Books, Journals, New Media Section Editor: Harriet
S. Meyer, MD, Contributing Editor, JAMA; David H. Morse, MS, University
of Southern California, Norris Medical Library, Journal Review Editor.
Dana Beth Weinberg's Code Green: Money-Driven Hospitals
and the Dismantling of Nursing is based on her dissertation research
in sociology at Harvard University. In it, she reports on her 9 months of
qualitative fieldwork at Beth Israel Deaconess Medical Center (BIDMC) from
January to September 1999.
Weinberg focuses particularly on the changes wrought in nursing and
patient care following the merger in 1996 of Beth Israel Medical Center, a
teaching hospital world renowned for its commitment to primary nursing care,
and New England Deaconess Medical Center, another Boston hospital with a reputation
for excellence in pioneering approaches to restructuring patient care. Because
Weinberg's fieldwork began only 2 months prior to the announcement of a critical
restructuring effort developed by Deloitte and Touche, consultants brought
in by hospital management to address frighteningly large projected budget
deficits, it is not always easy to disentangle the effects of the merger from
those of the "Genesis" turnaround plan. Clearly, the merger and restructuring
plan had synergistic effects.
Mark BA. Nursing, Health Care. JAMA. 2003;290(16):2196-2197. doi:10.1001/jama.290.16.2196