University of Maryland School of Medicine, Baltimore, Maryland 21201, USA.
Acad Med. 2010 Dec;85(12):1828-32. doi: 10.1097/ACM.0b013e3181f65019.
This is the second of two articles in this issue of Academic Medicine that, together, report the author's findings from his study of the attempt by the leaders of Mount Sinai and New York University (NYU) medical centers in New York City to merge their medical schools and hospitals, and the failure of those attempts. After the unsuccessful effort of the trustees to merge the medical schools and hospitals--see the first article--the two institutions successfully created Mount Sinai NYU Health, a new company of the Mount Sinai and NYU hospitals in New York City. Members of the NYU faculty, worried that the new attempt would also include the medical schools, sued their university to prevent the merger. Although they lost the suit, the NYU medical school remained within the university as they had wanted. The hospital merger, like the more comprehensive hospital/medical school merger that failed, was favored by most of the trustees and executives at Mount Sinai. Although supported by many of the NYU trustees, both mergers were strongly opposed by some of the leadership and many of the faculty at the NYU medical center.The hospital merger came into effect in July 1998, but three years later, administration of the hospitals had returned to the separate campuses. In 2008, the merger was officially terminated. Although several of the back-office functions combined, no clinical programs did, as was also the case in other mergers of teaching hospitals. The author concludes with an analysis of why this merger failed while a few others succeeded.
这是本期《学术医学》中的两篇文章中的第二篇，它们共同报告了作者对西奈山和纽约大学（NYU）医疗中心领导人试图合并其医学院和医院的研究结果，以及这些尝试的失败。在受托人合并医学院和医院的努力失败后——见第一篇文章——这两所机构成功地创建了西奈山 NYU 健康，这是纽约市西奈山和 NYU 医院的一家新公司。NYU 学院的教职员工担心新的尝试也将包括医学院，因此起诉他们的大学以阻止合并。尽管他们败诉了，但 NYU 医学院仍像他们希望的那样留在大学内。与失败的更全面的医院/医学院合并一样，医院合并受到西奈山大多数受托人和高管的青睐。尽管得到了许多 NYU 受托人的支持，但这两项合并都遭到了 NYU 医疗中心的一些领导层和许多教职员工的强烈反对。医院合并于 1998 年 7 月生效，但三年后，医院的管理又回到了各自的校区。2008 年，合并正式终止。尽管几个后台职能部门合并了，但没有临床项目合并，其他教学医院的合并也是如此。作者最后分析了为什么这次合并失败了，而其他几次合并成功了。
