The Association of Demographic Characteristics and Top Management Team Heterogeneity on Hospital Performance

Keywords: demographics characteristics, top management team heterogeneity, hospital’s performance

Abstract

This study aims to show how the demographic characteristics and heterogeneity of the top management team (TMT) associate with hospital’s performance as measured by the balanced scorecard (BSC). The study employs cross-sectional primary data from hospitals in Central Java Indonesia, collected from 242 hospitals. The result shows that the demographic characteristics including age, female, period of experience serving as TMT, level and specialization of education, were not associated with the hospital’s performance. Likewise, the short period of experience in the organization inside or outside of a hospital’s TMT members was not associated with the hospital’s performance. However, TMT’s heterogeneity showed a positive result towards the hospital’s performance. The academic and practical implications of the findings are discussed.

References

Aiken, L. H., Clarke, S. P., Cheung, R. B., Sloane, D. M., & Silber, J. H. (2003). Educational levels of hospital nurses and surgical patient mortality. JAMA, 290(12), 1617-1623. doi: 10.1001/jama.290.12.1617.

Alexander, J. A., & Lee, S. Y. D. (1996). The effects of CEO succession and tenure on failure of rural community hospitals. The Journal of Applied Behavioral Science, 32(1), 70-88. doi: https://doi.org/10.1177/0021886396321005.

Bennouri, M., Chtioui, T., Nagati, H., & Nekhili, M. (2018). Female board directorship and firm performance: What really matters?. Journal of Banking & Finance, 88, 267-291. doi: https://doi.org/10.1016/j.jbankfin.2017.12.010.

Berghout, M. A., Fabbricotti, I. N., Buljac-Samardzic, M., & Hilders, C. G. (2017). Medical leaders or masters?—A systematic review of medical leadership in hospital settings. PloS ONE, 12(9), e0184522. doi: https://doi.org/10.1371/journal.pone.0184522.

Besley, T., Montalvo, J. G., & Reynal-Querol, M. (2011). Do educated leaders matter?. The Economic Journal, 121(554), F205-227. doi: https://doi.org/10.1111/j.1468-0297.2011.02448.x.

Carlos Pastor, J., & Mayo, M. (2008). Transformational leadership among Spanish upper echelons: the role of managerial values and goal orientation. Leadership & Organization Development Journal, 29(4), 340-358. doi: https://doi.org/10.1108/01437730810876140.

Chatterjee, R., Suy, R., Yen, Y., & Chhay, L. (2018). Literature review on leadership in healthcare management. Journal of Social Science Studies, 5(1), 38-47. doi: http://doi.org/10.5296/jsss.v5i1.11460.

Cheng, L. T., Chan, R. Y., & Leung, T. Y. (2010). Management demography and corporate performance: Evidence from China. International Business Review, 19(3), 261-275. doi: https://doi.org/10.1016/j.ibusrev.2009.12.007.

Collins, S. K., Matthews, E. P., McKinnies, R. C., Collins, K. S., & Jensen, S. C. (2009). Chief Executive Officers in US hospitals: An examination of workforce demographics and educational issues. The Health Care Manager, 28(2), 134-141. doi: 10.1097/HCM.0b013e3181a2eab0.

Dezso, C. L., & Ross, D. G. (2012). Does female representation in top management improve firm performance? A panel data investigation. Strategic Management Journal, 33(9), 1072-1089. doi: https://doi.org/10.1002/smj.1955.

Dıaz-Fernandez, M. C., Gonzalez-Rodrıguez, M. R., & Simonetti, B. (2015). Top Management Teams’ demographic characteristics and their influence on strategic change. Quality & Quantity, 49, 1305-1322. doi: https://doi.org/10.1007/s11135-014-0053-4.

Eagly, A. H., Johannesen-Schmidt, M. C., & Van Engen, M. L. (2003). Transformational, transactional, and laissez-faire leadership styles: a meta analysis comparing women and men. Psychological Bulletin, 129(4), 569-591. doi: https://doi.org/10.1037/0033-2909.129.4.569.

Ellwood, S., & Garcia-Lacalle, J. (2015). The influence of presence and position of women on the boards of directors: The case of NHS foundation trusts. Journal of Business Ethics, 130, 69-84. doi: https://doi.org/10.1007/s10551-014-2206-8.

Emestine, I. E., & Setyaningrum, D. (2019). CEO characteristics and firm performance; empirical studies from ASEAN countries. In Al Idrus, S., Siddik, S., Putra, Y. H. S., Rinaldo, A. A., Sani, A., ... & Soetjipto, B. E. (eds.), 2018 International Conference on Islamic Economics and Business (ICONIES 2018) (volume 101, pp. 423-427). Atlantis Press. doi: https://doi.org/10.2991/iconies-18.2019.81.

Finkelstein, S., Hambrick, D. C., & Cannella, A. A. (2009). Strategic leadership: Theory and research on executives, top management teams, and boards. Oxford University Press.

Galstian, C., Hearld, L., O’Connor, S. J., & Borkowski, N. (2018). The relationship of hospital CEO characteristics to patient experience scores. Journal of Healthcare Management, 63(1), 50-61. doi: 10.1097/JHM-D-16-00020.

Garman, A., Goebel, L., Gentry, D., Butler, P., & Fine, D. (2010). Healthcare leadership ’outliers’: An analysis of senior administrators from the top US hospitals. Journal of Health Administration Education, 27(2), 87-97.

Ghanem, M. (2014). Complementary education for healthcare personnel: a strategy to increase hospital performance. GMS Interdisciplinary Plastic and Reconstructive Surgery DGPW, 3, Doc02. doi: 10.3205/iprs000043.

Green, C. P., & Homroy, S. (2018). Female directors, board committees and firm performance. European Economic Review, 102, 19-38. doi: https://doi.org/10.1016/j.euroecorev.2017.12.003.

Gulamhussen, M. A., & Santa, S. F. (2015). Female directors in bank boardrooms and their influence on performance and risk-taking. Global Finance Journal, 28, 10-23. doi: https://doi.org/10.1016/j.gfj.2015.11.002.

Hambrick, D. C., & Mason, P. A. (1984). Upper echelons: The organization as a reflection of its top managers. Academy of Management Review, 9(2), 193-206. doi: https://doi.org/10.5465/amr.1984.4277628.

Hegazy, M., Hegazy, K., & Eldeeb, M. (2022). The balanced scorecard: Measures that drive performance evaluation in auditing firms. Journal of Accounting, Auditing & Finance, 37(4), 902-927. doi: https://doi.org/10.1177/0148558X20962915.

Henderson, A. D., Miller, D., & Hambrick, D. C. (2006). How quickly do CEOs become obsolete? Industry dynamism, CEO tenure, and company performance. Strategic Management Journal, 27(5), 447-460. doi: https://doi.org/10.1002/smj.524.

Hinton, P. R. (2004). Complex analyses and computers. In: Hinton, P. R. (ed), Statistics explained (2nd edition) (pp. 295-314). Routledge.

Holbrook, A. L., Krosnick, J. A., & Pfent, A. (2007). The causes and consequences of response rates in surveys by the news media and government contractor survey research firms. In: Lepkowski, J. M., Tucker, C., Brick, J. M., de Leeuw, E. D., Japec, L., ... % Sangster, R. L. (eds.), Advances in telephone survey methodology (pp. 499-528), John Wiley & Sons, Inc. doi: https://doi.org/10.1002/9780470173404.ch23.

Kartikaningrum, S. D. (2016). Pengaruh karakteristik dewan direksi terhadap kinerja keuangan bank syariah di Indonesia (Skripsi, Fakultas Ekonomi dan Bisnis Islam Institut Agama Islam Negeri Salatiga). http://e-repository.perpus.iainsalatiga.ac.id/1016/.

Khan, W. A., & Vieito, J. P. (2013). CEO gender and firm performance. Journal of Economics and Business, 67, 55-66. doi: https://doi.org/10.1016/j.jeconbus.2013.01.003.

Kumah, E., Osei-Kesse, F., & Anaba, C. (2017). Understanding and using patient experience feedback to improve health care quality: systematic review and framework development. Journal of Patient-Centered Research and Reviews, 4(1), 24-31. doi: 10.17294/2330-0698.1416.

Kusumastuti, S., Supatmi, S., & Sastra, P. (2007). Pengaruh board diversity terhadap nilai perusahaan dalam perspektif corporate governance. Jurnal Akuntansi dan Keuangan, 9(2), 88-98. doi: https://doi.org/10.9744/jak.9.2.pp.%2088-98.

Lantz, P. M. (2008). Gender and leadership in healthcare administration: 21st century progress and challenges. Journal of Healthcare Management, 53(5), 291-301.

Liu, Y., Wei, Z., & Xie, F. (2014). Do women directors improve firm performance in China?. Journal of Corporate Finance, 28, 169-184. doi: https://doi.org/10.1016/j.jcorpfin.2013.11.016.

Manary, M., Staelin, R., Kosel, K., Schulman, K. A., & Glickman, S. W. (2015). Organizational characteristics and patient experiences with hospital care: A survey study of hospital chief patient experience officers. American Journal of Medical Quality, 30(5), 432-440. doi: https://doi.org/10.1177/1062860614539994.

Matthews, E., Collins, K. S., Collins, S. K., & McKinnies, R. C. (2013). Chief executive officers in US hospitals: A reexamination of workforce demographics and educational issues. The Health Care Manager, 32(1), 69-76. doi: 10.1097/HCM.0b013e31827edafc.

Michel, J. G., & Hambrick, D. C. (1992). Diversification posture and top management team characteristics. Academy of Management Journal, 35(1), 9-37. doi: https://doi.org/10.5465/256471.

Mudasetia. (2020). Pengaruh demografi organisasi, karakteristik direksi, dan karakteristik perusahaan terhadap kinerja pasar dengan kinerja akuntansi sebagai variabel mediasi (Disertasi, Fakultas Ekonomi Universitas Islam Indonesia Yogyakarta). http://eprint.stieww.ac.id/1243/.

Ochonma, O. G. P., Nwankwor, C. A., Henry-Arize, I., Igwe, S. E., Nwodoh, C. O., Ingwu, J. A., ... & Dyages, E. O. (2018). Education and hospital manager’s administrative competency: what impact is of a higher degree?. IIARD International Journal of Economics and Business Management, 4(3), 48-67.

Paustian-Underdahl, S. C.,Walker, L. S., &Woehr, D. J. (2014). Gender and perceptions of leadership effectiveness: A meta-analysis of contextual moderators. Journal of Applied Psychology, 99(6), 1129-1145. doi: https://doi.org/10.1037/a0036751.

Peni, E. (2014). CEO and Chairperson characteristics and firm performance. Journal of Management & Governance, 18, 185-205. doi: https://doi.org/10.1007/s10997-012-9224-7.

Post, C., & Byron, K. (2015). Women on boards and firm financial performance: A meta-analysis. Academy of Management Journal, 58(5), 1546-1571. doi: https://doi.org/10.5465/amj.2013.0319.

Prasetyo, A., Budiman, J., & Isa, M. (2021). Does a higher degree of education affect the performance of healthcare leaders? A systematic review. Bali Medical Journal, 10(1), 174-180. doi: https://doi.org/10.15562/bmj.v10i1.2014.

Rappleye, E. (2015). Where CEOs of 50 great health systems went to school. Becker’s Hospital Review. https://www.beckershospitalreview.com/hospital-management-administration/where-ceos-of-50-great-health-systems-went-to-school.html.

Reilly, P. (2004). Front lines to front office. Nurses draw on patient-care experience, interdepartmental knowledge as they graduate to top executive positions. Modern Healthcare, 34(16), 24, 26, 28.

Sarto, F., & Veronesi, G. (2016). Clinical leadership and hospital performance: assessing the evidence base. BMC Health Services Research, 16, 85-97. doi: https://doi.org/10.1186/s12913-016-1395-5.

Sexton, D. W., Lemak, C. H., & Wainio, J. A. (2014). Career inflection points of women who successfully achieved the hospital CEO position. Journal of Healthcare Management, 59(5), 367-384.

Sfantou, D. F., Laliotis, A., Patelarou, A. E., Sifaki-Pistolla, D., Matalliotakis, M., & Patelarou, E. (2017). Importance of leadership style towards quality of care measures in healthcare settings: a systematic review. Healthcare, 5(4), 73. doi: https://doi.org/10.3390/healthcare5040073.

Smith, T.W. (2003). Developing comparable questions in cross-national surveys. In: Harkness, J. A., van de Vijver, F. J. R., & Mohler, P. PH. (eds.), Cross-cultural survey methods (pp. 69-92), JohnWiley & Sons, Inc.

Trofimova, A. B. (2017). Top management characteristics and company financial performance: an empirical study (Master’s Thesis, St. Petersburg University). https://dspace.spbu.ru/bitstream/11701/9535/1/Thesis Trofimova Anastasiia Final.pdf.

Vainieri, M., Ferre, F., Giacomelli, G., & Nuti, S. (2019). Explaining performance in health care: How and when top management competencies make the difference. Health Care Management Review, 44(4), 306-317. doi: 10.1097/HMR.0000000000000164.

Wolf, J. A., Niederhauser, V., Marshburn, D., & Lavela, S.L. (2014). Defining patient experience. Patient Experience Journal, 1(1), 7-19. doi: 10.35680/2372-0247.1004.

Zenger, T. R., & Lawrence, B. S. (1989). Organizational demography: The differential effects of age and tenure distributions on technical communication. Academy of Management Journal, 32(2), 353-376. doi: https://doi.org/10.5465/256366.

Published
2024-02-07
How to Cite
Prasetyo, A., Isa, M., & Sutrisna, E. (2024). The Association of Demographic Characteristics and Top Management Team Heterogeneity on Hospital Performance. Jurnal Ekonomi Indonesia, 12(3), 261-281. https://doi.org/10.52813/jei.v12i3.264
Section
Articles