What does this research mean for the field?

In public hospitals, senior managers with medical training predominantly use belief and interactive control systems to achieve care-related objectives, whereas those with hybrid clinical-managerial training utilize a broader repertoire of all four control levers. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

To evaluate how the professional training profiles of senior public hospital managers correlate with their deployment of Simons's four levers of control, and how these control levers relate to clinical versus managerial goals.

September 2, 2026Journal of Health Organization and Management

Hybridisation among hospital managers: the association between the use of control systems and healthcare management

View Full Paper

Ask AI

Bookmark

Authors

DAD. V. AVILA DNDavid Naranjo‐Gil

Discussion

Member takes

Overview

Cross-sectional survey reveals distinct control system patterns across hospital manager training backgrounds, indicating hybrid clinical-managerial training supports comprehensive organizational...

Key Points

To evaluate how the professional training profiles of senior public hospital managers correlate with their deployment of Simons's four levers of control, and how these control levers relate to clinical versus managerial goals.
Cross-sectional survey of 58 senior managers across Ecuadorian public hospitals, covering 50.4% of hospitals registered with the Ministry of Public Health.
Applied partial least squares structural equation modelling (PLS-SEM) to examine relationships, assess reliability, validity, effect sizes, and evaluate out-of-sample predictive performance.
Medically trained managers demonstrated greater reliance on belief and interactive control systems, alongside reduced implementation of diagnostic and boundary systems.
Hybrid clinical-managerial executives utilized all four control levers across hospital operations.
Belief and interactive control systems correlated positively with care-related goals, whereas diagnostic and boundary systems correlated positively with managerial targets.

Cite This Study

AVILA et al. (2026) studied this question.

synapsesocial.com/papers/6a97e305c562ede874ec79df https://doi.org/10.1108/jhom-05-2026-0585

View Full Paper

Ask AI

Bookmark

September 2, 2026Journal of Health Organization and Management

Hybridisation among hospital managers: the association between the use of control systems and healthcare management

View Full Paper

Ask AI

Bookmark

Authors

DAD. V. AVILA DNDavid Naranjo‐Gil

Discussion

Member takes

Overview

Cross-sectional survey reveals distinct control system patterns across hospital manager training backgrounds, indicating hybrid clinical-managerial training supports comprehensive organizational...

Key Points

To evaluate how the professional training profiles of senior public hospital managers correlate with their deployment of Simons's four levers of control, and how these control levers relate to clinical versus managerial goals.
Cross-sectional survey of 58 senior managers across Ecuadorian public hospitals, covering 50.4% of hospitals registered with the Ministry of Public Health.
Applied partial least squares structural equation modelling (PLS-SEM) to examine relationships, assess reliability, validity, effect sizes, and evaluate out-of-sample predictive performance.
Medically trained managers demonstrated greater reliance on belief and interactive control systems, alongside reduced implementation of diagnostic and boundary systems.
Hybrid clinical-managerial executives utilized all four control levers across hospital operations.
Belief and interactive control systems correlated positively with care-related goals, whereas diagnostic and boundary systems correlated positively with managerial targets.

Cite This Study

AVILA et al. (2026) studied this question.

synapsesocial.com/papers/6a97e305c562ede874ec79df https://doi.org/10.1108/jhom-05-2026-0585

Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

View Full Paper

Ask AI

Bookmark