title: The impact of managed care on clinical research: a preliminary investigation.
abstract: Rapid growth in managed care enrollment is likely to affect clinical research at the nation's academic medical centers (AMCs). Our site visit interviews indicate that managed care has not markedly reduced coverage for research-related care. However, market competition in some areas has limited AMCs' ability to subsidize research activities with clinical revenues. As they gain market share, managed care organizations will have a growing influence on research priorities. Therefore, it is important for the academic community to work with managed care leaders to identify areas for collaboration and an agenda for moving forward in the future.
authors.forename: R E
authors.initials: RE
authors.lastname: Mechanic
authors.forename: A
authors.initials: A
authors.lastname: Dobson
mesh_terms: D000046:Academic Medical Centers; D006279:Health Maintenance Organizations; D006292:Health Priorities; D006801:Humans; D008329:Managed Care Programs / Q000639:trends*; D009316:National Institutes of Health (U.S.); D011243:Preferred Provider Organizations; D012051:Reimbursement Mechanisms; D012106:Research / Q000639:trends*; D012109:Research Support as Topic; D014481:United States; D014600:Utilization Review