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- W2979804918 abstract "ABSTRACT Governance can be challenging in healthcare operations, particularity when attending physicians lack financial relationships with the hospital. In the absence of formal incentive system mechanisms, it may be possible to use informal relational governance to synchronize activities. We use Relational Resource Based View and Agency theory to conceptualize trust (an informal governance mechanism) and physician employment (a formal governance mechanism) as moderators of key operational phenomena in hospitals. Specifically, we test the moderated effects of trust and physician employment on the relationships among lean strategy, process integration, operational efficiency, and patient satisfaction. Analysis of 583 data points from 302 acute care U.S. hospitals reveals that lean strategy impacts process integration, and process integration impacts operational efficiency and patient satisfaction. Trust enhances the positive relationship between lean strategy and process integration such that the relationship is stronger when physicians are employed by the hospital and weaker when physicians are not employed by the hospital. A post hoc analysis reveals that physician employment also influences how process integration affects patient satisfaction. Our results explain the key roles of trust, physician employment, and integration in linking strategy and outcomes. Practitioner interviews validate and help to tease out the implications of our findings. This study contributes important insights for researchers, executives, and policy makers interested in governance and improvements in healthcare delivery." @default.
- W2979804918 created "2019-10-18" @default.
- W2979804918 creator A5045566484 @default.
- W2979804918 creator A5091322841 @default.
- W2979804918 date "2019-10-07" @default.
- W2979804918 modified "2023-10-15" @default.
- W2979804918 title "Examining Governance in Hospital Operations: The Effects of Trust and Physician Employment in Achieving Efficiency and Patient Satisfaction" @default.
- W2979804918 cites W1203492358 @default.
- W2979804918 cites W1230074228 @default.
- W2979804918 cites W1504242179 @default.
- W2979804918 cites W1536566814 @default.
- W2979804918 cites W1551942617 @default.
- W2979804918 cites W1641400886 @default.
- W2979804918 cites W1685744933 @default.
- W2979804918 cites W1704689952 @default.
- W2979804918 cites W1776783558 @default.
- W2979804918 cites W1830563914 @default.
- W2979804918 cites W1865013989 @default.
- W2979804918 cites W1890811855 @default.
- W2979804918 cites W1931629349 @default.
- W2979804918 cites W1944200064 @default.
- W2979804918 cites W1950441902 @default.
- W2979804918 cites W1963888256 @default.
- W2979804918 cites W1965801959 @default.
- W2979804918 cites W1978010228 @default.
- W2979804918 cites W1983651981 @default.
- W2979804918 cites W1984081194 @default.
- W2979804918 cites W1984736816 @default.
- W2979804918 cites W1990551168 @default.
- W2979804918 cites W1991279553 @default.
- W2979804918 cites W1992361544 @default.
- W2979804918 cites W1992831940 @default.
- W2979804918 cites W1993567199 @default.
- W2979804918 cites W2000565124 @default.
- W2979804918 cites W2001085001 @default.
- W2979804918 cites W2003321477 @default.
- W2979804918 cites W2006408085 @default.
- W2979804918 cites W2010420668 @default.
- W2979804918 cites W2020582722 @default.
- W2979804918 cites W2021357991 @default.
- W2979804918 cites W2025581597 @default.
- W2979804918 cites W2026402440 @default.
- W2979804918 cites W2035073525 @default.
- W2979804918 cites W2037894668 @default.
- W2979804918 cites W2041443996 @default.
- W2979804918 cites W2042358170 @default.
- W2979804918 cites W2042834661 @default.
- W2979804918 cites W2049399505 @default.
- W2979804918 cites W2052489129 @default.
- W2979804918 cites W2053268472 @default.
- W2979804918 cites W2055375792 @default.
- W2979804918 cites W2056239166 @default.
- W2979804918 cites W2058773479 @default.
- W2979804918 cites W2063007207 @default.
- W2979804918 cites W2079298097 @default.
- W2979804918 cites W2080182214 @default.
- W2979804918 cites W2081889579 @default.
- W2979804918 cites W2083866858 @default.
- W2979804918 cites W2094167527 @default.
- W2979804918 cites W2100196999 @default.
- W2979804918 cites W2100408980 @default.
- W2979804918 cites W2101324612 @default.
- W2979804918 cites W2106075628 @default.
- W2979804918 cites W2106096361 @default.
- W2979804918 cites W2119377292 @default.
- W2979804918 cites W2119468314 @default.
- W2979804918 cites W2122912498 @default.
- W2979804918 cites W2124594452 @default.
- W2979804918 cites W2127160769 @default.
- W2979804918 cites W2134438869 @default.
- W2979804918 cites W2136407476 @default.
- W2979804918 cites W2142131653 @default.
- W2979804918 cites W2146073395 @default.
- W2979804918 cites W2157303562 @default.
- W2979804918 cites W2157336891 @default.
- W2979804918 cites W2159583321 @default.
- W2979804918 cites W2160429585 @default.
- W2979804918 cites W2165978363 @default.
- W2979804918 cites W2208412438 @default.
- W2979804918 cites W2271796917 @default.
- W2979804918 cites W2278354029 @default.
- W2979804918 cites W2290257782 @default.
- W2979804918 cites W2313918677 @default.
- W2979804918 cites W2317163027 @default.
- W2979804918 cites W2318877160 @default.
- W2979804918 cites W2328629987 @default.
- W2979804918 cites W2328710464 @default.
- W2979804918 cites W2328906783 @default.
- W2979804918 cites W2335362410 @default.
- W2979804918 cites W2404938738 @default.
- W2979804918 cites W2924475085 @default.
- W2979804918 cites W2954112180 @default.
- W2979804918 cites W2966209594 @default.
- W2979804918 cites W3126094737 @default.
- W2979804918 cites W31722689 @default.
- W2979804918 cites W4233929802 @default.
- W2979804918 cites W4235678817 @default.
- W2979804918 cites W4239110531 @default.