Academic Health Centers and the Changing Health Care Market
Academic health centers (AHCs) have supported their mission of patient care, education, and research through a complex system of cross-subsidies, many of which originate from patient care activities. The proliferation of managed care and health care reform initiatives, however, are threatening this...
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| Veröffentlicht in: | Medical Care Research and Review 1999-09, Vol.56 (3), p.277-306 |
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| container_end_page | 306 |
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| container_title | Medical Care Research and Review |
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| creator | Freburger, Janet K. Hurley, Robert E. |
| description | Academic health centers (AHCs) have supported their mission of patient care, education, and research through a complex system of cross-subsidies, many of which originate from patient care activities. The proliferation of managed care and health care reform initiatives, however, are threatening this traditional method of financing. This article begins by describing the financing of AHCs and the web of cross-subsidization that occurs at these institutions. The article then reviews the literature on the threats that AHCs are facing in the current health care market, how these threats are affecting their missionrelated activities, and how they are responding to and managing these threats. The article concludes with a summary of our current understanding of AHCs and presents a research agenda of issues in need of further study. |
| doi_str_mv | 10.1177/107755879905600302 |
| format | Article |
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| fulltext | fulltext |
| identifier | ISSN: 1077-5587 |
| ispartof | Medical Care Research and Review, 1999-09, Vol.56 (3), p.277-306 |
| issn | 1077-5587 1552-6801 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_70787051 |
| source | MEDLINE; Applied Social Sciences Index & Abstracts (ASSIA); SAGE Complete A-Z List; Alma/SFX Local Collection |
| subjects | Academic health centres Academic Medical Centers - economics Academic Medical Centers - trends Biological and medical sciences Changes Economic Competition Financial Management General aspects Health care Health Care Sector - trends Health Services Research Health systems. Social services Humans Managed care Medical sciences Organizational Innovation Public health. Hygiene Public health. Hygiene-occupational medicine Reforms Subsidies Teaching hospitals Threats United States USA |
| title | Academic Health Centers and the Changing Health Care Market |
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