Teaching Hospitals
- 30 September 1993
- journal article
- Published by Massachusetts Medical Society in New England Journal of Medicine
- Vol. 329 (14) , 1052-1056
- https://doi.org/10.1056/nejm199309303291428
Abstract
Teaching hospitals, which developed in response to changes in medical education in the early 20th century, have three missions that are critical to the maintenance of clinical excellence: graduate medical education, clinical and basic research, and the provision of a spectrum of patient care. The revenues that fund these interrelated activities derive largely from the care of patients and -- to a lesser extent -- grants, but they are dispersed in a complex web of cross-subsidies. Now, however, as managed-care plans proliferate and competition in prices becomes the watchword of reform, the commitment of third-party payers to finance the expensive . . .Keywords
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