Healthcare Management

Working Paper Series

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The appropriate role of medical professionals in a hospital’s top
management team is a controversial issue. Clearly, the medical director plays an
important part in balancing medical and financial performance. It is perceived
wisdom among medics that the medical director’s position should be strong and on
an equal footing with the commercial director. Clinicians believe that relegating their
representative to a subordinate role would entail financial considerations taking
precedence in decision making, leading to cost-cutting and consequent detrimental
effects on medical performance. We challenge this view, presenting arguments in
favour of detailing the medical director a subordinate role. Using a simple game
theory framework, we demonstrate that placing the medical director in a subordinate
position may in fact lead to increased resources and superior medical performance,
because medical and financial performance are strategic complementarities. We
present empirical evidence to support the predictions of our model.

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Publisher

: ., 2008

Collation

1-31

Language

English

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NONE

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Subject(s)

Working Paper Series

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