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February 27, 2019

The Importance of Increasing Surgeon Participation in Hospital Leadership

Author Affiliations
  • 1MichaelE. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas
  • 2Cass Business School, City University of London, London, United Kingdom
  • 3Department of Surgery and Cancer, Imperial College London, London, United Kingdom
JAMA Surg. 2019;154(4):281-282. doi:10.1001/jamasurg.2018.5080

Research indicates that there is an association between physician leadership and hospital performance.1 Hospitals led by physicians have higher US News and World Report (USNWR) quality scores, reduced complication rates, better bed-usage rates, higher physician-satisfaction scores, and financial performance scores that equal those of nonphysician managers.2-4 These findings in the health care sector are in line with new management thinking that organizations led by core-business experts (ie, participants or practitioners in their respective fields) tend to demonstrate better performance.5 A recent article6 suggests that management-led organizations may be lagging because they have not embraced physician input and leadership, thus resulting in resistance to change.

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