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[et al.] 210 $aNew Haven $cYale University Press$dc2000 215 $a1 online resource (1 online resource (x, 129 p.)) 300 $aBibliographic Level Mode of Issuance: Monograph 311 0 $a0-300-08232-0 320 $aIncludes bibliographical references and index. 327 $tFront matter --$tContents --$tPreface --$tIntroduction --$t1. The Impact of World War II on U.S. Medicine --$t2. How Medicare Changed the AHCs --$t3. Changes in the Physician Supply --$t4. Challenging the AHCs to Change --$t5. The Impacts of Managed Care --$t6. The Next Decade-2000-2010 --$tSelected Reading --$tIndex 330 $aAcademic health centers (AHCs) have played a key role in propelling the United States to world leadership in technological advances in medicine. At the same time, however, many of these urban-based hospitals have largely ignored the medical care of their poor neighbors. Now one of the leading experts in American health policy and economics ponders whether current and proposed changes in the financing and delivery of medical care will result in a realignment between AHCs and the poor. Basing his discussion on an analysis of the nation's twenty-five leading research-oriented health centers, Eli Ginzberg and his associates trace the history of AHCs in the twentieth century. He claims that AHCs are once again moving toward treating the poor because these hospitals need to admit more Medicaid patients to fill their empty beds, and their medical students need opportunities to practice in ambulatory sites. He also assesses some of the more important trends that may challenge the AHCs, including financial concerns, changing medical practice environments, and the likelihood of some form of universal health insurance. Eli Ginzberg is director of The Eisenhower Center for Conservation of Human Resources, Columbia University. He has been a consultant to nine U.S. presidents and chaired the National Commission for Employment Policy for six presidents. He is the author of numerous books as well as articles on health affairs in the New England Journal of Medicine, the Journal of the American Medical Association, and many other journals. 606 $aAcademic medical centers$zUnited States 606 $aUrban poor$xMedical care$zUnited States 608 $aElectronic books. 615 0$aAcademic medical centers 615 0$aUrban poor$xMedical care 676 $a362.1/1/0973 700 $aGinzberg$b Eli$f1911-2002.$034219 701 $aBerliner$b Howard S.$f1949-$01050788 801 0$bMiAaPQ 801 1$bMiAaPQ 801 2$bMiAaPQ 906 $aBOOK 912 $a9910452356503321 996 $aTeaching hospitals and the urban poor$92480882 997 $aUNINA