Teaching hospitals and the urban poor / Eli Ginzberg ; with the assistance of Howard Berliner ... [et al.].

Format:

Book

Author/Creator:

Ginzberg, Eli, 1911-2002.

Contributor:

Berliner, Howard S., 1949-

Language:

English

Subjects (All):

Academic medical centers--United States.

Academic medical centers.

Urban poor--Medical care--United States.

Urban poor.

Physical Description:

1 online resource (1 online resource (x, 129 p.))

Edition:

1st ed.

Place of Publication:

New Haven : Yale University Press, c2000.

Language Note:

English

Summary:

Academic 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.

Contents:

Front matter

Contents

Preface

Introduction

1. The Impact of World War II on U.S. Medicine

2. How Medicare Changed the AHCs

3. Changes in the Physician Supply

4. Challenging the AHCs to Change

5. The Impacts of Managed Care

6. The Next Decade-2000-2010

Selected Reading

Index

Notes:

Bibliographic Level Mode of Issuance: Monograph

Includes bibliographical references and index.

ISBN:

9786611731229

9781281731227

1281731226

9780300133011

0300133014

OCLC:

1013955221