审查美国医学院的财政,1998-1999年
J Y Krakower1, T Y Coble, D J Williams
1Institutional Data Systems, Association of American Medical Colleges, 2450 N St NW, Washington, DC 20037, USA. jykrakower@aamc.org
JAMA
|September 7, 2000
概括
美国的医学院.
科学领域:
- 医学教育 金融 医疗教育 金融
- 医疗保健服务研究 医疗服务研究
背景情况:
- 美国认可的全方位医学院依赖于多种收入来源.
- 了解收入组成对于机构的可持续性至关重要.
研究的目的:
- 分析1998-1999年美国医学院的收入来源和趋势.
- 识别主要的金融驱动因素和机构之间的差异.
主要方法:
- 利用了医学院年度问卷 (医学教育联络委员会) 的数据.
- 分析了1998-1999财年美国125所认可的全方位医学院100%的财务数据.
主要成果:
- 总收入达到397.61亿美元,主要来源是实践计划 (34.5%),赠款和合同 (30.1%),以及医院支持 (14.6%).
- 总收入增长了7.4%,主要是由于赠款和合同增长了10.2%.
- 收入增长不均,约25%的学校报告大幅增加,另有25%报告实践计划和医院支持下降.
结论:
- 实践计划,赠款/合同和医院支持是美国医学院的关键财务支柱.
- 收入增长和收入来源存在显著的机构间差异,突出显示了潜在的财务脆弱性.
- 教师的增长与整体收入的增长相关,这表明学术能力和财务绩效之间存在联系.
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