ERIC Number: ED442423
Record Type: RIE
Publication Date: 1999-Feb
A Lens to the Enterprise.
Zemsky, Robert, Ed.
Policy Perspectives, v8 n3 Feb 1999
This essay is based on a series of roundtables convened through the Knight Collaborative National Medical Education Roundtable. It reports that the challenges and transformations experienced in recent years by community-based medical schools and clinical campuses offer a lens to the whole higher education enterprise, and asks the fundamental question of how the mission of education and community service can distinguish community health care in an increasingly complex and competitive market. It was expected that community-based medical schools and clinical campuses would help reverse the trend that disproportionately rewarded specialists compared to general practitioners. Increasingly, the search everywhere was for efficiencies and cost savings, giving rise to intrusions that previously would have been unthinkable: third-party payers who decide when treatment is warranted and who will provide it; public plans to ration health care; a reduction in the number of hospital beds; and the rise of for-profit hospitals that promise to use market forces to reduce health care costs. As a result, community-based medical schools and clinical campuses recognize that they have to operate less like institutions whose missions command unrestricted financial support and more like enterprises that generate revenue from their capacity to deliver services at market price. (RH)
Descriptors: Clinical Teaching (Health Professions), Community Health Services, Cost Effectiveness, Educational Change, Educational Economics, Educational Environment, Efficiency, Higher Education, Medical Care Evaluation, Medical Education, Medical Schools, Primary Health Care
Institute for Research on Higher Education, 4200 Pine Street, 5A, Philadelphia, PA 19104-4090; Tel: 800-437-9799 (toll free); e-mail: firstname.lastname@example.org; Web site: http//www.irhe.upenn.edu/pp.
Publication Type: Collected Works - Serials; Opinion Papers
Education Level: N/A
Sponsor: John S. and James L. Knight Foundation, Miami, FL.
Authoring Institution: Pennsylvania Univ., Philadelphia. Inst. for Research on Higher Education.; Knight Collaborative, Akron, OH.