Rapid Changes for Academic Medical Centers

Abstract

With the rapid growth of managed care and the demise of comprehensive health care reform, most academic medical centers now seem to recognize that they can no longer operate as specialty-driven institutions largely divorced from trends that favor lower costs, less hospitalization, and more primary care. Many centers are responding to these trends by striving to build or join networks of providers in the community. They are greatly expanding their capacity to deliver primary care and teach medical students and residents at ambulatory care training sites. Some centers are also integrating their business and clinical operations, streamlining their management structures, . . .