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Academic Medicine Under Economic Stress: A Case Study of the Institutional Change Transforming American Health Care

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العنوان: Academic Medicine Under Economic Stress: A Case Study of the Institutional Change Transforming American Health Care
المؤلفون: Michael S. Lawlor
المصدر: Review of Social Economy. 60:435-469
بيانات النشر: Informa UK Limited, 2002.
سنة النشر: 2002
مصطلحات موضوعية: Economics and Econometrics, business.industry, Institutional change, Health care, Managed care, Train, Economic stress, Cost-shifting, Sociology, Funding Mechanism, Public administration, business, Academic medicine
الوصف: American Academic medicine--the system of education and research that trains the coming generations of physicians, produces new basic and clinical bio-medical research and provides the medical safety net in many U.S. urban areas--is in a funding crisis. This essay lays out an historical and analytical account of the institutions, functions and funding mechanisms of this enterprise. The objective is to interpret the forces that led to the current impasse in which the medical education establishment now finds itself, and what the future is likely to hold as the forces of budgetary stringency and market competition continue to accelerate. A comprehensive review of the cross-subsidy system, its intricate relationship to the federal financing of health care and its origin in the Vannevar-Bush-inspired post-war research establishment is offered. The standpoint of economic theory is then taken to suggest that the intertwined functions of academic medicine be viewed from two perspectives. One, it can be viewed as...
تدمد: 1470-1162
0034-6764
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_________::91ea948bfabe4426ad9e3899a390a4bd
https://doi.org/10.1080/0034676021000013403
رقم الأكسشن: edsair.doi...........91ea948bfabe4426ad9e3899a390a4bd
قاعدة البيانات: OpenAIRE
الوصف
تدمد:14701162
00346764