Managers and Public Hospital Performance
利用智利公立医院数据,研究发现引入竞争性招聘和提高CEO薪酬使医院死亡率降低8%,这源于招聘了有管理背景的CEO,而非患者构成变化。
We study whether the quality of managers can affect public service provision in the context of public health. Using novel data from public hospitals in Chile, we show how the introduction of a competitive recruitment system and better pay for public hospital CEOs reduced hospital mortality by 8 percent. The effect is not explained by a change in patient composition. We find that the policy changed the pool of CEOs by displacing doctors with no management training in favor of CEOs who had studied management. Productivity improvements were driven by hospitals that recruited higher quality CEOs.