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Current Challenges to Academic Health Centers

Current Challenges to Academic Health Centers Opinion VIEWPOINT Academic health centers (AHCs) have long been the of improving the patient’s health, regardless of cost. Victor R. Fuchs, PhD exemplars of medicine in the United States. They pro- There is another perspective, however, which is now Stanford University, Stanford, California. duce “breakthrough” research, pioneer new diagnos- competingforattention,namely,sociallyoptimalamount tic and therapeutic interventions, and train the of care. This requires providing only every test, drug, and best and brightest future physicians with emphasis on procedure that offers the prospect of as much or more specialists and subspecialists. Today, they face a peril- patient benefit as its cost. This is optimal from society’s ous future because the health care economic system point of view because the provision of a service that con- that supports this enterprise is fading away; what ferslessbenefitthanitscostistouseresourcesthatcould Enthoven has called “cost unconscious” third-party yield more benefit in some other use. payment for care is being transformed into “value Private and public payers of care want to control purchasing.” cost; they are implicitly asking physicians to redefine op- The challenges currently facing AHCs are more timal care away from the medical to the social perspec- complex and more pervasive than any previously tive. This affects AHCs http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

Current Challenges to Academic Health Centers

Fuchs, Victor R.
JAMA , Volume 310 (10) – Sep 11, 2013
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References (3)

Publisher
American Medical Association
Copyright
Copyright 2013 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.2013.227197
pmid
23948811
Publisher site
See Article on Publisher Site

Abstract

Opinion VIEWPOINT Academic health centers (AHCs) have long been the of improving the patient’s health, regardless of cost. Victor R. Fuchs, PhD exemplars of medicine in the United States. They pro- There is another perspective, however, which is now Stanford University, Stanford, California. duce “breakthrough” research, pioneer new diagnos- competingforattention,namely,sociallyoptimalamount tic and therapeutic interventions, and train the of care. This requires providing only every test, drug, and best and brightest future physicians with emphasis on procedure that offers the prospect of as much or more specialists and subspecialists. Today, they face a peril- patient benefit as its cost. This is optimal from society’s ous future because the health care economic system point of view because the provision of a service that con- that supports this enterprise is fading away; what ferslessbenefitthanitscostistouseresourcesthatcould Enthoven has called “cost unconscious” third-party yield more benefit in some other use. payment for care is being transformed into “value Private and public payers of care want to control purchasing.” cost; they are implicitly asking physicians to redefine op- The challenges currently facing AHCs are more timal care away from the medical to the social perspec- complex and more pervasive than any previously tive. This affects AHCs

Journal

JAMA – American Medical Association

Published: Sep 11, 2013

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