title: Insider representation on the governing boards of nonprofit hospitals: trends and implications for charitable care.
abstract: Evidence indicates that the traditional, nonprofit hospital governing board, which is heavily comprised of community representatives, is changing to favor more insiders from the hospital's senior management and medical staff. In this study, I examine this trend, as well as the relationship between insider representation and the amount of charitable care hospitals provide to their community. Study results indicate that insider representation on hospital boards increased substantially during the 1980s. The findings also imply that the relationship between insider representation and the provision of charitable care depends on contextual factors related to the hospital's viability.
authors.affiliation: Management Decision and Research Center, Veterans Affairs Health Services Research and Development Service, Boston, MA 02130, USA.
authors.forename: G J
authors.initials: GJ
authors.lastname: Young
mesh_terms: D002140:California; D002608:Charities / Q000706:statistics & numerical data*; D003256:Community Participation / Q000706:statistics & numerical data / Q000639:trends; D003159:Community-Institutional Relations; D006075:Governing Board / Q000458:organization & administration* / Q000706:statistics & numerical data / Q000639:trends; D006302:Health Services Research; D006740:Hospital Administrators / Q000706:statistics & numerical data; D006788:Hospitals, Voluntary / Q000458:organization & administration* / Q000706:statistics & numerical data / Q000639:trends; D006801:Humans; D008137:Longitudinal Studies; D008505:Medical Staff, Hospital / Q000706:statistics & numerical data; D015999:Multivariate Analysis; D017664:Uncompensated Care / Q000706:statistics & numerical data / Q000639:trends