Many academic medical centers are developing complex organizationsof physicians and large health networks that provide managedcare to large groups of people. Leaders of these centers believethat these organizations and networks will provide the financialresources that have previously been obtained through clinicalcare provided at the medical center itself. The rationale isthat a surplus of revenues from clinical care provided by hospitalsand professionals is needed to continue support for researchand teaching.1,2,3 In the race to develop academic managed-carenetworks, basic questions about the cultural and organizationalimplications of entering this competitive business have not. . . [Full Text of this Article]
The Faculty
The Departments and Chairpersons of Departments
The University
The Hospital and the School of Medicine
Potential Solutions
Partners and Organizational Issues
Address reprint requests to Dr. Mark C. Rogers at Box 3708, Duke University Hospital, Durham, NC 27710.
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