Developing academic surgery in a socialized health care system: a 35-year experience.
The most important benefit of a socialized health care system is the elimination of the threat of personal financial ruin to pay for medical care. Serious disadvantages of a socialized health care system, particularly in a university hospital setting, include restricted financial resources for education and patient care, limited working facilities, and loss of physician-directed decision making in planning and prioritizing. This article describes how a group practice model has supported clinical and academic activities within the faculty of medicine of our university and offers this model as a possible template for other surgical and medical disciplines working in an academic socialized environment.
Department of Surgery, l’Université de Montréal, Division of Thoracic Surgery, Centre Hospitalier de l’Université de Montréal, Montreal, Québec, Canada. andre.duranceau@umontreal.ca
Andre
A
Duranceau
Jocelyne
J
Martin
Moishe
M
Liberman
Pasquale
P
Ferraro
D000046:Academic Medical Centers / Q000191:economics / Q000458:organization & administration*; D035843:Biomedical Research; D005180:Faculty, Medical; D005582:Foundations / Q000191:economics / Q000458:organization & administration; D013502:General Surgery / Q000193:education; D006123:Group Practice / Q000191:economics / Q000458:organization & administration; D006801:Humans; D019982:Organizational Case Studies; D011643:Publishing / Q000706:statistics & numerical data; D011787:Quality of Health Care; D011792:Quebec; D012955:Societies, Medical / Q000706:statistics & numerical data; D013222:State Medicine; D013503:Surgery Department, Hospital / Q000191:economics / Q000458:organization & administration*