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University hospitals generally have not participated in many current health care trends, such as affiliation with multihospital systems, health maintenance organizations, and other competitive health care systems. In fact, the bureaucracy of many academic health centers may not be equipped to make the decisions needed to cope with the turbulent and competitive health care market. Conflict among the triple missions of patient care, teaching, and research, coupled with a disproportionate burden of charity care, place university hospitals at a further disadvantage.
The hypothesis of this book is that adaptation by academic medical centers to the exigencies of the competitive health
Governing University Hospitals in a Changing Environment.. Ann Intern Med. 1986;105:324–325. doi: https://doi.org/10.7326/0003-4819-105-2-324_3
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Published: Ann Intern Med. 1986;105(2):324-325.
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