HOW HOSPITAL GOVERNING BOARDS ENHANCE QUALITY OVERSIGHT: AN APPLICATION OF THE AGENCY THEORY PERSPECTIVE
Community hospitals in the U.S. are almost all governed by a governing board which is legally accountable for the quality of care provided. This study employs the agency theory to examine governance practices in enhancing oversight for quality of care. Data on governance practices are based on a survey conducted in 2007 and data on hospital quality are drawn from two large federal databases. The study sample includes 445 hospitals. Consistent with the agency theory, some practices are outcome-based that focus on measuring and reporting of the hospitals quality performance, while other practices are behavior-based that mainly deal with actions and processes important to the provision of quality care. Better quality performance is significantly associated with adoption of six practices as well as the existence of a board quality committee.
Hospital governance Quality of care Agency theory
H.Joanna Jiang Carlin Lockee Irene Fraser
Center for Delivery, Organization and Markets Agency for Healthcare Research and Quality 540 Gaither The Governance Institute 6333 Greenwich Drive, Suite 200, San Diego, CA
国际会议
Academy of Innovation and Entrepreneurship 2009(2009创新与创业国际学术会议)
北京
英文
278-285
2009-07-16（万方平台首次上网日期，不代表论文的发表时间）