LEADER 03865nam 2200649Ia 450 001 9910818254103321 005 20240418001611.0 010 $a1-281-73122-6 010 $a9786611731229 010 $a0-300-13301-4 024 7 $a10.12987/9780300133011 035 $a(CKB)1000000000472123 035 $a(StDuBDS)BDZ0022174739 035 $a(SSID)ssj0000256120 035 $a(PQKBManifestationID)11213221 035 $a(PQKBTitleCode)TC0000256120 035 $a(PQKBWorkID)10219287 035 $a(PQKB)10869816 035 $a(StDuBDS)EDZ0000167137 035 $a(MiAaPQ)EBC3420213 035 $a(DE-B1597)485577 035 $a(OCoLC)1013955221 035 $a(DE-B1597)9780300133011 035 $a(Au-PeEL)EBL3420213 035 $a(CaPaEBR)ebr10172745 035 $a(CaONFJC)MIL173122 035 $a(OCoLC)923590765 035 $a(EXLCZ)991000000000472123 100 $a20000407d2000 uy 0 101 0 $aeng 135 $aur||||||||||| 181 $ctxt 182 $cc 183 $acr 200 10$aTeaching hospitals and the urban poor /$fEli Ginzberg ; with the assistance of Howard Berliner ... [et al.] 205 $a1st ed. 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$zUnited States 615 0$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-$01631128 801 0$bMiAaPQ 801 1$bMiAaPQ 801 2$bMiAaPQ 906 $aBOOK 912 $a9910818254103321 996 $aTeaching hospitals and the urban poor$93969798 997 $aUNINA