Factors affecting the effectiveness of governance in Hong Kong's public hospitals

Pao Yue-kong Library Electronic Theses Database

Factors affecting the effectiveness of governance in Hong Kong's public hospitals

 

Author: Lieu, Geoffrey Sek Yiu
Title: Factors affecting the effectiveness of governance in Hong Kong's public hospitals
Year: 1999
Subject: Public hospitals -- China -- Hong Kong -- Administration
Corporate governance -- China -- Hong Kong
Hong Kong Polytechnic University -- Dissertations
Department: Dept. of Management
Pages: x, 190 leaves : ill. ; 30 cm
Language: English
InnoPac Record: http://library.polyu.edu.hk/record=b1500126
URI: http://theses.lib.polyu.edu.hk/handle/200/1657
Abstract: This cross-sectional study used tenets from the board competencies model to identify functions that constitute effective governance. The requisite structure and processes of effective boards were derived from the resource dependency theory, goal attainment model, strategic constituencies theory, agency theory, managerialism model, contingency theory and board competency model. The attributes of board members in Hong Kong's public hospitals suggested that a new breed of board members might be emerging. They were likely to be insiders, have previous governance experience and work in a variety of specialized fields. They appeared to be knowledgeable and committed to taking up an active role in governing hospitals. These board members identified functions in the contextual, analytical and strategic dimensions as generally more important than the political, interpersonal and educational dimensions. This suggested that they were more result-oriented than social-oriented. Most of the structural and process factors purported to affect effective governance were not supported by the results of the test of hypothesis. Only two factors-former healthcare governance experience and interactions with hospital staff-emerged with statistically significant associations with effective governance outcomes. These results challenge the thinking that places a high level of importance on board structure and processes. They echo, however, some recent observations that there are no systematic patterns of association between board effectiveness and its structural and process factors. This study's findings suggested that hospital boards must be organized and supported differently in the future. The traditional structures and processes might no longer serve the complex demands that the changing healthcare environment places on hospital boards. What factors in the future may contribute most significantly to board effectiveness should be re-evaluated with a new paradigm.

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