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Books, Journals, New Media
October 22/29, 2003

Nursing, Health Care

Author Affiliations

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.

JAMA. 2003;290(16):2196-2197. doi:10.1001/jama.290.16.2196

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.