{"id":"https://openalex.org/W2051087151","doi":null,"title":"The challenge of governance: the relationship of the teaching hospital to the university.","display_name":"The challenge of governance: the relationship of the teaching hospital to the university.","publication_year":1984,"publication_date":"1984-03-01","ids":{"openalex":"https://openalex.org/W2051087151","mag":"2051087151","pmid":"https://pubmed.ncbi.nlm.nih.gov/6699889"},"language":"en","primary_location":{"id":"pmid:6699889","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/6699889","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of medical education","raw_type":"Journal Article"},"volume":null,"type":"article","indexed_in":["pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5111670866","display_name":"Robert M. Heyssel","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"R M Heyssel","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":["https://openalex.org/A5111670866"],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":3.4556,"has_fulltext":false,"cited_by_count":9,"citation_normalized_percentile":{"value":0.9189673,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":null,"biblio":{"volume":"59","issue":"3","first_page":"162","last_page":"8"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T13896","display_name":"Health Services Management and Policy","score":0.8202999830245972,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T13896","display_name":"Health Services Management and Policy","score":0.8202999830245972,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12871","display_name":"Healthcare Quality and Management","score":0.07339999824762344,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13803","display_name":"Organizational Strategy and Culture","score":0.029500000178813934,"subfield":{"id":"https://openalex.org/subfields/1407","display_name":"Organizational Behavior and Human Resource Management"},"field":{"id":"https://openalex.org/fields/14","display_name":"Business, Management and Accounting"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/academic-medical-centers","display_name":"academic medical centers","score":0.8709999918937683},{"id":"https://openalex.org/keywords/governance","display_name":"governance","score":0.7310000061988831},{"id":"https://openalex.org/keywords/medical-education","display_name":"medical education","score":0.5730000138282776},{"id":"https://openalex.org/keywords/medical-research","display_name":"medical research","score":0.8500000238418579},{"id":"https://openalex.org/keywords/patient-care","display_name":"patient care","score":0.7239999771118164},{"id":"https://openalex.org/keywords/organizational-management","display_name":"organizational management","score":0.5180000066757202},{"id":"https://openalex.org/keywords/governance-principles","display_name":"governance principles","score":0.6890000104904175},{"id":"https://openalex.org/keywords/conflict-resolution","display_name":"conflict resolution","score":0.6169999837875366},{"id":"https://openalex.org/keywords/shared-mission","display_name":"shared mission","score":0.5899999737739563}],"concepts":[{"id":"https://openalex.org/C39389867","wikidata":"https://www.wikidata.org/wiki/Q380767","display_name":"Corporate governance","level":2,"score":0.6629447937011719},{"id":"https://openalex.org/C18762648","wikidata":"https://www.wikidata.org/wiki/Q42213","display_name":"Work (physics)","level":2,"score":0.5973814725875854},{"id":"https://openalex.org/C177264268","wikidata":"https://www.wikidata.org/wiki/Q1514741","display_name":"Set (abstract data type)","level":2,"score":0.5473820567131042},{"id":"https://openalex.org/C90673727","wikidata":"https://www.wikidata.org/wiki/Q901718","display_name":"Product (mathematics)","level":2,"score":0.4924255311489105},{"id":"https://openalex.org/C39549134","wikidata":"https://www.wikidata.org/wiki/Q133080","display_name":"Public relations","level":1,"score":0.4754730761051178},{"id":"https://openalex.org/C2989236134","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Patient care","level":2,"score":0.4316740334033966},{"id":"https://openalex.org/C509550671","wikidata":"https://www.wikidata.org/wiki/Q126945","display_name":"Medical education","level":1,"score":0.3924061954021454},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.38265880942344666},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.31014442443847656},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.2656303942203522},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.2592463493347168},{"id":"https://openalex.org/C127413603","wikidata":"https://www.wikidata.org/wiki/Q11023","display_name":"Engineering","level":0,"score":0.16207361221313477},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.10428085923194885},{"id":"https://openalex.org/C78519656","wikidata":"https://www.wikidata.org/wiki/Q101333","display_name":"Mechanical engineering","level":1,"score":0.0},{"id":"https://openalex.org/C33923547","wikidata":"https://www.wikidata.org/wiki/Q395","display_name":"Mathematics","level":0,"score":0.0},{"id":"https://openalex.org/C2524010","wikidata":"https://www.wikidata.org/wiki/Q8087","display_name":"Geometry","level":1,"score":0.0},{"id":"https://openalex.org/C199360897","wikidata":"https://www.wikidata.org/wiki/Q9143","display_name":"Programming language","level":1,"score":0.0},{"id":"https://openalex.org/C10138342","wikidata":"https://www.wikidata.org/wiki/Q43015","display_name":"Finance","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000046","descriptor_name":"Academic Medical Centers","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":true},{"descriptor_ui":"D005180","descriptor_name":"Faculty, Medical","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006784","descriptor_name":"Hospitals, Teaching","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010361","descriptor_name":"Patients","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012106","descriptor_name":"Research","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012577","descriptor_name":"Schools, Medical","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":false},{"descriptor_ui":"D013337","descriptor_name":"Students, Medical","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"pmid:6699889","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/6699889","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of medical education","raw_type":"Journal Article"},{"id":"mag:2051087151","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/6699889","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":"PubMed","raw_type":null}],"best_oa_location":null,"sustainable_development_goals":[],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W4293502349","https://openalex.org/W2749340308","https://openalex.org/W1964754485","https://openalex.org/W4244618052","https://openalex.org/W7214174028","https://openalex.org/W4210909118","https://openalex.org/W2057054299","https://openalex.org/W2046991880","https://openalex.org/W2046887390","https://openalex.org/W2059992964"],"abstract_inverted_index":{"In":[0],"an":[1],"academic":[2,107],"medical":[3,18,28,108],"center,":[4],"patient":[5],"care":[6],"is":[7,66],"primarily":[8,25],"the":[9,13,27,32,46,72,88,94,112,128],"business":[10,73],"product":[11],"of":[12,93,106],"hospital":[14],"and":[15,22,31,56,79,104],"its":[16,62],"organized":[17],"staff,":[19],"while":[20],"education":[21],"research":[23],"belong":[24],"to":[26,52,61],"school":[29],"dean":[30],"faculty.":[33],"Each":[34],"unique":[35],"business--patient":[36],"care,":[37],"education,":[38],"or":[39],"research--must":[40],"be":[41,53],"managed":[42],"with":[43],"regard":[44],"for":[45,58,87,102,131],"others,":[47],"but":[48],"first":[49],"it":[50],"needs":[51],"considered":[54],"separately":[55],"operated":[57],"results":[59],"related":[60],"primary":[63,85],"goal.":[64],"It":[65],"essential":[67],"that":[68],"governing":[69],"bodies":[70],"understand":[71],"they":[74],"govern.":[75],"Mutual":[76],"understanding,":[77],"trust,":[78],"integrity":[80],"are":[81,136],"keystones":[82],"in":[83,91,138],"executing":[84],"responsibility":[86],"different":[89],"activities":[90],"pursuit":[92],"overall":[95],"shared":[96],"missions.":[97],"Ten":[98],"principles":[99,135],"seem":[100],"reasonable":[101],"governance":[103],"management":[105],"centers.":[109],"They":[110],"recognize":[111],"businesses,":[113],"define":[114],"potential":[115],"problems,":[116],"set":[117],"tasks,":[118],"and,":[119],"if":[120],"every":[121],"person":[122],"fulfills":[123],"his":[124],"difficult":[125],"work,":[126],"provide":[127],"organizational":[129],"means":[130],"resolving":[132],"conflict.":[133],"The":[134],"listed":[137],"this":[139],"paper.":[140]},"counts_by_year":[],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}