Federal Manpower Legislation and the Academic Health Centers: An Interim Report.

by Grace M. Carter, David S. C. Chu, John Koehler, Robert L. Slighton, Albert P. Williams


Purchase Print Copy

 FormatList Price Price
Add to Cart Paperback100 pages $25.00 $20.00 20% Web Discount

Medical school admissions decisions have been responsive to federal policies and social concerns regarding equality of access for women and minorities. State schools and state-supported private schools discriminate in favor of residents. Primary care physicians are choosing specialty training. The more ambulatory care this training includes and the earlier it is introduced, the higher its costs. Limitations of cost allocation in joint production precludes any unambiguous determination of education costs. Strong interdependencies among patient care, research, and education mean strong interdependencies between federal decisions in health manpower and other health care areas. Capitation grants succeeded financial distress grants for financing medical school operating costs, but they could not affect factors underlying past financial difficulty. Academic health centers would react to cutbacks in institutional support by seeking replacement funds and altering programs; replacement funds will come from tuition increases, state appropriations, and clinical faculty practice earnings. Greater reliance on faculty earnings will require that clinical care in teaching hospitals be oriented away from primary care. 100 pp.

This report is part of the RAND Corporation Report series. The report was a product of the RAND Corporation from 1948 to 1993 that represented the principal publication documenting and transmitting RAND's major research findings and final research.

The RAND Corporation is a nonprofit institution that helps improve policy and decisionmaking through research and analysis. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors.