Academic medical centers find it increasingly necessary to pursue economies of scale by merging, partnering with, acquiring, or being acquired by nonacademic hospital networks and health systems. These arrangements may provide greater purchasing power, leverage with payers, and a reduction in the size of clinical and ancillary staff for services that are deemed to be redundant. In this environment, a new set of challenges confront the ability of academic medical centers to fulfill the mission to create new medical knowledge. Clinical research is encountering a “hyper-level of scientific and operating complexity”1 and pressures to generate clinical volume and revenue leave many academic researchers with limited ability to focus on investigative work.
Hauptman PJ, Bookman RJ, Heinig S. Advancing the Research Mission in a Time of Mergers and Acquisitions. JAMA. 2017;318(14):1321–1322. doi:10.1001/jama.2017.11812