Governance of Teaching Hospitals: Turmoil at Penn and Hopkins

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JHU Press, Dec 11, 2003 - Medical - 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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Contents

Before Kelley
7
Kelley the Builder
28
Kelley in Trouble
77
After Kelley
133
Separate Governance
159
Unified Governance
213
Conclusions
279
Governance of American Academic Medical Centers
295
Interviewees
303
Notes
321
Index
347
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About the author (2003)

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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