Why would a university renowned for its school of medicine ever sell its teaching hospital? In his newest book, Dr. John A. Kastor presents an insider's view of why university medical centers decide to sell teaching hospitals, why the decision might be a good one, and how such transitions are received by the faculty and administration. Kastor tells the story of two universities that, under financial duress for more than a decade, chose to sell their teaching hospitals. George Washington University sold to a national, for-profit corporation, Universal Health Services, Inc., and Georgetown University sold to a not-for-profit, local company, MedStar Health. Through interviews with key players involved in and affected by these decisions, Kastor examines the advantages and disadvantages of selling and describes the problems that can afflict medical schools that separate from their faculty practice plans. For the current leaders of medical schools facing similar financial challenges, Kastor analyzes how much it costs to teach clinical medicine and offers valuable advice on how to reduce expenses and increase surpluses.
Rezensionen / Stimmen
Dr. Kastor presents an insider's view. The Grapevine NYU School of Medicine 2008 Kastor's analyses are valuable not only because of his own experiences as a former chair of a department of medicine in an academic medical center, but also because of the candor he provokes in his interviews with hundreds of physicians, administrators, and hospital and university leaders... This volume should be essential reading for leaders of academic medical centers. -- John T. Potts Journal of Clinical Investigation 2008 The book raises questions about the future of all academic medical centers. Health Affairs 2008 An excellent book, well informed and especially readable... The author has written a captivating story that will become a classic in the contemporary history of US health care for many years to come. -- Hector O. Ventura, MD JAMA 2008 Selling Teaching Hospitals and Practice Plans joins John Kastor's three other excellent volumes in a series that uniquely documents how the vast changes in the U.S. health care system have led to the restructuring of leading American academic medical centers. Like its predecessors, it is superbly researched, well organized, and an engaging read. It is must reading for all those involved in health care, hospital administration, and medical education. -- Pascal James Imperato, MD The Pharos 2009
Sprache
Verlagsort
Zielgruppe
Produkt-Hinweis
Fadenheftung
Gewebe-Einband
mit Schutzumschlag
Illustrationen
18 s/w Abbildungen
18 Illustrations, black and white
Maße
Höhe: 230 mm
Breite: 162 mm
Dicke: 24 mm
Gewicht
ISBN-13
978-0-8018-8811-3 (9780801888113)
DOI
Copyright in bibliographic data and cover images is held by Nielsen Book Services Limited or by the publishers or by their respective licensors: all rights reserved.
Schweitzer Klassifikation
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.
Autor*in
Professor of Medicine EmeritusUniversity of Maryland School of Medicine
Preface
1. Washington and Its Academic Medical Centers
2. George Washington University: Selling the Hospital
3. George Washington University: Separating the Practice Plan
4. George Washington University: Closing the HMO
5. George Washington University and Its Medical School
6. Georgetown University: Selling the Hospital
7. Georgetown University: Selling the Practice Plan
8. Georgetown University and Its Medical School
9. MedStar Health
10. Conclusions
Appendix A: Other Universities with Teaching Hospitals Owned by For-Profit Companies
Appendix B: Reducing Deficits and Increasing Surpluses in Private Medical Schools That Do Not Own Their Primary Teaching Hospitals
Appendix C: Interviewees
Notes
Index
