Support Of Expert Clinical Leadership And Organisational Performance

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Existing evidence in favour of expert clinical leadership and organisational performance According to Veronesi, Kirkpatrick et al. (2013), 10% increase in the number of doctors on boards can have positive impacts on hospital performance. It may be important to add, that it is clinical involvement that is increasing performance and not the reverse case, which would mean that more clinicians are hired at senior levels in well performing institutions. Moreover, the results suggest having a larger group of clinicians on boards, which collectively contribute in the decision-making process (Veronesi, Kirkpatrick et al. 2013). The longitudinal study is well - conducted and the idea of distributed leadership (cf. point 2: Different concepts of…show more content…
table in appendix). They used the quality ranking ‘US News and World Report (USNWR)’, which is designed to inform patients about where to seek treatments for serious or complex medical problems. According to their findings, the mean of the hospital-quality scores in the three fields are significantly (p< 0,001) higher in physician-headed hospitals compared to manager-headed hospitals (Goodall 2011). Moreover, better hospitals seem to have a wider choice of CEO candidates, because of their status and wealth that they attract. The fact is, that these organisations have chosen to hire physicians as leaders, in the end, even though they have had a vast choice of candidates because of their position. Nevertheless, these observations may not be sufficient to prove that doctors make more effective leaders than professional managers. Indeed, a cross sectional study doesn’t allow concluding causality relations (Institute for Work and Health, Canada 2015), we cannot simply affirm hospitals performed better because of their physician-leaders. It would be more correct to conclude that the studied hospitals improved their performance indeed and they had physicians as CEOs. Moreover, changes over time have not been considered in this study (Goodall 2011), so that it will be difficult to know whether the various hospitals performed better because of the leading physicians or because they have already been doing better than other institutions before the study. Finally, as
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