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医院的财务绩效:公司治理维度的关键职责。

Financial performance of hospitals: A critical obligation of corporate governance dimensions.

机构信息

School of Finance and Economics, Jiangsu University, Zhenjiang, China.

School of Business and Management Studies, Koforidua Technical University, Koforidua, Ghana.

出版信息

Int J Health Plann Manage. 2020 Nov;35(6):1468-1485. doi: 10.1002/hpm.3049. Epub 2020 Sep 4.

Abstract

BACKGROUND

This paper aims to investigate the effects of corporate governance mechanisms on the financial performance of hospitals. The statement, "good corporate governance" has been incorporated in the health care sector over the last decade, as an element to improve financial performance.

METHODS

The researchers relied on both primary and secondary data in the study. For the primary data, the authors used structured and nonstructured questionnaires to obtain data from 125 hospitals. The secondary data used emanated from board meetings, financial statements and relevant reports of the selected hospitals from 2010 to 2017. However, the data was then sorted out to get the required information on Chief Executive Officer (CEO) presence, board relationship, governance dynamics, gender diversity and financial performance.

RESULTS

On the basis of empirical evidence provided in this study, the results show that the Independent Directors (INDPDR) variable has a positive effect on Return on Assets and Net Profit Margin and also a high statistically significant value of 0.000 for both performance measures. This is an indication that the variable, INDPDR, is highly capable of improving hospital financial performance. From our studies, Board Size and CEO Duality exhibited a negative relationship with the financial performance measures.

CONCLUSIONS

Every hospital needs money to maintain a standard health facility and to sustain in operation. However, the inclusion of board of directors improves hospital financial management and enhances performance. Corporate governance mechanisms influence the behavior of health systems in ways that are associated with financial performance.

摘要

背景

本文旨在探讨公司治理机制对医院财务绩效的影响。在过去十年中,“良好的公司治理”已被纳入医疗保健领域,作为提高财务绩效的要素。

方法

研究人员在研究中同时依赖于原始数据和二手数据。对于原始数据,作者使用结构化和非结构化问卷从 125 家医院获取数据。二手数据来自 2010 年至 2017 年选定医院的董事会会议、财务报表和相关报告。然而,这些数据随后被整理出来,以获取关于首席执行官(CEO)出席情况、董事会关系、治理动态、性别多样性和财务绩效的所需信息。

结果

根据本研究提供的经验证据,结果表明,独立董事(INDPDR)变量对资产回报率和净利润率有积极影响,并且对这两种绩效指标的统计显著性值均为 0.000。这表明变量 INDPDR 非常有能力提高医院的财务绩效。从我们的研究中可以看出,董事会规模和 CEO 双重身份与财务绩效指标呈负相关。

结论

每家医院都需要资金来维持标准的医疗设施并维持运营。然而,董事会的加入可以改善医院的财务管理并提高绩效。公司治理机制以与财务绩效相关的方式影响卫生系统的行为。

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