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Peer reviewedLewis, James E. – Academic Medicine, 1995
Factors affecting the optimal size of an integrated health care delivery system in an academic medical center are discussed, including: the institution's structure for survival; technology, innovation, and health care costs; and specific characteristics of the institution's education, research, and patient care missions. Several alternative…
Descriptors: Delivery Systems, Health Services, Higher Education, Medical Education
Peer reviewedLibby, Donald L.; And Others – Academic Medicine, 1997
A survey of 330 internal medicine residency directors found two-thirds of programs had ongoing academic affiliations. Support for the arrangements was stronger in university programs than in community or other hospitals, where such affiliations were considered less equitable and mutually trusting. Experience with consortia mitigated objections to…
Descriptors: Administrator Attitudes, Bureaucracy, Competition, Consortia
