Hospital & health services administration
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Hosp Health Serv Adm · Jan 1989
Understanding the dynamic role of the hospital executive: the view is better from the top.
This article reports the findings of a study of role conflict, role ambiguity, and job dissatisfaction among 119 hospital executives in Houston and San Antonio, Texas. While other studies have looked at role descriptions, this study is the first to examine the dynamics of role conflict and ambiguity among hospital executives. ⋯ Chief executive officers were found to be more satisfied and to experience less role ambiguity than their subordinates. This is important to understanding better the role of the hospital executive and mentoring.
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Pressures influencing the size and composition of medical staffs are increasing as hospitals and physicians respond to competition, market priorities, increasing numbers of physicians, and quality-of-care concerns. This article examines whether the quality of care provided by an applicant may be the primary criterion for admission to a hospital's medical staff. Methodological, legal, and organizational concerns that arise from this approach are reviewed. A quality criteria approach can assist in responding to increasing numbers of physicians, the transition to management care, and the marketing interests of a hospital.