitals' board and management. , 2004, Health policy.

[62]  Leslie Eldenburg,et al.  The Use of Information in Total Cost Management , 1994 .

[63]  K. Reiter,et al.  CEO Compensation and Hospital Financial Performance , 2009, Medical care research and review : MCRR.

[64]  B. Weisbrod,et al.  Managerial rewards and the behavior of for-profit, governmental, and nonprofit organizations: evidence from the hospital industry , 2003 .

[65]  Rajiv Kohli,et al.  Informating the Clan: Controlling Physicians' Costs and Outcomes , 2004, MIS Q..

[66]  A. Ramos-Rodríguez,et al.  Intellectual structure of human resources management research: A bibliometric analysis of the journal Human Resource Management, 1985–2005 , 2009 .

[67]  G. Young,et al.  Boards of Directors and the Adoption of a CEO Performance Evaluation Process: Agency — and Institutional — Theory Perspectives , 2000 .

[68]  M. Gorsky.  Community Involvement in Hospital Governance in Britain: Evidence from before the National Health Service , 2008, International Journal of Health Services.

[69]  M. Schwartz,et al.  The Black Box of Board Process: Gaining Access to a Difficult Subject , 2007 .

[70]  G. Young.  Insider representation on the governing boards of nonprofit hospitals: trends and implications for charitable care. , 1996, Inquiry : a journal of medical care organization, provision and financing.

[71]  K. Keasey,et al.  National Health Service Boards of Directors and Governance Models , 2011 .

[72]  Özgür Özmen Uysal,et al.  Business Ethics Research with an Accounting Focus: A Bibliometric Analysis from 1988 to 2007 , 2010 .