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审查美国医学院的财政,1997-1998年
J Y Krakower1, D J Williams, R F Jones
1Section for Institutional and Faculty Studies, Association of American Medical Colleges, Washington, DC 20037, USA. jykrakower@aamc.org
医学院在很大程度上依赖于从实践计划,赠款和医院支持中获得的收入. 尽管总体增长,但许多学校面临财务下降,特别是来自医院收入,影响计划.
科学领域:
- 卫生经济学 卫生经济学
- 医学教育 金融 医疗教育 金融
背景情况:
- 美国认可的医学院依赖于不同的收入来源.
- 教师实践计划,赠款和医院支持构成了医学院资金的大多数.
- 财务趋势表明总体增长,但掩盖了学校间显著的差异.
研究的目的:
- 分析美国认可医学院的收入来源和趋势.
- 确定影响医学院运营的主要财务挑战和依赖关系.
- 评估外部金融政策对医学院收入的影响.
主要方法:
- 利用了医学教育联络委员会 (LCME) 医学院年度问卷调查的数据.
- 分析了总收入和分类的来源,包括实践计划,赠款/合同和1997-1998年的医院支持.
- 检查了1995-1996年和1997-1998年之间的收入趋势,以确定下降.
主要成果:
- 125所认可的医学院在1997年至1998年的总收入为36.997亿美元.
- 实践计划 (33.9%),赠款/合同 (29.5%) 和医院支持 (15.5%) 占总收入的79%.
- 相当多的学校 (37-40%) 在1995-1998年期间报告了实践计划和医院收入的持续下降.
结论:
- 医学院仍然高度依赖教师产生的收入.
- 许多医学院在关键的财政支持领域正在经历削减.
- 由于平衡预算修正案,教学医院收入的预期减少可能会进一步减少对医学院课程的财政支持.
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