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June 17, 2019

Advancing the Academic Medical Center Value Debate: Are Teaching Hospitals Worth It?

Author Affiliations
  • 1Department of Healthcare Policy and Research, Weill Cornell Medicine, New York, New York
  • 2Department of Medicine, Weill Cornell Medicine, New York, New York
  • 3Partnered Evidence-Based Policy Resource Center, Veterans Health Administration, Boston, Massachusetts
  • 4Boston University School of Public Health, Boston, Massachusetts
  • 5Department of Emergency Medicine, Harvard Medical School, Boston, Massachusetts
  • 6Department of Emergency Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts
JAMA. 2019;322(3):205-206. doi:10.1001/jama.2019.8306

Improving health care value by achieving superior outcomes at comparable or lower cost has been a central goal of delivery system reform. In recent years, academic medical centers (AMCs) have encountered renewed questions about how much value they offer patients and the health care system.1 Academic medical centers, which train the next generation of physicians, generally have greater subspecialty expertise and more sophisticated technology, but are also widely believed to be more expensive than community hospitals.

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