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Previous Volume 329:1812-1814 December 9, 1993 Number 24 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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In times of fundamental social change, institutions face both mortal threats and unparalleled opportunities. Such is now the case with the unique class of health care organizations known as academic medical centers.

For the purposes of this discussion, we take these organizations to consist of the roughly 120 to 380 institutions (depending on one's precise definition)^1,2 that carry out the three missions of teaching, research, and patient care and do so in close affiliation with or as part of a degree-granting university. Imminent reforms in health care promise to accelerate trends that have made the discharge of the traditional missions . . . [Full Text of this Article]

References

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• Billi, J. E., Wise, C. G., Bills, E. A., Mitchell, R. L. (1995). Potential Effects of Managed Care on Specialty Practice at a University Medical Center. NEJM 333: 979-983 [Abstract] [Full Text]  
• Iglehart, J. K. (1995). Rapid Changes for Academic Medical Centers- Second of Two Parts. NEJM 332: 407-412 [Full Text]  
• Rogers, M. C., Snyderman, R., Rogers, E. L. (1994). Cultural and Organizational Implications of Academic Managed-Care Networks. NEJM 331: 1374-1377 [Full Text]