Contemporary challenges and opportunities at academic health centers

Journal of Healthcare Management

Volumn 50, Issue 2, 2005, Pages 121-135

  Retchin, Sheldon M ^a   Clark III, Ron R ^b  

^a VIRGINIA COMMONWEALTH UNIVERSITY   (United States)

^b VA Cmw University Health System   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

GENERAL PRACTITIONER; HEALTH CARE; HEALTH CARE ACCESS; HEALTH CARE AVAILABILITY; HEALTH CARE COST; HEALTH CARE DELIVERY; HEALTH CARE SYSTEM; HEALTH CENTER; HEALTH SERVICE; INTERPERSONAL COMMUNICATION; MEDICAL LITERATURE; PATIENT CARE; REVIEW; UNIVERSITY HOSPITAL;

EID: 15444376218     PISSN: 10969012     EISSN: None     Source Type: Journal    
DOI: 10.1097/00115514-200503000-00010     Document Type: Review

References (46)

1. AAMC Reporter. 1999. "Medicare Debate Rolls On." AAMC Reporter 6 (4), January.
2. Allison, J. J., C. I. Kiefe, N. W. Weissman, S. D. Person, M. Rousculp, J. G. Canto, S. Bae, O. D. Williams, R. Farmer, and R. M. Centor. 2000. "Relationship of Hospital Teaching Status with Quality of Care and Mortality for Medicare Patients with Acute MI." JAMA 284: 1256-62.
3. Andreopoulus, S. 1997. "The Folly of Teaching-Hospital Mergers." New England Journal of Medicine 336: 61-64.
4. Associated Press. 2002. "University of Arizona Shuts Down Liver Transplant Program Due to Surgeon Shortage." Associated Press wire report, February 12.
5. Ayanian, J. Z., J. S. Weissman, S. Chasan-Taber, and A. M. Epstein. 1998. "Quality of Care for Two Common Illnesses in Teaching and Non-teaching Hospitals." Health Affairs 17 (6): 194-205.
6. Bartlett, J. G., and J. E. Gallant. 2003. Medical-Management of HIV Infection. Baltimore, MD: Johns Hopkins University, Division of Infectious Diseases.
7. Blumenthal, D., J. S. Weissman, and P. F. Griner. 1999. "Academic Health Centers on the Front Lines; Survival Strategies in Highly Competitive Markets." Academic Medicine 74 (9): 1038-49.
8. Brewester, L. R., and L. E. Felland. 2004. "Emergency Department Diversions: Hospital and Community Strategies Alleviate the Crisis." Washington, DC: Center for Studying Health System Change, Issue brief number 78, pages 1-4.
9. Brook, R. H. 1997. "Managed Care is not the Problem, Quality Is." JAMA 278: 1612-14.
10. Bulger, R. J. 1995. "Generalism and the Need for Health Professional Educational Reform." Academic Medicine 70 (1 Suppl): S31-34.
11. Cameron, J. M. 1985. "The Indirect Costs of Graduate Medical Education." New England Journal of Medicine 312 (19): 1233-38.
12. Center for Studying Health System Change (HSC). 2002. "Wall Street Comes to Washington: Market Watchers and Policy Analysts Evaluate the Healthcare System." Center for Studying Health System Change, Issue brief 54, pages 1-4.
13. Centers for Medicare & Medicaid Services. 2004. The Premier Hospital Quality Incentive Demonstration. [Online information.] http://www.cms.hhs.gov/ quality/hospital.
14. Culbertson, R. A. 1996. "How Successfully Can Academic Faculty Practices Compete in Developing Managed Care Markets?" Academic Medicine 71: 858-70.
15. Dickler, R., and G. Shaw. 2000. "The Balanced Budget Act of 1997: Its Impact on U.S. Teaching Hospitals." Annals of Internal Medicine 132: 820-24.
16. Drake, D. F. 1997. "Managed Care: A Product of Market Dynamics." JAMA 277: 560-63.
17. Fairchild, D. G., A.G. Sussman, T. H. Lee, and T. A. Brennan. 2000. "When Sick Patients Switch Primary Care Physicians: The Impact on AMCs Participating in Capitation." Academic Medicine 75 (10): 980-85.
18. Goldstein, A. 1999. "Georgetown Medical Center Loses $62.4 Million." Washington Post, January 7.
19. Gostin, L. O. 2001. "National Health Information Privacy: Regulations under the Health Insurance Portability and Accountability Act." JAMA 285: 3015-21.
20. Green J., N. Wintfield, M. Krasner, and C. Wells. 1997. "In Search of America's Best Hospitals. The Promise and Reality of Quality Assessment." JAMA 277: 1152-55.
21. Iglehart, J. K. 1994. "Rapid Changes for Academic Medical Centers." New England Journal of Medicine 331: 1391-95.
22. Keeler, E. P., L. V. Rubenstein, K. L. Kahn, D. Draper, E. R. Harrison, M. J. McGinty, W. H. Rogers, and R. H. Brook. 1992. "Hospital Characteristics and Quality of Care." JAMA 268 (13): 1709-14.
23. Lewis, J. E. 1995. "How Big Should an Integrated Healthcare Delivery System Be at an Academic Medical Center?" Academic Medicine 70: 569-77.
24. Linn, T. L., and S. W. Rypkemia (eds.). 1998. The Washington Manual of Medical Therapeutics. Philadelphia, PA: Lippincott-Raven.
25. Mechanic, R., K. Coleman, and A. Dobson. 1998. "Teaching Hospital Costs: Implications for Academic Missions in a Competitive Market." JAMA 280: 1015-19.
26. Meltzer, D., W. G. Manning, J. Morrisson, M. N. Shah, L. Jin, T. Guth, and W. Levinson. 2002. "Effects of Physician Experience on Costs and Outcomes on an Academic General Medicine Service: Results of a Trial of Hospitalists." Annals of Internal Medicine 147: 866-74.
27. Moore, G., and J. Showstack. 2003. "Primary Care Medicine in Crisis: Toward Reconstruction and Renewal." Annals of Internal Medicine 138 (3): 244-47.
28. Reed, M., K. Devers, and B. Landon. 2003. "Physicians and Care Management: More Acceptance Than You Think," Center for Studying Health System Change, Issue brief 60, pages 1-4.
29. Retchin, S. M. 1998. "Adverse Selection at Academic Health Centers." Clinical Performance Quality in Healthcare 6 (1): 38-43.
30. _. 2000. "Three Strategies Utilized by Academic Health Centers to Expand Primary Care Capacity." Academic Medicine 75 (1): 15-22.
31. Retchin, S. M., and R. P. Wenzel. 1999. "Electronic Medical Record Systems at Academic Health Centers: Advantages and Implementation Issues." Academic Medicine 74 (5): 493-98.
32. Retchin, S. M., J. B. Perlin, and R. R. Clark. 2001. "Clinical Service Standards at Academic Health Centers." International Journal of Quality Healthcare 13 (3): 247-56.
33. Reuter, J., and D. Gaskin. 1997. "Academic Health Centers in Competitive Markets." Health Affairs 16 (4): 242-52.
34. Rogers, E. M. 2003. Diffusion of Innovations, 5th edition. New York: Free Press.
35. Rosenthal, G. E., D. L. Harper, L. M. Quinn, and G. S. Cooper. 1997. "Severity-Adjusted Mortality and Length of Stay in Teaching and Non-Teaching Hospitals. Results of a Regional Study." JAMA 278: 485-90.
36. Stark, K. 1999. "How Hospital Systems Bled Red Ink Last Year." Philadelphia Inquirer, March 17.
37. Taylor, D. H. Jr., D. J. Whellan, and F. A. Sloan. 1999. "Effects of Admission to a Teaching Hospital on the Cost and Quality of Care for Medicare Beneficiaries." New England Journal of Medicine 340 (4): 293-99.
38. Tierney, W. M. 2001. "Improving Clinical Decisions and Outcomes with Information: A Review." International Journal of Medical Informatics 62: 1-9.
39. Tierney, W. M., M. E. Miller, J. M. Overhage, and C. J. McDonald. 1993. "Physician Inpatient Order Waiting on Microcomputer Workstations. Effects on Resource Utilization." JAMA 269: 379-83.
40. Truck, S., J. B. Christianson, C. S. Lesser, C. Watts, and A. M. Benoit. 2002. "Employer-sponsored Health Insurance: Pressing Problems, Incremental Changes." Health Affairs 21: 66-75.
41. Wachter, R. M., and L. Goldman. 1996. "The Emerging Role of 'Hospitalists' in the American Healthcare System." New England Journal of Medicine 335: 514-17.
42. _. 2002. "The Hospitalist Movement 5 Years Later." JAMA 287 (4): 487-94.
43. Wasson, J. H., A. E. Sauvigne, R. P. Mogielnicki, W. G. Frey, C. H. Sox, C. Gaudette, A. Rockwell. 1984. "Continuity of Outpatient Medical Care in Elderly Men. A Randomized Trial." JAMA 252: 2413-17.
44. Weiner, B. J., R. Culbertson, R. F. Jones, R. Dickler. 2001. "Organizational Models for Medical School Clinical Enterprise Relationships." Academic Medicine 76: 113-24.
45. Weitekamp, M. R., L. E. Thorndyke, and C. M. Evearts. 1996. "Strategic Planning for Academic Health Centers." American Journal of Medicine 101 (3): 309-15.
46. Zimmerman, J. E., S. M. Shortell, W. A. Knaus, D. M. Rousseau, D. P. Wanger, R. R. Gillies, E. A. Draper, and K. Devers. 1993. "Value and Cost of Teaching Hospitals: A Prospective, Multicenter, Inception Cohort Study." Critical Care Medicine 21 (10): 1432-42.