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August 13, 2026Journal of strategy and management

Board of directors and innovation efficiency: a necessary condition analysis

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Authors

GCGiacinto ConiglioNCNicola CucariSFSalvatore Esposito De Falco

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Overview

Examines how governance mechanisms affect innovation efficiency in the healthcare industry, implying essential governance attributes are needed.

Key Points

  • This study investigates the necessary conditions that corporate governance mechanisms must meet to achieve innovation efficiency in the healthcare sector.
  • Applied necessary condition analysis (NCA) to evaluate governance attributes for innovation efficiency.
  • Assessed board size, independence, gender diversity, tenure, and CEO duality as conditions for achieving innovation efficiency.
  • Utilized ceiling line estimation, permutation tests, and bottleneck analysis to derive conclusions.
  • Board independence is identified as the only necessary condition for high innovation efficiency.
  • Firms with low independent directors fail to achieve higher innovation efficiency, regardless of R&D intensity.
  • Board size, diversity, and tenure showed weaker necessity patterns, and CEO duality did not establish any necessity relationship.

Cite This Study

Coniglio et al. (2026) studied this question.

synapsesocial.com/papers/6a7d76502b0e0cff3f63f98dhttps://doi.org/10.1108/jsma-01-2026-0040
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