Mathew Nebu, Liu Chaojie George, Khalil Hanan
Aust Health Rev. 2024 Aug 19. doi: 10.1071/AH24185.
ObjectiveHospital chief executive officers (CEOs) in Australia encounter various challenges such as financial constraints, changing regulations, and the necessity to uphold patient care standards. These challenges can contribute to rates of CEO turnover, which can disrupt healthcare organisations and affect the quality of services provided. This research aims to pinpoint the factors influencing hospital CEO turnover and explore effective strategies for retaining these vital leadersMethodsA survey was carried out among hospital CEOs throughout Australia. The survey, distributed through email and online platforms, gathered information on reasons behind turnover and methods for retaining CEOs. Data from 51 CEOs were analysed using statistical regression techniques and thematic analysis.ResultsThe findings from the survey indicated that 82.35% of CEOs identified stress and work-related pressure as the causes of turnover. Other significant factors included managing under-resourced organisations (68.62%), lack of support from the board (66.66%), and facing internal/external criticisms (58.82%). On average, respondents reported 5.16 reasons for leaving their positions with no significant differences found based on sociodemographic characteristics. It was pointed out that key ways to retain CEOs include building respect and trust between CEOs and board chairs, meeting the training and development needs of CEOs, and defining roles within the organisation. The importance of succession planning was also emphasised, with 94.12% of respondents acknowledging its significance for maintaining stability.ConclusionThe study underscores the multifaceted nature of CEO turnover in Australian hospitals influenced by organisational dynamics, performance factors, and personal elements. Effective retention strategies necessitate a culture within the organisation, defined roles, sufficient resources, and robust succession planning. Addressing these aspects can bolster leadership continuity and enhance the performance of healthcare organisations.
目的
澳大利亚医院的首席执行官（CEO）面临着各种挑战，如资金限制、法规变化以及维持患者护理标准的必要性。这些挑战可能导致CEO更替率上升，进而扰乱医疗组织并影响所提供服务的质量。本研究旨在找出影响医院CEO更替的因素，并探索留住这些关键领导者的有效策略。
方法
对澳大利亚各地的医院CEO进行了一项调查。该调查通过电子邮件和在线平台分发，收集了有关更替原因和留住CEO方法的信息。使用统计回归技术和主题分析对51位CEO的数据进行了分析。
结果
调查结果表明，82.35%的CEO将压力和工作相关压力视为更替的原因。其他重要因素包括管理资源不足的组织（68.62%）、缺乏董事会支持（66.66%）以及面临内部/外部批评（58.82%）。平均而言，受访者报告有5.16个离职原因，且未发现基于社会人口特征的显著差异。指出留住CEO的关键方法包括在CEO和董事会主席之间建立尊重和信任、满足CEO的培训和发展需求以及明确组织内的角色。还强调了继任计划的重要性，94.12%的受访者承认其对维持稳定性的重要性。
结论
该研究强调了澳大利亚医院CEO更替的多面性，其受到组织动态、绩效因素和个人因素的影响。有效的留用策略需要组织内部的文化、明确的角色、充足的资源以及完善的继任计划。解决这些方面的问题可以加强领导的连续性并提高医疗组织的绩效。
