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Re-examining the Relationship Between Supervisory Board Capability and Director Board Capability in Public Hospitals: Insights From Non-significant Findings

Year: 2025

Type: article

Abstract: Governance structures in Indonesian public hospitals presume a direct relationship between the capabilities of the Supervisory Board and the Board of Directors. This study examines whether that assumption holds by testing the influence of Supervisory Board capability on Director Board capability. A quantitative approach was employed, using stratified sampling across 211 accredited public hospitals and analyzed through Partial Least Squares Structural Equation Modeling (PLS-SEM). Results indicate no significant effect between the two variables, suggesting a level of autonomy and independence in each board’s function. The findings highlight the potential role of mediating factors such as communication breakdowns, institutional culture, and structural separation. These results challenge conventional assumptions of top-down governance influence and call for a more relational, context-sensitive framework. Interpreted through a post-humanist lens, the study reframes hospital governance as a distributed system of knowledge, agency, and constraint that extends beyond traditional human hierarchies.

Source: Lex localis - Journal of Local Self-Government

DOI: 10.52152/801855

Authors: Agastya Agastya, Rina Fadhilah Ismail, Indra Bastian, Rida Perwita Sari

Institutions: Universitas Gadjah Mada, University of Darussalam Gontor, University of Pembangunan Nasional Veteran Jawa Timur

Language: English

Topic: Health Services Management and Policy

Subfield: General Health Professions

Field: Health Professions

Domain: Health Sciences

SDG: Peace, justice, and strong institutions

Open Access status: hybrid

OpenAlex ID: W4414996565

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