Governance of Teaching Hospitals: Turmoil at Penn and Hopkins

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JHU Press, Dec 1, 2004 - Law - 368 pages
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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.

-- Jonathan Reinarz
 

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I've had HUP bean counter problems--they denied my prescriptoion and prevented my doctors returning my calls (5 requests)--I am in the process of changing doctors and hospitals---I AM 77 Yrs---I WAS BEING TREATED AT HUP FOR 15 years by the same doctor--!! He is now completly under the control of the financial experts (BEAN COUNTERS) and the patient "ME" is only a secondary thought.
IS THIS THE OBAMA CARE THAT EVERYONE SAYS IS SO GOOD===NOT !
Les Bell
 

Contents

Preface
6
Before Kelley
12
Kelley the Builder
Kelley in Trouble
After Kelley
Separate Governance
Unified Governance
Conclusions
Centers
Copyright

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About the author (2004)

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.

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