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198 was a refl ection of the fact that the academic hospital and the transition to academic hospital and investments in Annadal were sharing one building. Mutual relationships expansion of the hospital, that the board considered applying became even more complicated when Dr J.G. Tans, the for suspension of payment in 1980. At that point, the Hague chairman of the Board of Governors of State University and Maastricht intervened decisively. The ministry of public Limburg, was also appointed chairman of the board of Sint health set up the advisory committee Maastricht, chaired by Annadal hospital. Dealing with this combination was not only Dr J.Ph.M. van Campen, former chairman of the Sint Radboud troublesome at the top level. There were clear signs that the hospital in Nijmegen. The effective solutions proposed by the organisation and supporting services, which were geared to committee to end the fi nancial deadlock were largely accepted running a general hospital, fell short where an academic by the government. The government contribution was set and hospital was concerned. paid, and the ministries made a decision about the transition A long running confl ict with the incumbent specialists from Sint Annadal to a newly to be built academic hospital. about the move to an academic hospital attracted a great deal of The Maastricht board was strengthened considerably negative publicity both inside and outside the hospital. by the appointment of drs J.B.M. Verhey as chairman of both Opinions differed about the amount to be paid in compensation the board of Sint Annadal hospital and the Maastricht Hospital. to specialists with private practices but there were also Under the administration of Verhey and the fi nancial director problems relating to authority. It was not self evident with F.J.M.A. Pistorius, the hospital returned to fi nancial stability, regard to some of the clinical departments that the newly which enabled a further build up of academic staff and appointed professor would be accepted as department head. infrastructure. In 1985, the hospital had 768 beds, 16,800 All this raised doubts as to the academic status of the patients were admitted and 45,500 patients had been seen in departments but also among staff and the hospital's employees' the outpatient clinic. The medical staff had increased council. The opening sentence of the annual report of signifi cantly to 153 specialists and residents. Of the 27 clinical Maastricht Hospital sums it up: 'The balance of the departments, seventeen were headed by a professor. Since development of the academic hospital in Maastricht in 1979 1982, kidney transplants had been performed and in 1985, the presents a picture that is anything but favourable'. fi rst kidney-pancreas transplant was performed. In vitro Alerted by the negative reports, the ministry of public fertilisation started and the CT scanner of 1979 was replaced by health set up a study group to investigate what was wrong. a scanner of the latest CT generation. In 1985, the hospital This Drion committee concluded that agreements with the received permission to conduct heart surgery; the fi rst open government were not clear and that the board in Maastricht heart operation was conducted in May 1986. In support of the and the ministries were taking far too long in making up their academic status, supportive services and laboratories were minds. An important consequence of this was that the hospital brought up to date and expanded. The nursing service consisted ran into serious fi nancial trouble. The defi cits in the budget for of 611 nurses, and specialisation in nursing commenced. The running costs had risen to such a size, due to prefi nancing of total number of employees had increased to 2,292; the number


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