title: Academic medical centers and managed care.
abstract: Academic medical centers are threatened by the expansion of managed care. Hampered by their higher cost, lack of primary care capability and specialist orientation, organizational sluggishness and inflexibility, and relative lack of managerial expertise, these organizations, long a national resource in education, research, and clinical care, face an uncertain future. Academic pathology departments must aggressively manage their resources and maximize their market advantages to compete effectively.
authors.affiliation: Division of Clinical Pathology and Laboratory Medicine, University of Colorado Health Sciences Center, Denver 80262, USA.
authors.forename: R B
authors.initials: RB
authors.lastname: Lepoff
mesh_terms: D000046:Academic Medical Centers / Q000191:economics / Q000458:organization & administration*; D003362:Cost-Benefit Analysis; D008329:Managed Care Programs / Q000191:economics / Q000458:organization & administration*; D009937:Organizational Objectives; D010337:Pathology Department, Hospital / Q000191:economics / Q000458:organization & administration* / Q000639:trends; D010338:Pathology, Clinical / Q000191:economics / Q000639:trends; D014481:United States