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October 10, 2017

Advancing the Research Mission in a Time of Mergers and Acquisitions

Author Affiliations
  • 1Department of Medicine, Saint Louis University School of Medicine, St Louis, Missouri
  • 2Department of Molecular and Cellular Pharmacology, Miller School of Medicine, University of Miami, Miami, Florida
  • 3Association of American Medical Colleges, Washington, DC
JAMA. 2017;318(14):1321-1322. doi:10.1001/jama.2017.11812

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.