%0 Journal Article
%T Does Transfer of Hospital Governance to Board of Trustees per se Lead to Improved Hospital Performance?
%A Hanieh Sadate Sajadi
%A Mohammad Hadi
%A Mahammadreza Maleki
%A Sogand Tourani
%J International Journal of Hospital Research
%D 2012
%I Tehran University of Medical Sciences
%X Background and Objectives: Evidence shows that transfer of hospital governance to board of trustees can positively influence hospital performance. Iran has initiated implementing such a transformation and a number of hospitals have been involved in this reform. This study aimed to explore the effectiveness of such a reform by examining performance profile of a sample hospital across the intervention time segment.Methods: Data was collected in 2011 from a university hospital affiliated with the Ministry of Health and Medical Education. Bed Occupation Ratio, Average Patient Stay, and Real Hospital Income were selected as the target per-formance measures. Data was collected on a seasonal basis by reviewing hospital performance reports within the period of 3.5 years prior and 3.5 years after the intervention. The data were analyzed using the interrupted time series analysis. P < 0.05 was considered as statistical significance.Findings: Transfer of hospital governance to the board of trustees per se does not lead to improved hos-pital performance.Conclusions: Realizing the advantages of board-of-trustee-based hospital governance would be contingent on identifying and fulfilling prerequisite conditions. To this aim, further research at both government and organizational levels is required.
%K Board of Trustees
%K Hospital
%K Bed Occupation Ratio
%K Average Patient Stay
%K Real Income
%U http://ijhr.tums.ac.ir/index.php/ijhr/article/view/27/67