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The Future of Academic Medical Centers in the United States
Passing Through the Valley of the Shadow of Death
Joseph S. Alpert, MD;
Daniel M. Flanagan, MBA;
Norman A. Botsford, MBA
Arch Intern Med. 2001;161:1047-1049.
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INTRODUCTION
The last 2 decades witnessed remarkable events in the life of academic
medical centers (AMCs) in the United States. Twenty years ago, AMCs were thriving
as the era of fee-for-service medicine came to a close: clinical departments
were expanding, hiring new faculty members, purchasing new equipment as necessary,
and funding research projects and protected research time with the abundant
clinical revenues. The subsequent 20 years since that golden era came to a
close witnessed the disappearance of these expansionary trends. Departments
have contracted, protected research time and start-up funds have declined
precipitously, and many faculty members are infected with a sense of malaise
and fear for the future.
Given this recent downturn in medical economics, many academic administrators
have sought new strategies to bolster their institutions and to maintain the
academic teaching and research environment that has been . . . [Full Text of this Article]
A VISION FOR THE FUTURE
FOCUSING ON THE MISSION
PRODUCTIVITY AND INCENTIVES
AN ATMOSPHERE OF OPENNESS
RETENTION AND RECRUITMENT
BUSINESS STRATEGIES AT THE CORPORATE LEVEL
ADMINISTRATIVE AND BUSINESS STRATEGIES AT THE DEPARTMENT LEVEL
CONCLUSIONS
From the Department of Medicine, University of Arizona Health Sciences
Center, Tucson.
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