Leadership instability in hospitals: the influence of Board-CEO relations and organizational growth and decline.
This study tested whether leadership instability--a systemic pattern of frequent succession in the top management position of an organization--was associated with sociopolitical structures that define the relationship between the board and chief executive officer (CEO), controlling for temporal patterns of the organizational life-cycle stage. In organizations that are not profit maximizing and subject to considerable uncertainty, such governance properties were hypothesized to affect leadership instability independent of organizational growth or decline. Results of regression analyses demonstrate strong main effects of board-CEO relations, net of the impact of organizational life cycle, on leadership instability.
University of Michigan, Ann Arbor.
J A
JA
Alexander
M L
ML
Fennell
M T
MT
Halpern
D016009:Chi-Square Distribution; D016542:Chief Executive Officers, Hospital / Q000706:statistics & numerical data*; D003659:Decision Making, Organizational; D005069:Evaluation Studies as Topic; D005163:Factor Analysis, Statistical; D006075:Governing Board / Q000706:statistics & numerical data*; D006302:Health Services Research; D006788:Hospitals, Voluntary / Q000458:organization & administration* / Q000706:statistics & numerical data; D006801:Humans; D007400:Interprofessional Relations; D007857:Leadership; D015233:Models, Statistical; D015279:Organizational Culture; D010563:Personnel Turnover / Q000706:statistics & numerical data*; D011209:Power, Psychological; D012044:Regression Analysis; D012959:Socioeconomic Factors; D014481:United States