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BUSINESS AND MEDICINE Previous Volume 351:1601-1603 October 14, 2004 Number 16 Next

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These are anxious times for academic medical centers, which have reacted to recent developments with measures that were beyond contemplation in a more optimistic past. Confronted by the challenges of managed care, decreases in reimbursement, restrictions on house-staff working hours, heightened scrutiny of clinical research, declining federal support for medical education, and the growth of formidable competitors such as hospital chains and medical practices specializing in high-margin services, academic medical centers can no longer be complacent about their financial health or their reputations as the best places to receive care. Many of these institutions have political clout and access to . . . [Full Text of this Article]

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From the Department of Veterans Affairs Palo Alto Health Care System, Palo Alto, Calif., and Stanford University, Stanford, Calif.

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N Engl J Med 2005; 352:515, Feb 3, 2005. Correspondence

This article has been cited by other articles:

• Pardes, H. (2005). New York-Presbyterian and GE. NEJM 352: 515-515 [Full Text]