Relationship between National Institutes of Health research awards to US medical schools and managed care market penetration
Article Abstract:
Medical schools located in areas with a high penetration of managed care organizations may have difficulty competing for research grants. This was the conclusion of a study that looked at the number and dollar amount of research grants from the National Institutes of Health between 1986 and 1995. Of 115 medical schools that received NIH funding during this period, 13 were in high managed care markets, 46 in medium markets and 56 in low markets in 1995. After 1990, schools in high markets did not keep pace with other schools in terms of the number of grants or dollar amounts. Much of the revenue lost was in basic research project awards.
Publication Name: JAMA, The Journal of the American Medical Association
Subject: Health
ISSN: 0098-7484
Year: 1997
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Market influences on internal medicine residents' decisions to subspecialize
Article Abstract:
Graduates of internal medicine residency programs may be less likely to enroll in subspecialty training when educated in regions with significant health maintenance organization (HMO) managed care medicine. Researchers studied 2,263 internal medicine graduates in 1993. Forty-three percent entered subspecialty training. Graduates from areas with substantial managed care penetration were less likely to subspecialize. More internists may choose generalist practice in managed care medical environments, which may reduce the oversupply of specialist physicians.
Publication Name: Annals of Internal Medicine
Subject: Health
ISSN: 0003-4819
Year: 1998
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Distribution of research awards from the National Institutes of Health among medical schools
Article Abstract:
The National Institutes of Health is giving more research grants to medical schools that have the most active research programs. Between 1986 and 1997, the percentage of research grants awarded to the top 10 medical schools ranked by research activity increased from 24.6% to 27%. The percentage of research grants awarded to the 75 medical schools with the least active research programs decreased from 24.3% to 21.8%. Clinical departments received a greater share of research grants than basic science departments.
Publication Name: The New England Journal of Medicine
Subject: Health
ISSN: 0028-4793
Year: 2000
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