中山管理評論

  期刊全文閱覽

中山管理評論  2024/6

第32卷第2期  p.267-290

DOI:10.6160/SYSMR.202406_32(2).0003


題目
台灣醫療財團法人女性董事與其財務績效之關係
Female Director, Board Committees and Hospital Financial Performance
(167_M666fd1154c3ba_Full.pdf 1,844KB)

作者
陳冠臻、林忠億、何尹琳、李英俊/國立臺北護理健康大學健康事業管理系、靜宜大學國際企業學系、國立中山大學企業管理學系、國立中山大學企業管理學系
Kuan-Chen Chen; Chung-I Lin; Yin-Lin Ho; Ying‐Chun Li/

Department of Health Care Management, National Taipei University of Nursing and Health Sciences; Department of International Business, Providence University; Department of Business Management, National Sun Yat-sen University; Department of Business Management, National Sun Yat-sen University


摘要(中文)

董事會職責在於發揮監督機制與提高組織運作,有鑑於國際上逐漸重視董事會之性別多樣性,女性董事的角色值得深入探討。本研究目的旨在探討台灣醫療財團法人女性董事對其財務績效之影響,資料來源為衛生福利部醫事司,研究期間為2006年至2017年,共32家綜合型醫療財團法人,總計363筆觀察值。實證結果顯示,有女性董事之醫療財團法人其女性比率平均為25.8%,且女性比率與其財務績效之間有負向關聯性。當進一步探究不同類型醫療財團法人,發現宗教型的女性比率最高(29.5%),其次為企業型(14.5%)與一般型(14.0%),此外,宗教型女性董事比率對財務績效有負向顯著影響,反之企業型則是正向顯著影響。整體實證結果顯示女性董事在不同類型醫療財團法人之角色與影響是不同的。

(167_M666fd1154c3ba_Abs.pdf(檔案不存在))

關鍵字(中文)

女性董事、董事會、醫院、財務績效


摘要(英文)

Boards of directors are responsible for implementing supervisory mechanisms and improving organizational operations. Due to the growing international attention to gender diversity on boards of directors, female directors are worthy of discussion. This study investigated the effects of female directors on the financial performance of non-profit hospitals in Taiwan. The data were sourced from the Department of Medical Affairs of the Ministry of Health and Welfare from 2006 to 2017 and included a total of 363 observations from 32 comprehensive non-profit hospitals. According to the empirical results, the percentage of females in non-profit hospitals averaged at 25.8% and was negatively related to the financial performance of these hospitals. According to the investigation of the various types of non-profit hospitals, the percentage of females in religion type hospitals was the highest (29.5%), followed by corporate type hospitals (14.5%) and general type hospitals (14.0%). In addition, the percentage of female directors in religion type hospitals had significantly negative effects on the financial performance of these hospitals, while the percentage of female directors in corporate type hospitals had significantly positive effects on the financial performance of these hospitals. The overall empirical results showed that the roles and effects of female directors in different types of non-profit hospitals are different.

(167_M666fd1154c3ba_Abs.pdf(檔案不存在))

關鍵字(英文)

Female Director, the Board of Director, Hospital, Financial Performance


政策與管理意涵

自2020 年起,投稿本刊之文章,均不需提供政策與管理意涵。已接受但尚未刊登之文章則仍依原稿件格式撰寫。


參考文獻

王媛慧、徐偉初、周麗芳,2005,「我國財團法人醫院經營績效之研究」,龍華科技大學學報,19卷:133~153。(Wang, Y. H., Hsu, W. C., and Chou, L. F., 2005, “Research on the Operating Performance of Hospitals in Taiwan,” Journal of Longhua University of Science and Technology, Vol. 19, 133-153.)
李佳容、林進財、譚醒朝、張曉芬,2010,「台灣地區財團法人醫院財務績效之評估」,健康管理學刊,8卷2期:199~208。(Li, C. J., Lin, C. T., Tam, S. C., and Chang, H. F., 2010, “The Evaluation of Financial Performance for Non-Profit Proprietary Hospitals in Taiwan,” Journal of Health Management, Vol. 8, No. 2, 199-208.)
陳柏瑋、呂昭顯、譚慧芳,2014,「醫院非醫務活動收益之分析-以台灣非營利醫院為例」,台灣公共衛生雜誌,33 卷6 期:597~608。(Chen P. W., Lu C. H., Tan H. F., 2014, “Analysis of Non-Patient Revenues in Non-Profit Hospitals-Evidence from Taiwan,” Taiwan Journal of Public Health, Vol. 33, No. 6, 597-608. )
蔡明宏、翁培師、王子綾、張航,2020,「家族企業與集團企業中董事會性別組成對公司的影響:績效、研發投資以及現金持有」,管理學報,37卷1期,35~68。(Tsay, M. H., Weng, P. S., Wang, T. L., and Zhang, H., 2020, “Does the Gender Composition of the Board Affect Corporate Performance and Decisions? Evidence from Family Firms and Conglomerates,” Journal of Management and Business Research, Vol. 37, No. 1, 35-68.)
嚴玉華、楊鎮維,2013,「醫院治理機制與效能之研究」,臺大管理論叢,23卷S1期:57~82。(Yan, Y. H. and Yang, C. W., 2013, “Hospital Governance Mechanisms and Hospital Governance Effectiveness,” NTU Management Review, Vol. 23, No. S1, 57-82.)
Adams, R. B. and Ferreira, D., 2009, “Women in the Boardroom and Their Impact on Governance and Performance,” Journal of Financial Economics, Vol. 94, No. 2, 291-309.
Alexander, J. A. and Morrisey, M. A., 1988, “Hospital-Physician Integration and Hospital Costs,” Inquiry : a journal of medical care organization, provision and financing, Vol. 25, No. 3, 388-401.
Alexander, J. A., Weiner, B. J., and Bogue, R. J., 2001, “Changes in the Structure, Composition, and Activity of Hospital Governing Boards, 1989–1997: Evidence from Two National Surveys,” The Milbank Quarterly, Vol. 79, No. 2, 253-279.
Bear, S., Rahman, N., and Post, C., 2010, “The Impact of Board Diversity and Gender Composition on Corporate Social Responsibility and Firm Reputation,” Journal of Business Ethics, Vol. 97, No. 2, 207-221.
Bechtoldt, M. N., Bannier, C. E., and Rock, B., 2019, “The Glass Cliff Myth? Evidence from Germany and the UK,” The Leadership Quarterly, Vol. 30, No. 3, 273-297.
Bliss, R. T. and Potter, M. E., 2002, “Mutual Fund Managers: Does Gender Matter,” Journal of Business and Economic Studies, Vol. 8, No. 1, 1-15.
Bonn, I., 2004, “Board Structure and Firm Performance: Evidence from Australia,” Journal of Management and Organization, Vol. 10, No. 1, 14-24.
Brickley, J. A., Coles, J. L., and Jarrell, G., 1997, “Leadership Structure: Separating the CEO and Chairman of the Board,” Journal of Corporate Finance, Vol. 3, No. 3, 189-220.
Byrnes, J. P., Miller, D. C., and Schafer, W. D., 1999, “Gender Differences in Risk Taking: A Meta-Analysis,” Psychological Bulletin, Vol. 125, No. 3, 367-383.
Campbell, K. and Mínguez-Vera, A., 2008, “Gender Diversity in the Boardroom and firm Financial Performance,” Journal of Business Ethics, Vol. 83, No. 3, 435-451.
Capezio, A. and Mavisakalyan, A., 2016, “Women in the Boardroom and Fraud: Evidence from Australia,” Australian Journal of Management, Vol. 41, No. 4, 719-734.
Croson, R. and Gneezy, U., 2009, “Gender Differences in Preferences,” Journal of Economic literature, Vol. 47, No. 2, 448-474.
Crossland, C. and Hambrick, D. C., 2011, “Differences in Managerial Discretion across Countries: How Nation‐Level Institutions Affect the Degree to Which CEOs Matter,” Strategic Management Journal, Vol. 32, No. 8, 797-819.
Daniels, N., 2008, Just Health: Meeting Health Needs Fairly, 8th, New York: Cambridge University Press.
De Harlez, Y. and Malagueno, R., 2016, “Examining the Joint Effects of Strategic Priorities, Use of Management Control Systems, and Personal Background on Hospital Performance,” Management Accounting Research, Vol. 30, 2-17.
De Regge, M. and Eeckloo, K., 2020, “Balancing Hospital Governance: A Systematic Review of 15 Years of Empirical Research,” Social Science and Medicine, Vol. 262, 113-252.
Eckel, C. C. and Grossman, P. J., 2008, “Differences in the Economic Decisions of Men and Women: Experimental Evidence,” Handbook of Experimental Economics Results, Vol. 1, 509-519.
Eeckloo, K., Van Herck, G., Van Hulle, C., and Vleugels, A., 2004, “From Corporate Governance to Hospital Governance: Authority, Transparency and Accountability of Belgian Non-Profit Hospitals’ Board and Management,” Health Policy, Vol. 68, No. 1, 1-15.
Eisenberg, T., Sundgren, S., and Wells, M. T., 1998, “Larger Board Size and Decreasing Firm Value in Small Firms,” Journal of Financial Economics, Vol. 48, No. 1, 35-54.
Eldenburg, L., Hermalin, B. E., Weisbach, M. S., and Wosinska, M., 2004, “Governance, Performance Objectives and Organizational Form: Evidence from Hospitals,” Journal of Corporate Finance, Vol. 10, No. 4, 527-548.
Erhardt, N. L., Werbel, J. D., and Shrader, C. B., 2003, “Board of Director Diversity and Firm Financial Performance,” Corporate Governance an International Review, Vol. 11, No. 2, 102-111.
Fama, E. F. and Jensen, M. C., 1983, “Separation of Ownership and Control,” The Journal of Law and Economics, Vol. 26, No. 2, 301-325.
Galbreath, J., 2011, “Are There Gender-Related Influences on Corporate Sustainability? A Study of Women on Boards of Directors,” Journal of Management and Organization, Vol. 17, No. 1, 17-38.
Goes, J. B. and Zhan, C., 1995, “The Effects of Hospital-Physician Integration Strategies on Hospital Financial Performance,” Health Services Research, Vol. 30, No. 4, 507-530.
Goodall, A. H., 2011, “Physician-Leaders and Hospital Performance: Is There an Association?” Social Science and Medicine, Vol. 73, No. 4, 535-539.
Green, C. P. and Homroy, S., 2018, “Female Directors, Board Committees and Firm Performance,” European Economic Review, Vol. 102, 19-38.
Gul, F. A., Srinidhi, B., and Ng, A. C., 2011, “Does Board Gender Diversity Improve the Informativeness of Stock Prices?” Journal of Accounting and Economics, Vol. 51, No. 3, 314-338.
Ham, C. and Dickinson, H., 2008, “Engaging Doctors in Leadership: Review of the Literature,” Retrieved from https://www.aemh.org/images/AEMH_documents/2018/8_CL-literature-review.pdf.
Hillman, A. J. and Dalziel, T., 2003, “Boards of Directors and Firm Performance: Integrating Agency and Resource Dependence Perspectives,” Academy of Management Review, Vol. 28, No. 3, 383-396.
Jensen, M. C., 1993, “The Modern Industrial Revolution, Exit, and the Failure of Internal Control Systems,” The Journal of Finance, Vol. 48, No. 3, 831.
Kaiser, F., Schmid, A., and Schlüchtermann, J., 2020, “Physician-Leaders and Hospital Performance Revisited,” Social Science and Medicine, Vol. 249, 112831.
Kanter, R. M., 2003, “Men and Women of the Corporation” in Handel, M. J. (ed.), The Sociology of Organizations: Classic, Contemporary, and Critical Readings, First Edition, Thousand Oaks, CA: Sage Publications Inc., 381-395.
Kuntz, L., Pulm, J., and Wittland, M., 2016, “Hospital Ownership, Decisions on Supervisory Board Characteristics, and Financial Performance,” Health Care Management Review, Vol. 41, No. 2, 165-176.
Lai, K. M. Y., Srinidhi, B., Gul, F. A., and Tsui, J. S. L., 2017, “Board Gender Diversity, Auditor Fees and Auditor Choice,” Contemporary Accounting Research, Vol. 34, No. 3, 1681-1714.
Liu, Y., Wei, Z., and Xie, F., 2014, “Do Women Directors Improve Firm Performance in China?” Journal of Corporate Finance, Vol. 28, 169-184.
Lockee, C., 2008, “Board Structures and Practices,” Healthcare executive, Vol. 23, No. 2, 62-64.
Low, D. C., Roberts, H., and Whiting, R. H., 2015, “Board Gender Diversity and Firm Performance: Empirical Evidence from Hong Kong, South Korea, Malaysia and Singapore,” Pacific-Basin Finance Journal, Vol. 35, 381-401.
Mallin, C. and Farag, H., 2017, Balancing the Board: Directors’ Skills and Diversity, 1st, Edinburgh, UK: Strategy and Research Advisory Group, ICAS.
McDonagh, K. J., 2006, “Hospital Governing Boards: A Study of Their Effectiveness in Relation to Organizational Performance,” Journal of Healthcare Management, Vol. 51, No. 6, 377–389.
Molinari, C., Alexander, J., Morlock, L., and Lyles, C. A., 1995, “Does the Hospital Board Need a Doctor? The Influence of Physician Board Participation on Hospital Financial Performance,” Medical Care, Vol. 33, No. 2, 170-185.
Molinari, C., Morlock, L., Alexander, J., and Lyles, C. A., 1993, “Hospital Board Effectiveness: Relationships between Governing Board Composition and Hospital Financial Viability,” Health Services Research, Vol. 28, No. 3, 358-377.
Orlikoff, J. E., 2005, “Old board/New board: Governance in an Era of Accountability,” Frontiers of Health Services Management, Vol. 21, No. 3, 3-12.
Powell, M. and Ansic, D., 1997, “Gender Differences in Risk Behaviour in Financial Decision-Making: An Experimental Analysis,” Journal of Economic Psychology, Vol. 18, No, 6, 605-628.
Prybil, L. D., 2006, “Size, Composition, and Culture of High-Performing Hospital Boards,” American Journal of Medical Quality, Vol. 21, No. 4, 224-229.
Rechner, P. L. and Dalton, D. R., 1989, “The Impact of CEO as Board Chairperson on Corporate Performance: Evidence vs. Rhetoric,” Academy of Management Perspectives, Vol. 3, No. 2, 141-143.
Rose, C., 2007, “Does Female Board Representation Influence Firm Performance? The Danish Evidence,” Corporate Governance: An International Review, Vol. 15, No. 2, 404-413.
Sarto, F., Veronesi, G., Kirkpatrick, I., and Cuccurullo, C., 2014, “Clinicians in Governance: Evidence for Hospital Performance from the Italian NHS.”, XVIII ISA World Congress of Sociology, Yokohama, Japan.
Schubert, R., Brown, M., Gysler, M., and Brachinger, H. W., 1999, “Financial Decision-Making: Are Women Really More Risk-Averse?” American Economic Review, Vol. 89, No. 2, 381-385.
Shrader, C. B., Blackburn, V. B., and Iles, P., 1997, “Women in Management and Firm Financial Performance: An Exploratory Study,” Journal of Managerial Issues, Vol. 9, No. 3, 355-372.
Succi, M. J. and Alexander, J. A., 1999, “Physician Involvement in Management and Governance: The Moderating Effects of Staff Structure and Composition,” Health Care Management Review, Vol. 24, No. 1, 33-44.
Thomas, H. and Venkatraman, N., 1988, “Research on Strategic Groups: Progress and Prognosis,” Journal of Management Studies, Vol. 25, No. 6, 537-555.
Veronesi, G., Kirkpatrick, I., and Vallascas, F., 2013, “Clinicians on the Board: What Difference does It Make?” Social Science and Medicine, Vol. 77, 147-155.
Wang, G., Holmes Jr, R. M., Oh, I. S., and Zhu, W., 2016, “Do CEOs Matter to Firm Strategic Actions and Firm Performance? A Meta‐Analytic Investigation Based on Upper Echelons Theory,” Personnel Psychology, Vol. 69, No. 4, 775-862.