Kenneth M. Ludmerer
- Published in print:
- 2005
- Published Online:
- October 2011
- ISBN:
- 9780195181364
- eISBN:
- 9780199850167
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780195181364.003.0015
- Subject:
- History, American History: 20th Century
Throughout its history, the American medical school, like the rest of the country's system of higher education, had been shaped by social, economic, and political developments in the larger society. ...
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Throughout its history, the American medical school, like the rest of the country's system of higher education, had been shaped by social, economic, and political developments in the larger society. Thus, it was hardly a surprise that many of the pressures experienced by academic health centers in the 1970s and 1980s arose from outside events. Yet, academic health centers encountered additional dilemmas that could not so clearly be related to external pressures. A number of traditional challenges to medical education grew more intense: the problem of teaching bedside medicine as biomedical research became increasingly molecular, the perpetual difficulty of achieving a suitable institutional balance between teaching and research, and the ongoing dilemmas of residency and fellowship training. These frustrating problems arose mainly from the evolution of medical knowledge and the institutional development of academic health centers rather than from the challenges imposed by a hostile external environment.Less
Throughout its history, the American medical school, like the rest of the country's system of higher education, had been shaped by social, economic, and political developments in the larger society. Thus, it was hardly a surprise that many of the pressures experienced by academic health centers in the 1970s and 1980s arose from outside events. Yet, academic health centers encountered additional dilemmas that could not so clearly be related to external pressures. A number of traditional challenges to medical education grew more intense: the problem of teaching bedside medicine as biomedical research became increasingly molecular, the perpetual difficulty of achieving a suitable institutional balance between teaching and research, and the ongoing dilemmas of residency and fellowship training. These frustrating problems arose mainly from the evolution of medical knowledge and the institutional development of academic health centers rather than from the challenges imposed by a hostile external environment.
Eli Ginzberg
- Published in print:
- 2000
- Published Online:
- October 2013
- ISBN:
- 9780300082326
- eISBN:
- 9780300133011
- Item type:
- chapter
- Publisher:
- Yale University Press
- DOI:
- 10.12987/yale/9780300082326.003.0003
- Subject:
- Sociology, Social Stratification, Inequality, and Mobility
This chapter examines the overall impact of Medicare in the U.S. medical care system. It first provides an overview of the passage of Medicare and then describes how Medicare expanded the financing ...
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This chapter examines the overall impact of Medicare in the U.S. medical care system. It first provides an overview of the passage of Medicare and then describes how Medicare expanded the financing of the nation's leading research-oriented academic health centers (AHCs). Medicare's reimbursement policies helped improve the financial position of AHCs. One of the most important of the new financing arrangements under Medicare was the payment that the federal government made to hospitals for the direct and indirect costs connected with the operation of residency and fellowship training programs.Less
This chapter examines the overall impact of Medicare in the U.S. medical care system. It first provides an overview of the passage of Medicare and then describes how Medicare expanded the financing of the nation's leading research-oriented academic health centers (AHCs). Medicare's reimbursement policies helped improve the financial position of AHCs. One of the most important of the new financing arrangements under Medicare was the payment that the federal government made to hospitals for the direct and indirect costs connected with the operation of residency and fellowship training programs.
