Doctors as leaders

Imison, Candace; Giordano, Richard

doi:10.1136/bmj.b1555

Cited by 16 publications

(8 citation statements)

References 2 publications

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“…[ 21 ] Many others have also suggested that placing physicians into leadership positions can result in improved hospital performance and patient care. [ 8 9 12 13 15 25 26 27 38 39 ] We believe that the conflicting measures of hospital quality and ranking systems can explain this difference.…”

Section: Discussionmentioning

confidence: 99%

Physician leadership and hospital ranking: Expanding the role of neurosurgeons

Fares¹,

Fares²,

Kurdi³

et al. 2018

Surg Neurol Int

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Background:Empirical studies that explore whether hospitals with physician leadership perform better than hospitals led by nonphysician managers are scarce. This study looks at the leaders currently being hired by hospitals in the Arab World and explores whether chief executive officers (CEOs) in hospitals ranked higher are typically physician leaders or nonphysician managers. Furthermore, we discuss whether physicians, especially neurosurgeons, are equipped to lead hospitals and healthcare institutions worldwide.Methods:The “Ranking Web of World Hospitals” by Cybermetrics Lab, 2017, was used. A dataset on CEOs in the top 50 hospitals and the bottom 50 hospitals in the Arab World was constructed. Independent samples t-test and regression equations were conducted, and P values <0.05 were considered statistically significant.Results:A total of 283 hospitals were ranked. Among the top 50 hospitals, 54% of the CEOs were physicians, whereas the remaining were nonphysician managers. Among the bottom 50 hospitals, 74% of the CEOs were physicians, whereas 26% of the CEOs were nonphysicians. Interestingly, physician leadership was significantly associated with lower hospital ranking (bottom 50 hospitals) in the Arab World (P = 0.0031).Conclusion:This article does not establish that nonphysician managers make more effective leaders when compared with physicians, but it starts an empirical course. For better evaluation of hospital leadership qualities, a new hospital ranking system must be created that focuses on patient satisfaction and perception of quality. Physician leaders, especially academic neurosurgeons, are an extraordinary leadership source, combining sound management with high medical standards. With the right academic training, neurosurgeons can play an increasingly significant role in addressing the challenges facing healthcare today.

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Section: Discussionmentioning

confidence: 99%

Physician leadership and hospital ranking: Expanding the role of neurosurgeons

Fares¹,

Fares²,

Kurdi³

et al. 2018

Surg Neurol Int

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“…Studies show that physician executives are more likely to use evidence-based decision making with an increasing emphasis on quality metrics and patient outcomes (Imison and Giordano, 2009;Falcone and Satiani, 2008), thereby driving higher patient satisfaction (Galstian et al, 2018) and hospital ratings. Large physician-led hospital systems, for example, received higher ratings and bed usage rates than did hospitals led by nonphysicians, with no differences in financial performance (Tasi et al, 2019).…”

Section: Physician Ceo and Hospital Performancementioning

confidence: 99%

“…, 2016). Physician-led hospitals experienced improved patient outcomes (Imison and Giordano, 2009; Falcone and Satiani, 2008), enjoyed higher financial performance and had 25% overall quality scores higher than those run by non-physicians (Gupta, 2019). Other studies found positive relationship between participation of physicians on boards and improved hospital performance including higher quality ratings and lower morbidity rates (Bai and Krishnan, 2015; Veronesi et al ., 2013), better performance by hospital management staff and more effective utilization of clinical quality metrics on target settings and operations (Tsai et al.…”

Section: Introductionmentioning

confidence: 99%

The physician CEO advantage and hospital performance during the COVID-19 pandemic: capacity utilization and patient satisfaction

Belasen

Feng

2023

JHOM

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PurposePrior studies have shown that physician-led hospitals have several advantages over non-physician-led hospitals. This study seeks to test whether these advantages also extend to periods of extreme disruptions such as the COVID-19 pandemic, which affect bed availability and hospital utilization.Design/methodology/approachThe authors utilize a bounded Tobit estimation to identify differences in patient satisfaction rates and in-hospital utilization rates of top-rated hospitals in the United States.FindingsAmong top-rated US hospitals, those that are physician-led achieve higher patient satisfaction ratings and are more likely to have higher utilization rates.Research limitations/implicationsWhile the COVID-19 pandemic generated greater demand for inpatient beds, physician-led hospitals improved their hospitals’ capacity utilization as compared with those led by non-physician leaders. A longitudinal study to show the change over the years and whether physician Chief Executive Officers (CEOs) are more likely to improve their hospitals’ ratings than non-physician CEOs is highly recommended.Practical implicationsRecruiting and retaining physicians to lead hospitals, especially during disruptions, improve hospital’s operating efficiency and enhance patient satisfaction.Originality/valueThe paper reviews prior research on physician leadership and adds further insights into the crisis leadership literature. The authors provide evidence based on quantitative data analysis that during the COVID-19 pandemic, physician-led top-rated US hospitals experienced an improvement in operating efficiency.

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“…In unison with international discontent, clinicians protested that their capacity to lead had been undermined by managers, to the detriment of their patients. 7 The scene was set with a lack of expert leadership, combined with a detached centralised managerial structure that was trying to operationalize a policy, which seemed to be translating into a fundamental drive to close acute psychiatric beds. This saw an extraordinary decision that led to a crisis in eating disorder care in SA.…”

Section: Outcomes Of a Manager-led Servicementioning

confidence: 99%

“…In unison with international discontent, clinicians protested that their capacity to lead had been undermined by managers, to the detriment of their patients. 7…”

Section: Outcomes Of a Manager-led Servicementioning

confidence: 99%