title: Challenges facing academic health centers and major teaching hospitals.
abstract: To understand the unique and complex challenges facing healthcare providers, the author discusses present and projected changes occurring in the healthcare system. Reflecting on their impact on clinical care, education and research, he discusses some ways in which academic health centers around the country are responding to these changes. He concludes by discussing strategies to address some of the issues facing us.
authors.affiliation: Institute of Medicine, National Academy of Sciences, Washington, DC 20418, USA.
authors.forename: K I
authors.initials: KI
authors.lastname: Shine
mesh_terms: D000046:Academic Medical Centers / Q000458:organization & administration*; D003695:Delivery of Health Care / Q000458:organization & administration; D005180:Faculty, Medical / Q000458:organization & administration; D018166:Health Care Reform; D006784:Hospitals, Teaching / Q000458:organization & administration*; D006801:Humans; D008329:Managed Care Programs; D012106:Research; D014481:United States