Physician-leaders and hospital performance: Is there an association?
Amanda Goodall 21 July 2011
Are hospitals better run by former doctors or by specialist managers? This column looks at the top-ranking hospitals in the US and finds that hospital-quality scores are about 25% higher in physician-run hospitals than in the average hospital.
In the past, hospitals were routinely led by doctors. That has changed. In the UK and the US, most hospital chief executive officers (CEOs) are non-physician managers rather than physicians (Falcone and Satiani 2008). Of the 6,500 hospitals in the US, only 235 are led by physicians (Gunderman and Kanter 2009).
US, UK, healthcare, healthcare management, Hospitals
Why good practices really matter in healthcare
Nicholas Bloom, Rebecca Homkes, Raffaella Sadun, John Van Reenen 17 December 2010
Governments globally face a healthcare bill of around $7 trillion – and set to rise. This column argues that the need to focus on productivity has never been greater. With data from 1,200 hospitals across seven of the world’s wealthiest countries, it suggests that improvements in hospital management practices can help bring about improvements in hospital productivity as well.
On average, healthcare spending in OECD countries – and especially in the US – has outpaced GDP growth by nearly two percentage points a year, and this trend will continue to persist over time (Hall and Jones 2007). As the healthcare sector lags behind others in improving its productivity, it can also create a productivity drag on the economy overall. Although maintaining a good standard of healthcare provision has obvious welfare implications, our understanding of what causes differences in quality and productivity across hospitals continues to be relatively poor.
Health economics Productivity and Innovation
productivity, health, healthcare management