Governance of Teaching Hospitals: Turmoil at Penn and Hopkins

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Dezember 2003



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.


University of Pennsylvania; Before Kelley; Kelley the builder; Kelley in trouble; After Kelley; Johns Hopkins University and Hospital; Separate governance; Unified governance; Conclusions.


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.


For anyone involved or interested in medical education, Governance of Teaching Hospitals provides a deeper understanding of how teaching hospitals function and why people leading hospitals and universities do what they do, and it will help guide those who lead teaching hospitals to analyze more successfully the problems confronting their institutions. The Gazette Shows the resilience of these large institutions and their ability to absorb and recover from crises. -- Donald C. Harrison Medical Writings Kastor has provided us with great gossip, complete with comprehensive and detailed accounts of fascinating events, and with an important reminder of what can happen when an academic medical center confronts the challenges of the contemporary health care delivery system. -- Robert Michels, M.D. New England Journal of Medicine 2004 John A. Kastor offers a peek through the curtains in his book, Governance of Teaching Hospitals: Turmoil at Penn and Hopkins. -- James H. Bready Baltimore Sun [A] readable, carefully constructed, and useful analysis... [with] a wealth of detail and a cast of hundreds... Details of the power struggles will prove to be the book's strongest feature. This book should be of interest and value not only to those who are directly involved in leadership roles at academic medical centers but also to anyone interested in the success of such institutions. -- John T. Potts Journal of Clinical Investigation 2004 A rich and often fascinating 'insider' view... This book warrants close attention and wide readership, not only by those interested in academic medicine, but also by managers of all health care institutions. -- Peter W. Van Etten Health Affairs This book deserves close attention among a select readership, especially those interested in academic medicine... Above all, the volume contains a wealth of information relating to two important American medical schools undergoing significant structural change. -- Jonathan Reinarz Medical History 2005
EAN: 9780801874208
ISBN: 0801874203
Untertitel: Empfohlen ab 22 Jahre. Sprache: Englisch.
Erscheinungsdatum: Dezember 2003
Seitenanzahl: 356 Seiten
Format: gebunden
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