Are Patients a Scarce Resource for Academic Clinical Research?

Published in: Health Affairs, v. 19, no. 6, Nov./Dec. 2000, p. 195-205

Posted on RAND.org on December 31, 1999

by Richard A. Rettig

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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.

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