A CONFERENCE ON THE 'CRISIS' OF ACADEMIC MEDICAL CENTERS

关于学术医疗中心“危机”的会议

• 批准号: 6335654
• 负责人: HENRY J. AARON
• 金额: $ 3万
• 依托单位: BROOKINGS INSTITUTION
• 依托单位国家: 美国
• 财政年份: 2000
• 资助国家: 美国
• 起止时间: 2000-08-15 至 2001-08-14
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6335654
• 关键词: health services research tag; medical education; medical education cost /financing; meeting /conference /symposium

Academic medical centers link three critical functions: training physicians and other health professionals; delivering state-of-the-art medical care; and Carrying out laboratory and clinical research. The linkage of these three functions has enhanced each. Now, many AMCs report severe financial distress. Some allege that this distress is from a dramatically worsened financial environment-increased market power by managed care plans, reduced reimbursements by Medicare and Medicaid, and technological change that has reduced demand for in-patient hospital services. Others claim that the problems are more of the AMCs' own making, arising from sloppy administration sanctioned by years of relatively unconstrained reimbursements and from unwise business decisions made in response to an increasingly competitive environment and excess capacity. The purpose of this conference is to review available evidence and hear first hand from participants. Because of lags in data collection, it is important to get even rough intelligence from those who are in the trenches. Which of these views is nearer to the truth should have an important bearing on public policy. The product of this conference will take two forms: the direct exchange of views by those who attend, and a conference discussion paper and conference summary that Brookings will publish shortly after the conference.

学术医疗中心将三个关键职能联系在一起：培训医生和其他卫生专业人员；提供最先进的医疗保健；以及开展实验室和临床研究。这三个职能的联动相互加强。现在，许多资产管理公司报告了严重的财务困境。一些人声称，这种困境源于急剧恶化的金融环境--管理式医疗计划增加了市场力量，联邦医疗保险(Medicare)和医疗补助(Medicaid)减少了报销，以及技术变革减少了对住院医院服务的需求。其他人则声称，问题在更大程度上是资产管理公司自己造成的，原因是多年来相对不受约束的偿债行为导致的管理松懈，以及为应对竞争日益激烈的环境和产能过剩而做出的不明智的商业决策。这次会议的目的是审查现有证据并听取与会者的第一手意见。由于数据收集的滞后，从那些在战壕中的人那里获得甚至是粗略的情报是很重要的。这些观点中哪一种更接近事实，应该会对公共政策产生重要影响。这次会议的成果将有两种形式：与会者直接交换意见，以及布鲁金斯学会将在会议结束后不久发布的会议讨论文件和会议总结。