Abstract

In this article, we provide first-hand evidence that leadership quality matters for the quality of healthcare provision, based on NHS England hospital trust data between 2010 and 2014. This is the first paper to study this relationship using individual leadership styles, namely, task-, relations-, change- and integrity-oriented as independent variables and four different metrics of quality of healthcare as dependent variables, including staff and patient satisfaction survey measures and clinical performance indicators. We find that task-oriented leadership has the strongest effect on staff-rated hospital quality while change-oriented leadership affects most patient satisfaction and the clinical measure. We also find some evidence that organizational autonomy and competition across hospitals moderates the effect of leadership quality on healthcare quality. Overall, our results have important policy implications for continued support for the development and funding of integrated leadership programs in healthcare.

摘要

在本文中，我们根据 2010 年至 2014 年 NHS 英格兰医院信任数据，提供了领导质量对医疗服务质量很重要的第一手证据。这是第一篇使用个人领导风格研究这种关系的论文，即任务-、关系、变化和完整性导向作为自变量，四种不同的医疗质量指标作为因变量，包括员工和患者满意度调查措施和临床绩效指标。我们发现，以任务为导向的领导对员工评价的医院质量影响最大，而以变革为导向的领导对患者满意度和临床措施的影响最大。我们还发现一些证据表明，组织自治和医院间的竞争缓和了领导质量对医疗质量的影响。总的来说，我们的结果对继续支持医疗保健综合领导力项目的发展和资助具有重要的政策意义。