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Role of the Urban Academic Medical Center in US Health Care
Laurence D. Hill, MA, MBA;
James L. Madara, MD
JAMA. 2005;294:2219-2220.
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Medical schools and affiliated teaching hospitals (academic medical centers) in the United States educate and train physicians and other health professionals, perform the majority of National Institutes of Health–sponsored biomedical research, treat the sickest and most debilitated patients, and deliver substantial health care to the poor.1-2 The ability of academic medical centers to perform these vital health care roles is threatened by stagnating National Institutes of Health support for research, declining insurance reimbursement rates, skyrocketing malpractice insurance costs, a crisis in government health care programs, and an expanding population of uninsured and underinsured patients needing care.1
These threats are particularly acute for academic medical centers located in urban areas; many of these centers are surrounded by dense populations of economically marginalized and low-income individuals. Some would argue that these urban medical centers are logically bound to provide all care, including routine . . . [Full Text of this Article]
Author Affiliations: Division of the Biological Sciences and the Pritzker School of Medicine, University of Chicago, Chicago, Ill.
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