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.
|Publisher:||Johns Hopkins University Press|
|Sold by:||Barnes & Noble|
|File size:||4 MB|
|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.
John A. Kastor, M.D., a professor of medicine at the University of Maryland School of Medicine, is the former chief of the Cardiovascular Division at the University of Pennsylvania School of Medicine and former chair of the Department of Medicine at Maryland. He is the author of Arrhythmias; Mergers of Teaching Hospitals in Boston, New York, and Northern California; Governance of Teaching Hospitals: Turmoil at Penn and Hopkins; and Specialty Care in the Era of Managed Care: Cleveland Clinic versus University Hospitals of Cleveland, the last two published by Johns Hopkins.
Table of Contents
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
Appendix 1: Governance of American Academic Medical Centers
Appendix 2: Interviewees
What People are Saying About This
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
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
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