Predictors and effects of hospital chief executive officer turnover: A systematic review.

IF 1.7 3区医学 Q3 HEALTH POLICY & SERVICES

Health Care Management Review Pub Date : 2025-07-01 Epub Date: 2025-05-09 DOI:10.1097/HMR.0000000000000441

Marius Hermes, Vera Winter, Eva-Maria Wild

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引用次数: 0

Abstract

Background: Chief executive officer (CEO) turnover is especially frequent in hospitals and represents a critical organizational event, yet its predictors and effects remain poorly understood.

Purpose: We conducted a systematic review of the empirical literature on the predictors and effects of hospital CEO turnover worldwide to synthesize and assess the multiple findings scattered across studies.

Methodology: In this systematic review, 30 empirical studies published between 1987 and 2024 were identified from three databases: Business Source Complete, MEDLINE, and APA PsycInfo. We followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.

Results: We found that the methodological quality of the studies was highly variable. Furthermore, we identified 46 unique predictors of hospital CEO turnover, including organizational, environmental, and personal characteristics, as well as characteristics related to prior performance. The findings regarding the effects of CEO turnover suggest that it can result in a temporary decline in financial performance and an elevated risk of organizational failure for hospitals.

Practice implications: Our results underscore that, in hospitals with a higher likelihood of CEO turnover, early and systematic succession planning is crucial to increase leadership stability, reduce recruitment costs, and ensure organizational resilience.

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医院首席执行官离职的预测因素及其影响：一项系统回顾。

背景：首席执行官（CEO）离职在医院尤为频繁，是一个重要的组织事件，但其预测因素和影响仍然知之甚少。目的：我们对全球范围内关于医院CEO离职的预测因素和影响的实证文献进行了系统的回顾，以综合和评估分散在研究中的多个发现。方法：在本系统综述中，从Business Source Complete、MEDLINE和APA PsycInfo三个数据库中确定了1987年至2024年间发表的30项实证研究。我们遵循了系统评价和荟萃分析的首选报告项目（PRISMA）指南。结果：我们发现研究的方法学质量变化很大。此外，我们确定了46个医院CEO离职的独特预测因素，包括组织、环境和个人特征，以及与先前绩效相关的特征。关于首席执行官离职影响的调查结果表明，它可能导致医院财务业绩暂时下降，并增加组织失败的风险。实践启示：我们的研究结果强调，在CEO离职可能性较高的医院，早期和系统的继任计划对于提高领导力稳定性、降低招聘成本和确保组织弹性至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Health Care Management Review HEALTH POLICY & SERVICES-

CiteScore

4.70

自引率

8.00%

发文量

期刊介绍： Health Care Management Review (HCMR) disseminates state-of-the-art knowledge about management, leadership, and administration of health care systems, organizations, and agencies. Multidisciplinary and international in scope, articles present completed research relevant to health care management, leadership, and administration, as well report on rigorous evaluations of health care management innovations, or provide a synthesis of prior research that results in evidence-based health care management practice recommendations. Articles are theory-driven and translate findings into implications and recommendations for health care administrators, researchers, and faculty.