Young G, Beekun R I, Ginn G O
Managerial Sciences Department, College of Business Administration, University of Nevada, Reno.
Health Serv Res. 1992 Oct;27(4):543-64.
Contingency theory suggests that for a hospital governing board to be effective in taking on a more active role in strategic management, the board needs to be structured to complement the overall strategy of the organization. A survey study was conducted to examine the strategies of acute care hospitals as related to the structural characteristics of their governing boards. After controlling for organizational size and system membership, results indicated a significant relationship between the governing board structure of 109 acute care hospitals and their overall business strategy. Strategy also accounted for more of the variance in board structure than either organization size or system membership. Finally, the greater the match between board structure and hospital strategy, the stronger the hospitals' financial performance.
权变理论认为,要使医院管理委员会在战略管理中有效地发挥更积极的作用,该委员会的结构需要与组织的整体战略相辅相成。一项调查研究旨在考察急症医院的战略与其管理委员会结构特征之间的关系。在控制了组织规模和系统成员资格后,结果表明,109家急症医院的管理委员会结构与其整体业务战略之间存在显著关系。战略在委员会结构的差异中所占的比重也高于组织规模或系统成员资格。最后,委员会结构与医院战略之间的匹配度越高,医院的财务绩效就越强。