FREE NEJM E-TOC    HOME   |   SUBSCRIBE   |   CURRENT ISSUE   |   PAST ISSUES   |   COLLECTIONS   |   Search Term  Advanced Search

Sign in | Get NEJM's E-Mail Table of Contents — Free | Subscribe

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

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

	Full Text Purchase this article Add to Personal Archive Add to Citation Manager Notify a Friend E-mail When Cited PubMed Citation

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

This article has been cited by other articles:

• Levitt, S. H. (2000). Impact of Managed Care on Scholarly Activity and Patient Care: Case Study of 12 Academic Radiology and Radiation Oncology Departments. Radiology 216: 618-623 [Abstract] [Full Text]  
• Freburger, J. K., Hurley, R. E. (1999). Academic Health Centers and the Changing Health Care Market. Med Care Res Rev 56: 277-306 [Abstract]  
• Denton, T. A., Luevanos, J., Matloff, J. M. (1998). Clinical and Nonclinical Predictors of the Cost of Coronary Bypass Surgery: Potential Effects on Health Care Delivery and Reimbursement. Arch Intern Med 158: 886-891 [Abstract] [Full Text]  
• Iglehart, J. K. (1998). Medicare and Graduate Medical Education. NEJM 338: 402-407 [Full Text]  
• Feldman, A. M., Greenhouse, P. K., Reis, S. E., Sevco, M. S. (1997). Academic Cardiology Division in the Era of Managed Care: A Paradigm for Survival. Circulation 95: 740-744 [Abstract] [Full Text]  
• Meyer, G. S., Blumenthal, D. (1996). TennCare and Academic Medical Centers: The Lessons From Tennessee. JAMA 276: 672-676 [Abstract]  
• Eaglstein, W. H., Laszlo, K. S. (1996). Patient Referrals to a Dermatologist: The Referring Physician's Perspective. Arch Dermatol 132: 292-294 [Abstract]  
• Iglehart, J. K. (1995). Academic Medical Centers Enter the Market: The Case of Philadelphia. NEJM 333: 1019-1023 [Full Text]  
• Iglehart, J. K. (1995). Rapid Changes for Academic Medical Centers- Second of Two Parts. NEJM 332: 407-412 [Full Text]  
• Emanuel, E. J., Dubler, N. N. (1995). Preserving the Physician-Patient Relationship in the Era of Managed Care. JAMA 273: 323-329 [Abstract]  
• Wartman, S. A. (1994). Managed Care and Its Effect on Residency Training in Internal Medicine. Arch Intern Med 154: 2539-2544 [Abstract]  
• Rogers, M. C., Snyderman, R., Rogers, E. L. (1994). Cultural and Organizational Implications of Academic Managed-Care Networks. NEJM 331: 1374-1377 [Full Text]  
• Iglehart, J. K. (1994). Rapid Changes for Academic Medical Centers- First of Two Parts. NEJM 331: 1391-1395 [Full Text]  
• Howard, R. J. (1994). May You Live in Interesting Times: Academic Medical Centers, Academic Societies, and the Coming Dominance of Government and Business in American Medicine. Arch Surg 129: 1123-1130 [Abstract]  
• Ayanian, J. Z. (1994). Race, Class, and the Quality of Medical Care. JAMA 271: 1207-1208 [Abstract]  
• Blumenthal, D., Meyer, G. S. (1993). The Future of the Academic Medical Center under Health Care Reform. NEJM 329: 1812-1814 [Full Text]