Specialty Care in the Era of Managed Care: Cleveland Clinic versus University Hospitals of Cleveland
by John Kastor, MD
Hardcover, 272 pp
Johns Hopkins University Press
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"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
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 high-profile hospitals and academic medical centers and how they operate, particularly in economically and socially challenging situations.
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 two editions of Arrhythmias; Mergers of Teaching Hospitals in Boston, New York, and Northern California; and Governance of Teaching Hospitals: Turmoil at Penn & Hopkins, also published by Johns Hopkins.
(information from the publisher)
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