title: Academic health center teaching hospitals in transition: a perspective from the field.
abstract: A study of 11 Academic Health Center Teaching Hospitals (ATHs) in 11 states found that cost reduction programs, internal reorganizations, reengineering, benchmarking, and broadened entrepreneurial activity were prominent among the strategic initiatives reported in dealing with an increasingly turbulent environment. Although none of the ATHs had experienced negative net margins, we conclude that today's competitive healthcare system requires ATHs be reimbursed separately for their educational and other societally related costs to assist them in competing on a level playing fields.
authors.affiliation: University Hospitals and Clinics, University of Iowa, Iowa City 52242, USA. stacey-cyphert@uiowa.edu
authors.forename: S T
authors.initials: ST
authors.lastname: Cyphert
authors.forename: J W
authors.initials: JW
authors.lastname: Colloton
authors.forename: S
authors.initials: S
authors.lastname: Levey
mesh_terms: D000046:Academic Medical Centers / Q000191:economics / Q000458:organization & administration*; D019985:Benchmarking; D003363:Cost Control; D004465:Economic Competition; D016520:Entrepreneurship; D019981:Health Care Sector; D006302:Health Services Research; D006754:Hospital Restructuring; D006801:Humans; D009936:Organizational Innovation; D014481:United States