Governance of Teaching Hospitals: Turmoil at Penn and Hopkins

Governance of Teaching Hospitals: Turmoil at Penn and Hopkins

by John A. Kastor MD


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What forces lead to changes in governance among medical schools and their associated teaching hospitals? To what extent do such changes affect how well those schools and hospitals do their work? In this book, John A. Kastor, M.D., focuses on the academic medical centers of the University of Pennsylvania and the Johns Hopkins University, two institutions that underwent dramatic change in governance during the late 1990s.

Drawing on extensive interviews with more than three hundred administrators, physicians, and other medical professionals at Penn, Hopkins, and elsewhere, Kastor identifies the factors that influenced changes in governance at these two institutions. Chief among these, he finds, are structure, personality conflicts, and current events. This book will be of interest to administrators of teaching hospitals as well as professionals in health policy and management.

Product Details

ISBN-13: 9780801874208
Publisher: Johns Hopkins University Press
Publication date: 01/15/2004
Pages: 368
Sales rank: 963,569
Product dimensions: 6.00(w) x 9.00(h) x 1.20(d)
Age Range: 18 Years

About the Author

John A. Kastor, M.D., is former chair of the Department of Medicine and a cardiologist at the University of Maryland School of Medicine. He is the author of Mergers of Teaching Hospitals in Boston, New York, and Northern California.

Table of Contents

1. Introduction
Part I: University of Pennsylvania
2. Before Kelley
3. Kelley the Builder
4. Kelley in Trouble
5. After Kelley
Part II: Johns Hopkins University and Hospital
6. Separate Governance
7. Unified Governance
8. Conclusions
Appendix 1: Governance of American Academic Medical Centers
Appendix 2: Interviewees

What People are Saying About This

Michael R. Bloomberg

Governance of Teaching Hospitals looks fantastic. What an important contribution [Kastor] has made to academic health centers. Thorough, well-presented research like [his] is sure to assist teaching hospitals around the nation in their attempts to provide the best patient care, doctor training, and research.

Michael R. Bloomberg, Mayor, New York City

David Blumenthal

This is a highly readable, painstakingly researched account of the recent travails of two of the nation's most important academic health centers. The author marshals an extraordinary amount of primary data that paint a compelling, convincing, and very objective account of the events of these institutions' recent, turbulent histories.

David Blumenthal, M.D., M.P.P., Harvard Medical School

Victor McKusick

Engagingly written and packed full of information. I could not put it down... Great book!

Victor McKusick, M.D., Johns Hopkins University School of Medicine

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