The relationship between radiologist participation in hospital strategic decision-making and hospital performance.
Ehrlich, Deborah Michele
1990
Abstract
This study develops an analytic framework to examine the correlates of radiologist involvement in hospital strategic decision-making. Specifically, it examines formal and informal radiologist participation in Michigan hospitals with 75 or more licensed beds. The analysis identifies internal and external variables that are related to radiologist participation, examines the relationship between radiologist participation and diagnostic imaging equipment acquisitions, and examines the relationship between radiologist participation and hospital performance. Data were collected through a mail survey completed by 246 administrators and radiologists at 90 Michigan hospitals (68% response rate). The results from multiple regression analyses show significant relationships between both external and internal hospital factors and radiologist participation in hospital strategic decision-making. There is a positive relationship between external competition, measured by the number of competitive hospitals and perceived competition, and formal radiologist participation. Internal hospital factors included CEO leadership style, the extent of mutual trust between radiologists and administrators, the quality of communication between radiologists and administrators, and the parochialism of radiologists. An open and innovative CEO leadership style has a positive relationship with formal radiologist participation. Certain aspects of internal dynamics have positive relationships with informal radiologist participation. Mutual trust has a positive relationship with lobbying senior administrators, but a negative relationship with lobbying department administrators. Poor communication has a negative relationship with all forms of participation except lobbying department administrators. Radiologist parochialism has a positive relationship with meaningful participation in strategic decision-making and lobbying senior administrators. Results from regression analyses also indicate that technology acquisitions have positive relationships with radiologist participation in strategic planning retreats and lobbying department administrators. Hospital performance was measured by occupancy rates and the percent of hospital revenue generated by non-federal reimbursement. Meaningful radiologist participation and religious affiliation have positive relationships with occupancy rates. Radiologist participation in strategic planning retreats, and in technology acquisition, and hospital bed size have positive relationships with non-federal reimbursement levels. The research provides heretofore missing empirical data to support a positive relationship between radiologist participation in decision-making and hospital performance. It also uncovered an inverse relationship between radiologist participation in strategic decision-making and lobbying department administrators.Other Identifiers
(UMI)AAI9116172
Subjects
Health Sciences, Health Care Management
Types
Thesis
Metadata
Show full item recordCollections
Remediation of Harmful Language
The University of Michigan Library aims to describe library materials in a way that respects the people and communities who create, use, and are represented in our collections. Report harmful or offensive language in catalog records, finding aids, or elsewhere in our collections anonymously through our metadata feedback form. More information at Remediation of Harmful Language.
Accessibility
If you are unable to use this file in its current format, please select the Contact Us link and we can modify it to make it more accessible to you.