Lee Shoou-Yih D, Alexander Jeffrey A, Wang Virginia, Margolin Frances S, Combes John R
Department of Health Policy and Administration, School of Public Health, University of North Carolina at Chapel Hill, 1101 McGavran-Greenberg Hall (CB# 7411), Chapel Hill, NC 27599-7411, USA.
Health Serv Res. 2008 Aug;43(4):1223-43. doi: 10.1111/j.1475-6773.2008.00835.x. Epub 2008 Mar 17.
To develop a taxonomy of governing board roles in U.S. hospitals.
2005 AHA Hospital Governance Survey, 2004 AHA Annual Survey of Hospitals, and Area Resource File.
A governing board taxonomy was developed using cluster analysis. Results were validated and reviewed by industry experts. Differences in hospital and environmental characteristics across clusters were examined.
One-thousand three-hundred thirty-four hospitals with complete information on the study variables were included in the analysis.
Five distinct clusters of hospital governing boards were identified. Statistical tests showed that the five clusters had high internal reliability and high internal validity. Statistically significant differences in hospital and environmental conditions were found among clusters.
The developed taxonomy provides policy makers, health care executives, and researchers a useful way to describe and understand hospital governing board roles. The taxonomy may also facilitate valid and systematic assessment of governance performance. Further, the taxonomy could be used as a framework for governing boards themselves to identify areas for improvement and direction for change.
制定美国医院管理委员会角色的分类法。
2005年美国医院协会（AHA）医院管理调查、2004年AHA医院年度调查以及区域资源文件。
采用聚类分析制定管理委员会分类法。结果由行业专家进行验证和审查。研究了各聚类间医院及环境特征的差异。
分析纳入了1334家在研究变量方面信息完整的医院。
识别出医院管理委员会的五个不同聚类。统计检验表明这五个聚类具有较高的内部可靠性和较高的内部效度。各聚类间在医院及环境条件方面存在统计学显著差异。
所制定的分类法为政策制定者、医疗保健管理人员和研究人员提供了一种描述和理解医院管理委员会角色的有用方法。该分类法还可能有助于对管理绩效进行有效和系统的评估。此外，该分类法可作为管理委员会自身识别改进领域和变革方向的框架。
