This Article Reprint (PDF) Submit a response to this article Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services E-mail this article to a friend Similar articles in this journal Similar articles in ISI Web of Science Similar articles in PubMed Alert me to new issues of the journal Add to My Personal Archive Download to Citation Manager Reprints & Permissions Citing Articles Citing Articles via HighWire Citing Articles via ISI Web of Science (58) Citing Articles via Google Scholar Google Scholar Articles by Blumenthal, D. Articles by Meyer, G. S. Search for Related Content PubMed PubMed Citation Articles by Blumenthal, D. Articles by Meyer, G. S. Related Collections Health Professions Education Health Reform Research And Technology

Health Affairs, Vol 15, Issue 2, 200-215
Copyright © 1996 by Project HOPE

Journal Article

Academic health centers in a changing environment

To evaluate the potential problems facing academic health centers (AHCs) as a result of market-driven health care reforms, we conducted case studies of seven nationally prominent AHCs during 1994. Findings suggest that although AHCs were not yet feeling the predicted impact of competition on their financial health and ability to sustain their academic missions of teaching, research, and care of vulnerable populations, they were adopting a variety of strategies for responding to those perceived threats, especially networking and cost reduction. They were placing considerably less emphasis on restructuring their research and teaching missions to prepare for anticipated fiscal pressure. Our analysis suggests that even the most successful AHCs are likely to be fundamentally altered by the revolutionary changes occurring in health care markets.

                      What's this?

This article has been cited by other articles:

				J. Yager, H. Waitzkin, T. Parker, and B. Duran Educating, Training, and Mentoring Minority Faculty and Other Trainees in Mental Health Services Research Acad Psychiatry, April 1, 2007; 31(2): 146 - 151. [Abstract] [Full Text] [PDF]

				W. P. Newton and C. A. DuBard Shaping the Future of Academic Health Centers: The Potential Contributions of Departments of Family Medicine Ann. Fam. Med, September 1, 2006; 4(suppl_1): S2 - S11. [Abstract] [Full Text] [PDF]

				D. G. Nathan Careers in Translational Clinical Research--Historical Perspectives, Future Challenges JAMA, May 8, 2002; 287(18): 2424 - 2427. [Full Text] [PDF]

				D. G. Nathan Educational-Debt Relief for Clinical Investigators -- A Vote of Confidence N. Engl. J. Med., January 31, 2002; 346(5): 372 - 374. [Full Text] [PDF]

				D. M. Shahian, W. Yip, G. Westcott, and J. Jacobson Selection of a cardiac surgery provider in the managed care era J. Thorac. Cardiovasc. Surg., November 1, 2000; 120(5): 978 - 989. [Abstract] [Full Text] [PDF]

				N. A. Dewan, A. Daniels, J. R. Hillard, K. Altshuler, A. Tasman, S. Hedges, M. Behle, and M. Gannon An Internet-Based Survey of Academic Psychiatry and Managed-Care Readiness Acad Psychiatry, June 1, 2000; 24(2): 86 - 92. [Abstract] [Full Text]

				J. K. Freburger and R. E. Hurley Academic Health Centers and the Changing Health Care Market Med Care Res Rev, September 1, 1999; 56(3): 277 - 306. [Abstract] [PDF]

				L. A. Eckenwiler Pursuing Reform in Clinical Research: Lessons from Women's Experience J. Law Med. Ethics, June 1, 1999; 27(2): 158 - 170. [PDF]

				G. Xu, M. Hojat, J. J. Veloski, and J. S. Gonnella The Changing Health Care System: A Research Agenda for Medical Education Eval Health Prof, June 1, 1999; 22(2): 152 - 168. [Abstract] [PDF]

				R. G. Holloway, B. G. Vickrey, C. M. Keran, E. Lesser, D. Iverson, W. Larson, and K. Swarztrauber US neurologists in the 1990s: Trends in practice characteristics Neurology, April 1, 1999; 52(7): 1353 - 1353. [Abstract] [Full Text] [PDF]

				D. G. Nathan and for the National Institutes of Health Director's P Clinical Research: Perceptions, Reality, and Proposed Solutions JAMA, October 28, 1998; 280(16): 1427 - 1431. [Abstract] [Full Text] [PDF]

				A. D. Racine, R. E. K. Stein, P. F. Belamarich, E. Levine, A. Okun, K. Porder, J. L. Rosenfeld, and M. Schechter Upstairs Downstairs: Vertical Integration of a Pediatric Service Pediatrics, July 1, 1998; 102(1): 91 - 97. [Abstract] [Full Text]

				C. Norlin, L. M. Osborn, and F. P. Rivara Organizational Responses to Managed Care: Issues for Academic Health Centers and Implications for Pediatric Programs, by Norlin and Osborn Pediatrics, April 1, 1998; 101(4): 805 - 812. [Abstract] [Full Text] [PDF]