Academic health centers have long enjoyed positions of powerand prestige in the health care system. However, the restructuringof health care exemplified by the spread of competitionand managed care threatens the intricate system of financialand clinical relations on which these institutions depend.1,2Although these challenges have led to considerable discussionabout the appropriate role of academic health centers and howthey should be organized and financed, a fundamental questionis generally overlooked: Why are academic health centers worthour concern and protection? More specifically, is there anyreason they should not be left to face . . . [Full Text of this Article]
The Activities of Academic Health Centers
Training
Research
Patient Care
Financing the Social Missions
Issues of Accountability
Conclusions
Address reprint requests to Dr. Blumenthal at the Health Policy Research and Development Unit, 50 Staniford St., 9th Fl., Boston, MA 02114.
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