Academic health centers in a changing environment

Health Affairs

Volumn 15, Issue 2, 1996, Pages

  Blumenthal, David ^a   Meyer, Gregg S ^b  

^a HARVARD MEDICAL SCHOOL   (United States)

^b Uniformed Services University of the Health Sciences and the Walter Reed National Military Medical Center   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; CLINICAL TRIAL; ECONOMIC ASPECT; ECONOMICS; FINANCIAL MANAGEMENT; HEALTH CARE POLICY; MULTICENTER STUDY; ORGANIZATION; ORGANIZATION AND MANAGEMENT; PUBLIC RELATIONS; UNITED STATES; UNIVERSITY HOSPITAL;

ACADEMIC MEDICAL CENTERS; COMMUNITY-INSTITUTIONAL RELATIONS; ECONOMIC COMPETITION; FINANCIAL MANAGEMENT, HOSPITAL; HEALTH CARE REFORM; ORGANIZATIONAL INNOVATION; UNITED STATES;

EID: 1542534596     PISSN: 02782715     EISSN: None     Source Type: Journal    
DOI: 10.1377/hlthaff.15.2.200     Document Type: Article

References (24)

1. P.D. Fox and J. Wasserman, "Academic Medical Centers and Managed Care: Uneasy Partners," Health Affairs (Spring 1993): 85-93; D. Blumenthal and G.S. Meyer, "The Future of Academic Medical Centers under Health Care Reform," The New England Journal of Medicine 329, no. 24 (1993): 1812-1815; J.K. Iglehart, "Rapid Changes for Academic Medical Centers" (Part I), The New England Journal of Medicine 331, no. 20 (1994): 1391; J.K.Iglehart, "Rapid Changes for Academic Medical Centers" (Part II), The New England Journal of Medicine 332, no. 6 (1995): 407; A.M. Epstein, "U.S. Teaching Hospitals in the Evolving Health Care System," Journal of the American Medical Association (19 April 1995): 1203-1207; and M. Gold and K. Chu, "Financing of Academic Medical Centers and Graduate Medical Education under Competitive Systems with Managed Care," MPR Ref. no. 8202-200 (Report submitted by Mathematica Policy Research to the U.S. Department of Health and Human Services, 23 December 1994).
2. P.D. Fox and J. Wasserman, "Academic Medical Centers and Managed Care: Uneasy Partners," Health Affairs (Spring 1993): 85-93; D. Blumenthal and G.S. Meyer, "The Future of Academic Medical Centers under Health Care Reform," The New England Journal of Medicine 329, no. 24 (1993): 1812-1815; J.K. Iglehart, "Rapid Changes for Academic Medical Centers" (Part I), The New England Journal of Medicine 331, no. 20 (1994): 1391; J.K.Iglehart, "Rapid Changes for Academic Medical Centers" (Part II), The New England Journal of Medicine 332, no. 6 (1995): 407; A.M. Epstein, "U.S. Teaching Hospitals in the Evolving Health Care System," Journal of the American Medical Association (19 April 1995): 1203-1207; and M. Gold and K. Chu, "Financing of Academic Medical Centers and Graduate Medical Education under Competitive Systems with Managed Care," MPR Ref. no. 8202-200 (Report submitted by Mathematica Policy Research to the U.S. Department of Health and Human Services, 23 December 1994).
3. P.D. Fox and J. Wasserman, "Academic Medical Centers and Managed Care: Uneasy Partners," Health Affairs (Spring 1993): 85-93; D. Blumenthal and G.S. Meyer, "The Future of Academic Medical Centers under Health Care Reform," The New England Journal of Medicine 329, no. 24 (1993): 1812-1815; J.K. Iglehart, "Rapid Changes for Academic Medical Centers" (Part I), The New England Journal of Medicine 331, no. 20 (1994): 1391; J.K.Iglehart, "Rapid Changes for Academic Medical Centers" (Part II), The New England Journal of Medicine 332, no. 6 (1995): 407; A.M. Epstein, "U.S. Teaching Hospitals in the Evolving Health Care System," Journal of the American Medical Association (19 April 1995): 1203-1207; and M. Gold and K. Chu, "Financing of Academic Medical Centers and Graduate Medical Education under Competitive Systems with Managed Care," MPR Ref. no. 8202-200 (Report submitted by Mathematica Policy Research to the U.S. Department of Health and Human Services, 23 December 1994).
4. P.D. Fox and J. Wasserman, "Academic Medical Centers and Managed Care: Uneasy Partners," Health Affairs (Spring 1993): 85-93; D. Blumenthal and G.S. Meyer, "The Future of Academic Medical Centers under Health Care Reform," The New England Journal of Medicine 329, no. 24 (1993): 1812-1815; J.K. Iglehart, "Rapid Changes for Academic Medical Centers" (Part I), The New England Journal of Medicine 331, no. 20 (1994): 1391; J.K.Iglehart, "Rapid Changes for Academic Medical Centers" (Part II), The New England Journal of Medicine 332, no. 6 (1995): 407; A.M. Epstein, "U.S. Teaching Hospitals in the Evolving Health Care System," Journal of the American Medical Association (19 April 1995): 1203-1207; and M. Gold and K. Chu, "Financing of Academic Medical Centers and Graduate Medical Education under Competitive Systems with Managed Care," MPR Ref. no. 8202-200 (Report submitted by Mathematica Policy Research to the U.S. Department of Health and Human Services, 23 December 1994).
5. P.D. Fox and J. Wasserman, "Academic Medical Centers and Managed Care: Uneasy Partners," Health Affairs (Spring 1993): 85-93; D. Blumenthal and G.S. Meyer, "The Future of Academic Medical Centers under Health Care Reform," The New England Journal of Medicine 329, no. 24 (1993): 1812-1815; J.K. Iglehart, "Rapid Changes for Academic Medical Centers" (Part I), The New England Journal of Medicine 331, no. 20 (1994): 1391; J.K.Iglehart, "Rapid Changes for Academic Medical Centers" (Part II), The New England Journal of Medicine 332, no. 6 (1995): 407; A.M. Epstein, "U.S. Teaching Hospitals in the Evolving Health Care System," Journal of the American Medical Association (19 April 1995): 1203-1207; and M. Gold and K. Chu, "Financing of Academic Medical Centers and Graduate Medical Education under Competitive Systems with Managed Care," MPR Ref. no. 8202-200 (Report submitted by Mathematica Policy Research to the U.S. Department of Health and Human Services, 23 December 1994).
6. P.D. Fox and J. Wasserman, "Academic Medical Centers and Managed Care: Uneasy Partners," Health Affairs (Spring 1993): 85-93; D. Blumenthal and G.S. Meyer, "The Future of Academic Medical Centers under Health Care Reform," The New England Journal of Medicine 329, no. 24 (1993): 1812-1815; J.K. Iglehart, "Rapid Changes for Academic Medical Centers" (Part I), The New England Journal of Medicine 331, no. 20 (1994): 1391; J.K.Iglehart, "Rapid Changes for Academic Medical Centers" (Part II), The New England Journal of Medicine 332, no. 6 (1995): 407; A.M. Epstein, "U.S. Teaching Hospitals in the Evolving Health Care System," Journal of the American Medical Association (19 April 1995): 1203-1207; and M. Gold and K. Chu, "Financing of Academic Medical Centers and Graduate Medical Education under Competitive Systems with Managed Care," MPR Ref. no. 8202-200 (Report submitted by Mathematica Policy Research to the U.S. Department of Health and Human Services, 23 December 1994).
7. E. Mansfield, Microeconomics; Theory and Application (New York: W.W. Norton and Company, 1970).
8. D. Blumenthal, "Growing Pains for New Academic/Industry Relationships," Health Affairs (Summer 1994): 176-193.
9. J.P. Kassirer, "Our Ailing Public Hospitals: Cure Them or Close Them," The New England Journal of Medicine 333, no. 20 (1995): 1348-1349.
10. A.J. Slomski, "Hospitals' Little Secret: They Make Lots of Money," Medical Economics (27 March 1995): 66.
11. M.C. Rogers, R. Snyderman, and E.L. Rogers, "Cultural and Organizational Implications of Academic Medical Center Networks," The New England Journal of Medicine 331, no. 20 (1994): 1374; and Iglehart, "Rapid Changes for Academic Medical Centers" (Parts I and II).
12. M.C. Rogers, R. Snyderman, and E.L. Rogers, "Cultural and Organizational Implications of Academic Medical Center Networks," The New England Journal of Medicine 331, no. 20 (1994): 1374; and Iglehart, "Rapid Changes for Academic Medical Centers" (Parts I and II).
13. J.K. Iglehart, "Academic Medical Centers Enter the Market: The Case of Philadelphia," The New England Journal of Medicine 333, no. 15 (1995): 1019-1024.
14. Iglehart, "Rapid Changes for Academic Medical Centers" (Parts I and II); and Rogers et al., "Cultural and Organizational Implications of Academic Medical Center Networks."
15. Iglehart, "Rapid Changes for Academic Medical Centers" (Parts I and II); and Rogers et al., "Cultural and Organizational Implications of Academic Medical Center Networks."
16. Iglehart, "Rapid Changes for Academic Health Centers" (Part I).
17. D.M. Berwick, "Continuous Improvement as an Ideal in Health Care," The New England Journal of Medicine 320, no. 1 (1989): 53-56; and J. Laffel and D. Blumenthal, "The Case for Using Industrial Quality Management Science in Health Care Organizations," Journal of the American Medical Association 262, no. 20 (1989): 2869-2873.
18. D.M. Berwick, "Continuous Improvement as an Ideal in Health Care," The New England Journal of Medicine 320, no. 1 (1989): 53-56; and J. Laffel and D. Blumenthal, "The Case for Using Industrial Quality Management Science in Health Care Organizations," Journal of the American Medical Association 262, no. 20 (1989): 2869-2873.
19. R. Winslow, "Welfare Recipients Are a Hot Commodity in Managed Care Now," The Wall Street Journal, 12 April 1995, A1.
20. P.G. Gosselin, "MGH, Brigham to Cut Residency Slots," The Boston Globe, 16 July 1995, 1.
21. D. Blumenthal and G.S. Meyer, "The Response of AHCs to Health Care Reform," in AHCs in the Managed Care Environment, ed. D. Korn, C.J. McLaughlin, and M. Osterweis (Washington: Association of Academic Health Centers, 1995), 173-195.
22. Blumenthal and Meyer, "The Future of Academic Medical Centers under Health Care Reform."
23. E.S. Browning, "Change in Health Care Shakes Up the Business of Drug Development," The Wall Street Journal, 28 March 1995, A1.
24. Patricia Hibberd, Infectious Diseases Unit, Massachusetts General Hospital, personal communication, 30 March 1995.