Authors: John A. Kastor
ISBN-13: 9780801874208, ISBN-10: 0801874203
Format: Hardcover
Publisher: Johns Hopkins University Press
Date Published: December 2003
Edition: (Non-applicable)
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.
What forces lead to changes in governance among medical schools and their associatedteaching 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. 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
AUTHOR BIO: 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.
Preface | ||
1 | Introduction | 1 |
Pt. I | University of Pennsylvania | |
2 | Before Kelley | 7 |
3 | Kelley the Builder | 28 |
4 | Kelley in Trouble | 77 |
5 | After Kelley | 133 |
Pt. II | Johns Hopkins University and Hospital | |
6 | Separate Governance | 159 |
7 | Unified Governance | 213 |
8 | Conclusions | 279 |
App. 1 | Governance of American Academic Medical Centers | 295 |
App. 2: Interviewees | 303 | |
Notes | 321 | |
Index | 347 |