Rosalía Cascón Pereira
Ana Beatriz Hernández Lara
Universitat Rovira i Virgili
Economics and Business
Healthcare management in the Spanish context: The impact of governing bodies on effectiveness and performance indicators
Healthcare management (HM) has emerged as a prolific research line in the last two decades, especially since the reforms fostered by the British government of Margaret Thatcher in the 80s. These reforms have been progressively incorporated in the European context under the name of New Public Management (NPM), and involve the application of the principles of private management to the public sector. One of the main changes consists of fostering the managerial role of medical doctors in order to control and reduce public expenses and improve hospitals’ effectiveness.
The focus of previous research on HM has been addressed to explore the effect that reforms in the healthcare public system have provoked on the autonomy, power and status within the medical profession and on the hybridization and change in the roles of medical doctors. In particular, this research has been interested in classifying medical doctors in different groups, looking for a dichotomy in terms of their predisposition and attitudes towards management, and also in exploring the processes that explain the development of these attitudes. However, most of this research has focused on the hybrid role of medical doctors who are clinical directors, but not on the role of medical directors, who would take part in the hospitals’ governing bodies. As a matter of fact, the NPM has been widely analyzed at an intermediate management level, in both the medical and nursing profession, but not so much at the top management level of public healthcare institutions, especially in the European context.
HM involves the managerial functions of the governing bodies in the healthcare system, considering both, the board of directors and also the top management team of hospitals, but also involves the management process and performance of hospitals, through the achievement of the mission, objectives and supervision at an operational level. Therefore, HM does not only analyze how the governing bodies influence the most relevant hospitals’ performance indicators, but also the internal processes and dynamics developed within the governing bodies and the relationships among them that impact on the decision-making process and the objectives achieved by the institution.
The purpose is to respond the following research questions:
- How are the composition, structure and functions of the hospitals’ governing bodies in the Spanish hospital context?
- What is the impact of these governing bodies on performance and effectiveness indicators?
- Which are the internal processes and dynamics developed within and among the hospitals’ governing bodies in Spain with impact on their clinic and economic results?
The expected contribution would be to construct a database of the Spanish healthcare system to provide transparency to the effectiveness and quality of the management of Spanish hospitals. Also, analyze the potential impacts of the Spanish hospitals’ governing bodies on the performance of these institutions.
37.5 hours a week
|This project has received funding from the European Union's Horizon 2020 research and innovation programme under the Marie Skłodowska-Curie grant agreement No. 713679|