Catalogue


Specialty care in the era of managed care : Cleveland Clinic versus University Hospitals of Cleveland /
John A. Kastor.
imprint
Baltimore : The Johns Hopkins University Press, c2005.
description
x, 275 p.
ISBN
0801881749 (hardcover : alk. paper)
format(s)
Book
Holdings
More Details
imprint
Baltimore : The Johns Hopkins University Press, c2005.
isbn
0801881749 (hardcover : alk. paper)
contents note
Cleveland and its medical centers -- Cleveland Clinic: the clinical factory -- University Hospitals of Cleveland: turmoil in university circle -- University Hospitals of Cleveland: the Farah Walters years -- University Hospitals of Cleveland: new leaders -- The new medical school.
catalogue key
5568767
 
Includes bibliographical references and index.
A Look Inside
About the Author
Author Affiliation
John A. Kastor, M.D., is former chair of the Department of Medicine and a cardiologist at the University of Maryland School of Medicine
Reviews
Review Quotes
"A book that sprinkles tantalizing tidbits and provides a clear-eyed view of the inner workings of Cleveland's influential medical institutions." -- Diane Solov, Plain Dealer
A truthful and probing account... This book should be required reading for the next class of Leadership Cleveland.
"A truthful and probing account... This book should be required reading for the next class of Leadership Cleveland." -- Michael D. Roberts, Inside Business
Kastor has provided us with a meticulously researched case study whose lessons provide for a better understanding of the challenges facing all in the health care field.
"Kastor has provided us with a meticulously researched case study whose lessons provide for a better understanding of the challenges facing all in the health care field." -- Pascal James Imperato, Pharos
Meticulously researched and documented case study... Kastor's book is indispensable.
"Meticulously researched and documented case study... Kastor's book is indispensable." -- Bulletin of the History of Medicine
"Meticulously researched and documented case study... Kastor's book is indispensable." -- Jesse Ballenger, Bulletin of the History of Medicine
Kastor has created a very unique window on our era of hospitals in a time of transition. An intriguing and highly important work.
"Kastor has created a very unique window on our era of hospitals in a time of transition. An intriguing and highly important work."--Duncan Neuhauser, Case Western Reserve University
A book that sprinkles tantalizing tidbits and provides a clear-eyed view of the inner workings of Cleveland's influential medical institutions.
To find out how to look for other reviews, please see our guides to finding book reviews in the Sciences or Social Sciences and Humanities.
Summaries
Bowker Data Service Summary
John Kastor has studied two leading centres in specialised care to learn how they are coping in the current era. He describes in detail these rival organisations, their struggles against the economic pressures presented by managed care and their competition for patients.
Main Description
Limiting the use of specialists is one of the highest priorities of managed care, which requires patients and their primary care physicians to focus on a health maintenance approach. Preventive medicine programs, encouraged by insurers and HMOs, theoretically reduce the need for expensive specialty care and thus lower overall costs. But where does this leave specialists and their institutions? Dr. John A. Kastor has studied two leading centers in specialty care, the Cleveland Clinic and the University Hospitals of Cleveland, to learn what these institutions are doing to survive in the current era. Using the findings of more than two hundred interviews with physicians, administrators, investigators, and trustees, the author describes in detail these rival organizations, their individual struggles against the economic pressures presented by managed care, and their sometimes bitter competition for patients. The insights that emerge from this struggle will be of value to anyone interested in how high-profile hospitals and academic medical centers operate, particularly in economically and socially challenging situations.
Table of Contents
Prefacep. ix
Cleveland and Its Medical Centersp. 1
Cleveland Clinic: The Clinical Factoryp. 5
University Hospitals of Cleveland: Turmoil in University Circlep. 84
University Hospitals of Cleveland: The Farah Walters Yearsp. 120
University Hospitals of Cleveland: New Leadersp. 174
The New Medical Schoolp. 186
Conclusionsp. 208
Intervieweesp. 231
Hospitals in Cleveland and Cuyahoga County in 1990 and 2004p. 243
Notesp. 245
Indexp. 269
Table of Contents provided by Ingram. All Rights Reserved.

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