Are patients a scarce resource for academic clinical research?

Managed care has affected clinical research at academic medical centers (AMCs) in various ways. It has reduced revenues for both faculty practice plans and major teaching hospitals, thus constraining the internal funds available for the cross-subsidy of research. It has increased the amount of patie...

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Bibliographic Details
Published in:Health Affairs 2000-11, Vol.19 (6), p.195-205
Main Author: Rettig, R A
Format: Article
Language:English
Subjects:
Academic Medical Centers
Cancer
Clinical research
Clinical trials
Clinical Trials as Topic - economics
Community hospitals
Constraining
Education
Female
Health care facilities
Health maintenance organizations
Health sciences
HMOs
Hospitals
Human Experimentation
Human subjects
Humans
Hypotheses
Information Systems
Insurance Coverage
Interviews
Laboratories
Legal medicine
Managed care
Managed Care Programs
Medical research
Medicine
Participation
Patient Selection
Patients
Pediatrics
Research Support as Topic
Studies
Subsidies
Task forces
Teaching
Teaching hospitals
United States
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Summary:Managed care has affected clinical research at academic medical centers (AMCs) in various ways. It has reduced revenues for both faculty practice plans and major teaching hospitals, thus constraining the internal funds available for the cross-subsidy of research. It has increased the amount of patient care required of academic clinicians to meet target incomes, thus reducing the time for research. Has managed care also reduced the availability of patients for academic clinical research, either indirectly by diverting patients to community hospitals or directly by constraining access to such research, including clinical trials? Consistent with other studies and based on extensive interviews at nine AMCs, this research found little evidence that patients were a scarce resource for academic clinical research.
ISSN:0278-2715
1544-5208
DOI:10.1377/hlthaff.19.6.195