Why have academic medical centers survived?

JAMA

Volumn 293, Issue 12, 2005, Pages 1495-1500

  Moses III, Hamilton ^a,b   Thier, Samuel O ^c   Matheson, David H M ^b  

^a Alerion Institute   (United States)

^b BOSTON CONSULTING GROUP   (United States)

^c HARVARD MEDICAL SCHOOL   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

COMMUNITY HOSPITAL; COMPETITION; CURRICULUM; HEALTH CARE POLICY; HEALTH CARE QUALITY; HOSPITAL ADMINISTRATOR; HOSPITAL FINANCE; INVESTMENT; MEDICAL DECISION MAKING; PATIENT COUNSELING; PATIENT GUIDANCE; PHYSICIAN; PREDICTION; PRIORITY JOURNAL; REIMBURSEMENT; REVIEW; UNIVERSITY HOSPITAL; ARTICLE; ECONOMICS; ORGANIZATION AND MANAGEMENT; UNITED STATES;

ACADEMIC MEDICAL CENTERS; UNITED STATES;

EID: 15044359152     PISSN: 00987484     EISSN: None     Source Type: Journal    
DOI: 10.1001/jama.293.12.1495     Document Type: Review

References (23)

1. Kassirer JP. Academic medical centers under siege. N Engl J Med. 1994;331:1370-1371.
2. Carey RM, Englehard CL. Academic medicine meets managed care: a high impact collision. Acad Med. 1996; 71:839-845.
3. Berns KI. Preventing the academic medical center from becoming an oxymoron. Acad Med. 1996;71: 117-120.
4. Herzlinger R. Market Driven Health Care: Who Wins, Who Loses in the Transformation of America's Largest Service Industry. Philadelphia, Pa: Perseus Books Group; 1999:270-271.
5. Casalino LP, Devers KJ, Brewster LR. Focused factories? physician-owned specialty facilities. Health Aff. 2003;22:56-57.
6. Koening L, Dobson A, Ho S, Siegel JM, Blumenthal D, Weissman JS. Estimating the mission-related costs of teaching hospitals. Health Aff. 2003;22:112-122.
7. Brennan N, Guterman S, Zuckerman S. How Are Safety Wet Hospitals Responding to Health Care Financing Changes? Washington, DC: Henry J. Kaiser Family Foundation; 2001.
8. Medical Group Management Association. Cost Survey 2004. Englehart, Colo: MGMA Press; 2004.
9. Weissman JS, Saglam D, Campbell EG, Causino N, Blumenthal D. Market forces and unsponsored research in academic medical centers. JAMA. 1999;281: 1093-1098.
10. Jones RF, Sanderson SC. Clinical revenues used to support the academic mission of medical schools. Acad Med. 1996;71:299-307.
11. Abelson R. Demand, but no capital, at nonprofit hospitals. New York Times. June 21, 2002: D1, D12.
12. US Food and Drug Administration. Innovation Stagnation: Challenge and Opportunity on the Critical Path to New Medical Products. Washington, DC: US Dept of Health and Human Services; 2004. White Paper.
13. Drucker PF. The New Realities: In Government and Politics/In Economics and Business/In Society and World View. New York, NY: Harper & Row Publishers; 1989:211-213.
14. Fisher ES, Wennberg J, Stukel TA, Gottlieb DJ. Variations in the longitudinal efficiency of academic medical centers. Health Affairs Web site. Available at http://content. healthaffairs.org/cgi/search? ck=nck& andorexactfulltext=and&resourcetype=1&disp_type =&author1= fisher&fulltext=longitudinal+efficiency& pubdate_year=&volume= &firstpage=. Accessed October 7, 2004.
15. Collins FS, Morgan M, Patrinos A. The Human Genome Project: lessons from large-scale biology. Science. 2003;300:286-290.
16. Zertiouni E. Medicine: the NIH Roadmap. Science. 2003;302:63-72.
17. Institute of Medicine. Crossing the Quality Chasm Summit: Redesigning Care and Improving Health. Washington, DC: National Academies Press; 2004.
18. Ofman JJ, Badamgarav E, Henning JM, et al. Does disease management improve clinical and economic outcomes in patients with chronic diseases? a systematic review. Am J Med. 2004;117:182-192.
19. Leapfrog Fact Sheet. The Leapfrog Group for Patient Safety Rewarding Higher Standards Web site. Available at: http://www.leapfroggroup.org/about_us /leapfrog-factsheet. Accessed October 10, 2004.
20. The Indiana Medical Information Consortium. Bio-Crossroads. Available at: http://www.biocrossroads .org. Accessed January 18, 2005.
21. Starr P. The Social Transformation of American Medicine. New York, NY: Basic Books; 1982:372-373.
22. Handy C. Understanding Organizations. New York, NY: Oxford University Press; 1993:170-176.
23. Krauss K, Smith J. Rejecting conventional wisdom: how can academic medical centers regain their leadership positions. Acad Med. 1997;72:571-575.