Audit Quality and the Health of the Health Industry

A Master of Business Administration (MBA) thesis by Nour Kousa entitled, “Audit Quality and the Health of the Health Industry”, submitted in May 2025. Thesis advisor is Dr. Feras M. Salama. Soft copy is available (Thesis, Approval Signatures, Completion Certificate, and AUS Archives Consent Form)....

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محفوظ في:
التفاصيل البيبلوغرافية
المؤلف الرئيسي: Kousa, Nour (author)
التنسيق: doctoralThesis
منشور في: 2025
الموضوعات:
الوصول للمادة أونلاين:https://hdl.handle.net/11073/26155
الوسوم: إضافة وسم
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author Kousa, Nour
author_facet Kousa, Nour
author_role author
dc.contributor.none.fl_str_mv Salama, Feras
dc.creator.none.fl_str_mv Kousa, Nour
dc.date.none.fl_str_mv 2025-06-30T07:41:57Z
2025-06-30T07:41:57Z
2025-05
dc.format.none.fl_str_mv application/pdf
dc.identifier.none.fl_str_mv 33.232-2025.17
https://hdl.handle.net/11073/26155
dc.language.none.fl_str_mv en_US
dc.relation.none.fl_str_mv Master of Business Administration (MBA)
dc.subject.none.fl_str_mv Audit Quality
Pharmaceutical Industry
Financial Stability
Big Four Auditors
Non-Big Four Auditors
Regulatory Compliance
dc.title.none.fl_str_mv Audit Quality and the Health of the Health Industry
dc.type.none.fl_str_mv info:eu-repo/semantics/publishedVersion
info:eu-repo/semantics/doctoralThesis
description A Master of Business Administration (MBA) thesis by Nour Kousa entitled, “Audit Quality and the Health of the Health Industry”, submitted in May 2025. Thesis advisor is Dr. Feras M. Salama. Soft copy is available (Thesis, Approval Signatures, Completion Certificate, and AUS Archives Consent Form).
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spelling Audit Quality and the Health of the Health IndustryKousa, NourAudit QualityPharmaceutical IndustryFinancial StabilityBig Four AuditorsNon-Big Four AuditorsRegulatory ComplianceA Master of Business Administration (MBA) thesis by Nour Kousa entitled, “Audit Quality and the Health of the Health Industry”, submitted in May 2025. Thesis advisor is Dr. Feras M. Salama. Soft copy is available (Thesis, Approval Signatures, Completion Certificate, and AUS Archives Consent Form).Audit quality plays a key role in shaping corporate financial stability, especially in heavily regulated sectors such as pharmaceuticals. While past research has examined the general effects of audit quality on companies, its specific impact on the financial stability of pharmaceutical firms remains underexplored. This study addresses this gap by comparing the United States and European markets, focusing on firms audited by the largest global audit networks (Big Four) versus those audited by smaller audit firms. Using a comprehensive dataset, the analysis reveals that firms audited by the largest global audit networks exhibit lower financial volatility and more stable returns, likely due to enhanced transparency and reduced information asymmetry. In contrast, firms audited by smaller audit firms demonstrate higher average returns but greater instability, suggesting a risk-return trade-off that may appeal to risk-tolerant investors. Notably, the largest global audit networks deliver consistent financial stability in both the United States and Europe, underscoring the robustness of their standardized practices. However, smaller audit firms in Europe show significantly higher volatility than their United States counterparts, implying that regulatory compliance alone does not ensure audit quality. The study also challenges the assumption that frequent auditor rotation improves outcomes; instead, longer auditor relationships, coupled with rigorous standards, may enhance financial oversight, particularly in complex industries like pharmaceuticals. These findings advocate for reconsidering mandatory auditor rotation policies and strengthening oversight of smaller audit firms to improve reporting quality and investor confidence.School of Business AdministrationDepartment of Management, Strategy and EntrepreneurshipMaster of Business Administration (MBA)Salama, Feras2025-06-30T07:41:57Z2025-06-30T07:41:57Z2025-05info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/doctoralThesisapplication/pdf33.232-2025.17https://hdl.handle.net/11073/26155en_USMaster of Business Administration (MBA)oai:repository.aus.edu:11073/261552025-11-11T07:05:36Z
spellingShingle Audit Quality and the Health of the Health Industry
Kousa, Nour
Audit Quality
Pharmaceutical Industry
Financial Stability
Big Four Auditors
Non-Big Four Auditors
Regulatory Compliance
status_str publishedVersion
title Audit Quality and the Health of the Health Industry
title_full Audit Quality and the Health of the Health Industry
title_fullStr Audit Quality and the Health of the Health Industry
title_full_unstemmed Audit Quality and the Health of the Health Industry
title_short Audit Quality and the Health of the Health Industry
title_sort Audit Quality and the Health of the Health Industry
topic Audit Quality
Pharmaceutical Industry
Financial Stability
Big Four Auditors
Non-Big Four Auditors
Regulatory Compliance
url https://hdl.handle.net/11073/26155