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The American Health Care System Previous Volume 329:1052-1056 September 30, 1993 Number 14

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Teaching hospitals, which developed in response to changes in medical education in the early 20th century, have three missions that are critical to the maintenance of clinical excellence: graduate medical education, clinical and basic research, and the provision of a spectrum of patient care. The revenues that fund these interrelated activities derive largely from the care of patients and -- to a lesser extent -- grants, but they are dispersed in a complex web of cross-subsidies. Now, however, as managed-care plans proliferate and competition in prices becomes the watchword of reform, the commitment of third-party payers to finance the expensive . . . [Full Text of this Article]

Multiple Missions

Characteristics of Teaching Hospitals

Patient Care

The Federal Government

The Changing Marketplace

Meeting the Challenge

Teaching Hospitals and Reform

References

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