Catatan

This book examines the reasons and decision-making processes behind the decisions of two prominent American universities, George Washington University and Georgetown University, to sell their teaching hospitals and separate or transfer the management of their faculty practice plans.

John A. Kastor describes the financial pressures and management challenges experienced by both universities over more than a decade. George Washington University sold its teaching hospital to Universal Health Services, Inc., a for-profit healthcare corporation, while Georgetown University sold its hospital to MedStar Health, a local nonprofit healthcare organization.

Through interviews with physicians, administrators, university leaders, and other individuals involved in these transactions, the author analyzes the advantages and disadvantages of selling teaching hospitals. The book also explores the consequences of separating hospitals and physician practice plans for medical education, research, healthcare services, and the financial sustainability of medical schools.

In addition to presenting these institutional case studies, the author provides recommendations for financial management, reducing deficits, and increasing financial surpluses in medical schools that no longer own their primary teaching hospitals.

Main topics: Teaching hospital management, healthcare organizational restructuring, hospital financial policy, and the relationship between universities and healthcare institutions.