title: A new model for health care delivery.
abstract: BACKGROUND
  The health care delivery system in the United States is facing cost and quality pressures that will require fundamental changes to remain viable. The optimal structures of the relationships between the hospital, medical school, and physicians have not been determined but are likely to have a large impact on the future of healthcare delivery. Because it is generally agreed that academic medical centers will play a role in the sustainability of this future system, a fundamental understanding of the relative contributions of the stakeholders is important as well as creativity in developing novel strategies to achieve a shared vision.
  
  
  CONCLUSIONS
  Core competencies of each of the stakeholders (the hospital, the medical school and the physicians) must complement the others and should act synergistically. At the same time, the stakeholders should determine the common core values and should be able to make a meaningful contribution to the delivery of health care.
  
  
  CONCLUSIONS
  Health care needs to achieve higher quality and lower cost. Therefore, in order for physicians, medical schools, and hospitals to serve the needs of society in a gratifying way, there will need to be change. There needs to be more scientific and social advances. It is obvious that there is a real and urgent need for relationship building among the professionals whose duty it is to provide these services.
authors.affiliation: Department of Surgery, Michigan State University, East Lansing, MI, USA. John.Kepros@hc.msu.edu
authors.forename: John P
authors.initials: JP
authors.lastname: Kepros
authors.forename: Razvan C
authors.initials: RC
authors.lastname: Opreanu