Research Catalog

Specialty care in the era of managed care : Cleveland Clinic versus University Hospitals of Cleveland

Title
Specialty care in the era of managed care : Cleveland Clinic versus University Hospitals of Cleveland / John A. Kastor.
Author
Kastor, John A.
Publication
Baltimore, Md. : Johns Hopkins University Press, 2005.

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TextRequest in advance RA982.C62 C555 2005Off-site
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Description
x, 275 pages : illustrations; 24 cm
Summary
"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."--BOOK JACKET.
Subject
  • Cleveland Clinic Foundation
  • University Hospitals of Cleveland (Ohio)
  • Academic medical centers > Effect of managed care on > Cleveland
  • Hospitals > Cleveland > Administration
  • Managed care plans (Medical care) > Cleveland
  • Hospitals, Private > trends
  • Hospitals, Teaching > trends
  • Managed Care Programs
  • Medicine > trends
  • Ohio
Bibliography (note)
  • Includes bibliographical references (p. [245]-267) and index.
Contents
1. Cleveland and its medical centers -- 2. Cleveland Clinic : the clinical factory -- 3. University hospitals of Cleveland : turmoil in University Circle -- 4. University hospitals of Cleveland : the Farah Walters years -- 5. University hospitals of Cleveland : new leaders -- 6. The new medical school -- 7. Conclusions -- App. Hospitals in Cleveland and Cuyahoga County in 1990 and 2004.
ISBN
0801881749 (hardcover : alk. paper)
LCCN
2004028271
OCLC
  • ocm57143727
  • SCSB-5216020
Owning Institutions
Columbia University Libraries