Publisher's Synopsis
Addressing the effects of the stresses and strains in the US health-care system on urban academic health centres, this is a report of the proceedings of the Tenth Annual Health Policy Conference (1995), sponsored by Cornell University Medical College. The book also assesses the diversity of responses these centres are mounting to ensure not only survival, but a position from which they can continue to make significant contributions to the advancement of American medicine. An unprecedented threat is presented by the simultaneous occurrence of cutbacks in government support for medical education, decreased funding for research, and declining patient-care revenues.;Nine contributors describe the approaches that their respective institutions are exploring and, in some cases, have begun to implement. Public and private medical centres - large and small, research- and service-orientated, and located in various regions of the country - are represented.
