Doctorate – Board of directors and performance in not-for-profit Brazilian hospitals
Advisor: Prof. Dr. Hamilton Luiz Correa
Comission: Profs. Drs. Flávio Horneaux Junior, Júlio Araújo Carneiro da Cunha e Leonardo Fabris Lugoboni
Class: 217, FEA-5
This work aims to investigate the relationship between the characteristics of the board of directors and performance of not-for-profit hospitals. In pursuit of this main purpose, the following specific goals were established: to establish the characteristics of the board of director of not-for-profit hospitals; to describe the types of hospital management boards; to measure the operational performance of hospitals through efficiency; to analyze the relationship between the types of boards of directors and the financial performance of hospitals; to analyze the relationship between the types of boards of directors and the operational performance of hospitals; and to analyze the relationship between hospital financial performance and operational performance. The theoretical background addresses corporate governance, agency theory, stewardship, board characteristics, and financial and operational performance in not-for-profit hospitals. The sample is composed of 43 non-profit Brazilian hospitals, with data referring to the year 2016. The statistical techniques used were cluster analysis, data envelopment analysis and simple correspondence analysis. We studied the relationships between the set of characteristics of the boards of directors (independence, gender of the members and profession) and the financial and operational performance of the hospitals. The results indicate that there is a significant relationship between the characteristics of the board and the financial results of the hospital. The types of boards with greater level of independence and diversity tend to be associated with superior financial performance. No significant relationship were found between types of boards of directors and operational performance or between operational performance and financial performance. This work seeks to contribute to the understanding of how elements of board formation relate to the financial and operational performance of the hospital.
*Abstract provided by the author