title: Lost Dollars Threaten Research in Public Academic Health Centers.
abstract: The decrease of federal and state support threatens long-term sustainability of research in publicly supported academic health centers. In weathering these financial threats, research at the University of California, San Francisco (UCSF), has undergone 3 substantial changes: institutional salary support goes preferentially to senior faculty, whereas the young increasingly depend on grants; private and government support for research grows apace in clinical departments but declines in basic science departments; and research is judged more on its quantity (numbers of investigators and federal and private dollars) than on its goals, achievements, or scientific quality. We propose specific measures to alleviate these problems. Other large public academic health centers probably confront similar issues, but-except for UCSF-such centers have not been subjected to detailed public analysis.-Bourne, H. R., Vermillion, E. B. Lost dollars threaten research in public academic health centers.
authors.affiliation: Department of Cellular and Molecular Pharmacology (Emeritus), University of California, San Francisco, San Francisco, California, USA; and hrbourne@gmail.com.
authors.forename: Henry R
authors.initials: HR
authors.lastname: Bourne
authors.affiliation: Finance Office (Emeritus), University of California, San Francisco, San Francisco, California, USA eric.vermillion@ucsf.edu.
authors.forename: Eric B
authors.initials: EB
authors.lastname: Vermillion
mesh_terms: D035843:Biomedical Research / Q000191:economics*; D002140:California; D005380:Financing, Government / Q000191:economics*; D006785:Hospitals, University / Q000191:economics*; D012456:Salaries and Fringe Benefits / Q000191:economics
keywords: federal support; indirect costs; soft-money salaries; state support