@article{272a53bc532c4b6293c25d7cc6f8a98a,
title = "Academic medicine under managed care",
abstract = "Academic gastroenterology divisions have come under siege both financially and professionally. This article will deal with the foundation of this assault on our way of life as well as deal with some of the mechanisms used to survive and even thrive in these difficult times. Some divisions may fail to survive, but the future for most appears to be robust given changes in our structure and approach to teaching, research, and clinical practice.",
author = "Fennerty, {M. B.}",
note = "Funding Information: Academic institutions are unique in that one of their primary missions is clinical and basic science research. Funding for such research has traditionally been supported by a variety of means: the federal and state governments (National Institutes of Health, National Cancer Institute, and Department of Veterans Affairs), private organizations (National Cancer Society), industry (pharmaceutical companies, device manufacturers), and college department and divisions (using excess clinical and in-house tax dollars). Funding Information: One solution to this ongoing problem of funding research is to insure that research faculty use all possible mechanisms of funding. Examples of underused sources are the Glaxo Institute of Digestive Health as well as other organizations with private funding. Newer foundations such as the American Digestive Health Foundation and the American College of Gastroenterology's Research Institute have substantially increased their funding ability by increasing their endowments through solicitization of industry and individuals. All investigators should be encouraged to submit grants for appropriate RFAs announced by the National Institutes of Health as well as seek funding from other National Institutes of Health sources (RO-1, first awards). Each division should consider competing for a National Institutes of Health National Research Services Award as an institutional grant to fund a research fellow. Internal institutional funding, when available, should always be pursued as well as funding from traditional industry sources. All members of the division need to be as efficient as possible in clinical practice and minimize expenses so that excess revenue can be maximized and used as an additional internal funding source. Additionally, managed care organizations must be convinced that support of biomedical research is beneficial to them and their clients. Research activities must be redirected to include community physicians, especially in the area of outcomes research. ",
year = "1997",
doi = "10.1016/S0889-8553(05)70341-1",
language = "English (US)",
volume = "26",
pages = "911--921",
journal = "Gastroenterology Clinics of North America",
issn = "0889-8553",
publisher = "W.B. Saunders Ltd",
number = "4",
}