 |
|
Relationship Between Market Competition and the Activities and Attitudes of Medical School Faculty
Eric G. Campbell, PhD;
Joel S. Weissman, PhD;
David Blumenthal, MD, MPP
JAMA. 1997;278(3):222-226.
Abstract
| |
Context.
—Growth in health care market competition and the concomitant increasing dependence of academic health centers on clinical revenues may require medical school faculty to increase patient care activity, perhaps at the expense of research and teaching. However, the relationship between health care market competitiveness and the activities and attitudes of medical school faculty has not been established.
Objective.
—To examine the relationship between market competitiveness and the activities and attitudes of medical school faculty members.
Design.
—Mailed survey of 3394 life-science faculty in the 50 universities that received the most funding from the National Institutes of Health in 1993.
Setting.
—Medical schools in research-intensive universities.
Participants.
—A total of 2167 faculty responded to the survey (response rate, 64%). We analyzed the responses of 1671 medical school research faculty located in markets of differing health care competitiveness, ranging from least competitive (stage 1) to most competitive (stage 4) markets.
Main Outcome Measures.
—The number of publications in refereed journals in the last 3 years, the average number of hours per week of teaching contact, whether faculty in clinical departments had patient care responsibilities, and measures of departmental community, cooperation, and conflict.
Results.
—Clinical researchers in stage 1 and 2 markets published more scientific articles than those in stage 3 markets (14.5 vs 12.6, P=.04) or in stage 4 markets (14.5 vs 12.0, P=.03). Among 96 young faculty (professional age 10 years) in clinical departments, 11 (44%) of those in stage 1 and 2 markets had patient care duties compared with 32 (56.1%) of young faculty members in stage 3 markets (P=.04) and 12 (85.7%) of those in stage 4 markets (P=.01). The percentage of senior faculty in clinical departments (n=691) with patient care responsibilities did not differ significantly by market stage. Compared with faculty in less competitive markets, faculty in stage 4 markets perceived lower levels of departmental cooperation and higher levels of conflict.
Conclusions.
—Increased competitiveness of health care markets seems to hinder the capacity of academic health centers to conduct clinical research and to foster the careers of young clinical faculty.
Author Affiliations
From the Health Policy Research and Development Unit, Division of General Internal Medicine. Massachusetts General Hospital and Partners HealthCare System (Drs Campbell, Weissman, and Blumenthal); and the Departments of Medicine and Health Care Policy, Harvard Medical School (Drs Weissman and Blumenthal), Boston, Mass.
Footnotes
Reprints: Eric G. Campbell, PhD, Health Policy Research and Development Unit, Massachusetts General Hospital, 50Staniford St, Ninth Floor, Boston, MA 02114 (e-mail: ecamp@sol.mgh.harvard.edu).
 CiteULike  Connotea  Del.icio.us  Digg  Reddit  Technorati  Twitter
What's this?
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
|
Career Fit and Burnout Among Academic Faculty
Shanafelt et al.
Arch Intern Med 2009;169:990-995.
ABSTRACT
| FULL TEXT
Recruiting and Rewarding Faculty for Medical Student Teaching
Pessar et al.
Acad. Psychiatry 2006;30:126-129.
ABSTRACT
| FULL TEXT
Enrolling Older Persons in Cancer Trials: The Effect of Sociodemographic, Protocol, and Recruitment Center Characteristics
Gross et al.
JCO 2005;23:4755-4763.
ABSTRACT
| FULL TEXT
Impact of Managed Care on Cancer Trial Enrollment
Gross and Krumholz
JCO 2005;23:3811-3818.
ABSTRACT
| FULL TEXT
The state of patient-oriented research in neurology
Sacco et al.
Neurology 2004;62:1051-1055.
FULL TEXT
Are Hospital Characteristics Associated With Parental Views of Pediatric Inpatient Care Quality?
Co et al.
Pediatrics 2003;111:308-314.
ABSTRACT
| FULL TEXT
Preparedness for Clinical Practice: Reports of Graduating Residents at Academic Health Centers
Blumenthal et al.
JAMA 2001;286:1027-1034.
ABSTRACT
| FULL TEXT
Status of Clinical Research in Academic Health Centers: Views From the Research Leadership
Campbell et al.
JAMA 2001;286:800-806.
ABSTRACT
| FULL TEXT
Hypertension in the Political Arena
Swales
Hypertension 2000;35:1179-1182.
FULL TEXT
Some Things Have Not Changed
Clever
ANN INTERN MED 2000;132:85-89.
ABSTRACT
| FULL TEXT
The Relationship of Clinical and Academic Productivity in a University Hospital Radiology Department
Eschelman et al.
Am. J. Roentgenol. 2000;174:27-31.
ABSTRACT
| FULL TEXT
Whatever Happened to the Faculty on the Way to the Agora?
Eisenberg
Arch Intern Med 1999;159:2251-2256.
FULL TEXT
Views of Managed Care -- A Survey of Students, Residents, Faculty, and Deans at Medical Schools in the United States
Simon et al.
NEJM 1999;340:928-936.
ABSTRACT
| FULL TEXT
Market Forces and Unsponsored Research in Academic Health Centers
Weissman et al.
JAMA 1999;281:1093-1098.
ABSTRACT
| FULL TEXT
|
