{"id":"https://openalex.org/W2020111967","doi":"https://doi.org/10.1056/nejm199312093292413","title":"The Future of the Academic Medical Center under Health Care Reform","display_name":"The Future of the Academic Medical Center under Health Care Reform","publication_year":1993,"publication_date":"1993-12-09","ids":{"openalex":"https://openalex.org/W2020111967","doi":"https://doi.org/10.1056/nejm199312093292413","mag":"2020111967","pmid":"https://pubmed.ncbi.nlm.nih.gov/8232494"},"language":"en","primary_location":{"id":"doi:10.1056/nejm199312093292413","doi":"https://doi.org/10.1056/nejm199312093292413","is_oa":false,"landing_page_url":"https://doi.org/10.1056/nejm199312093292413","pdf_url":null,"source":{"id":"https://openalex.org/S62468778","display_name":"New England Journal of Medicine","issn_l":"0028-4793","issn":["0028-4793","0096-6762","1533-4406","2331-4710"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320239","host_organization_name":"Massachusetts Medical Society","host_organization_lineage":["https://openalex.org/P4310320239"],"host_organization_lineage_names":["Massachusetts Medical Society"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"New England Journal of Medicine","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5103036496","display_name":"David Blumenthal","orcid":"https://orcid.org/0000-0003-1504-3559","observed_orcids":["https://orcid.org/0000-0003-1504-3559"]},"institutions":[{"id":"https://openalex.org/I4210087915","display_name":"Massachusetts General Hospital","ror":"https://ror.org/002pd6e78","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210087915","https://openalex.org/I48633490"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"David Blumenthal","raw_affiliation_strings":["Massachusetts General Hospital Boston 02114"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Massachusetts General Hospital Boston 02114","institution_ids":["https://openalex.org/I4210087915"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5028309092","display_name":"Gregg S. Meyer","orcid":"https://orcid.org/0000-0001-9419-2100","observed_orcids":["https://orcid.org/0000-0001-9419-2100"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Gregg S. Meyer","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":29.1348,"has_fulltext":false,"cited_by_count":65,"citation_normalized_percentile":{"value":0.99590995,"is_in_top_1_percent":true,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":89,"max":95},"biblio":{"volume":"329","issue":"24","first_page":"1812","last_page":"1814"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.5976999998092651,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.5976999998092651,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T12168","display_name":"Health and Medical Research Impacts","score":0.2556000053882599,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13896","display_name":"Health Services Management and Policy","score":0.10480000078678131,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/academic-medical-centers","display_name":"academic medical centers","score":1.0},{"id":"https://openalex.org/keywords/health-care-reform","display_name":"health care reform","score":1.0},{"id":"https://openalex.org/keywords/medical-education","display_name":"medical education","score":0.703000009059906},{"id":"https://openalex.org/keywords/medical-research","display_name":"medical research","score":0.8610000014305115},{"id":"https://openalex.org/keywords/patient-care","display_name":"patient care","score":0.8399999737739563},{"id":"https://openalex.org/keywords/university-medical-center","display_name":"university medical center","score":0.6000000238418579},{"id":"https://openalex.org/keywords/institutional-change","display_name":"institutional change","score":0.4189999997615814},{"id":"https://openalex.org/keywords/health-policy","display_name":"health policy","score":0.4090000092983246}],"concepts":[{"id":"https://openalex.org/C2779304628","wikidata":"https://www.wikidata.org/wiki/Q3503480","display_name":"Face (sociological concept)","level":2,"score":0.6424133777618408},{"id":"https://openalex.org/C2779463800","wikidata":"https://www.wikidata.org/wiki/Q5062222","display_name":"Center (category theory)","level":2,"score":0.6308230757713318},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.630028486251831},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.6111413240432739},{"id":"https://openalex.org/C2778584109","wikidata":"https://www.wikidata.org/wiki/Q60603744","display_name":"Health care reform","level":4,"score":0.45224085450172424},{"id":"https://openalex.org/C3018838755","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Medical care","level":2,"score":0.4451368451118469},{"id":"https://openalex.org/C39549134","wikidata":"https://www.wikidata.org/wiki/Q133080","display_name":"Public relations","level":1,"score":0.3881343901157379},{"id":"https://openalex.org/C509550671","wikidata":"https://www.wikidata.org/wiki/Q126945","display_name":"Medical education","level":1,"score":0.34641391038894653},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.3416577875614166},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.2473154067993164},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.24294522404670715},{"id":"https://openalex.org/C47344431","wikidata":"https://www.wikidata.org/wiki/Q1519812","display_name":"Health policy","level":3,"score":0.23567670583724976},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.1451936960220337},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.09901648759841919},{"id":"https://openalex.org/C36289849","wikidata":"https://www.wikidata.org/wiki/Q34749","display_name":"Social science","level":1,"score":0.09143629670143127},{"id":"https://openalex.org/C8010536","wikidata":"https://www.wikidata.org/wiki/Q160398","display_name":"Crystallography","level":1,"score":0.0},{"id":"https://openalex.org/C185592680","wikidata":"https://www.wikidata.org/wiki/Q2329","display_name":"Chemistry","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D000046","descriptor_name":"Academic Medical Centers","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D000046","descriptor_name":"Academic Medical Centers","qualifier_ui":"Q000639","qualifier_name":"trends","is_major_topic":true},{"descriptor_ui":"D005380","descriptor_name":"Financing, Government","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005544","descriptor_name":"Forecasting","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016536","descriptor_name":"Competitive Medical Plans","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D018166","descriptor_name":"Health Care Reform","qualifier_ui":"Q000331","qualifier_name":"legislation & jurisprudence","is_major_topic":true}],"locations_count":3,"locations":[{"id":"doi:10.1056/nejm199312093292413","doi":"https://doi.org/10.1056/nejm199312093292413","is_oa":false,"landing_page_url":"https://doi.org/10.1056/nejm199312093292413","pdf_url":null,"source":{"id":"https://openalex.org/S62468778","display_name":"New England Journal of Medicine","issn_l":"0028-4793","issn":["0028-4793","0096-6762","1533-4406","2331-4710"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320239","host_organization_name":"Massachusetts Medical Society","host_organization_lineage":["https://openalex.org/P4310320239"],"host_organization_lineage_names":["Massachusetts Medical Society"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"New England Journal of Medicine","raw_type":"journal-article"},{"id":"pmid:8232494","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/8232494","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The New England journal of medicine","raw_type":"Journal Article"},{"id":"pmh:oai:repository.library.georgetown.edu:10822/869350","doi":null,"is_oa":false,"landing_page_url":"http://hdl.handle.net/10822/869350","pdf_url":null,"source":{"id":"https://openalex.org/S4306402467","display_name":"DigitalGeorgetown (Georgetown University Library)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I4210145449","host_organization_name":"Center for Security and Emerging Technology","host_organization_lineage":["https://openalex.org/I4210145449"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"eweb:134316","raw_type":null}],"best_oa_location":null,"sustainable_development_goals":[],"sustainable_development_goals_aurora":[{"score":0.41999998688697815,"id":"https://metadata.un.org/sdg/10","display_name":"Reduced inequalities"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":10,"referenced_works":["https://openalex.org/W30533330","https://openalex.org/W1987243720","https://openalex.org/W1988549696","https://openalex.org/W2030556874","https://openalex.org/W2063320367","https://openalex.org/W2071951334","https://openalex.org/W2313657660","https://openalex.org/W2340739554","https://openalex.org/W2341094295","https://openalex.org/W4235903336"],"related_works":["https://openalex.org/W2415802857","https://openalex.org/W1958110578","https://openalex.org/W1708140603","https://openalex.org/W2411345253","https://openalex.org/W2418454552","https://openalex.org/W2078642394","https://openalex.org/W1975888466","https://openalex.org/W1974653910","https://openalex.org/W2404592619","https://openalex.org/W4247420981"],"abstract_inverted_index":{"In":[0],"times":[1],"of":[2,23,34,43,61,77,95],"fundamental":[3],"social":[4],"change,":[5],"institutions":[6,49],"face":[7],"both":[8],"mortal":[9],"threats":[10],"and":[11,64,67],"unparalleled":[12],"opportunities.":[13],"Such":[14],"is":[15],"now":[16],"the":[17,20,32,44,58,93,96],"case":[18],"with":[19,73],"unique":[21],"class":[22],"health":[24,84],"care":[25,66,85],"organizations":[26,40],"known":[27],"as":[28,75],"academic":[29],"medical":[30],"centers.For":[31],"purposes":[33],"this":[35],"discussion,":[36],"we":[37],"take":[38],"these":[39],"to":[41,47,87],"consist":[42],"roughly":[45],"120":[46],"380":[48],"(depending":[50],"on":[51],"one's":[52],"precise":[53],"definition)1,2":[54],"that":[55,90],"carry":[56],"out":[57],"three":[59],"missions":[60],"teaching,":[62],"research,":[63],"patient":[65],"do":[68],"so":[69],"in":[70,83],"close":[71],"affiliation":[72],"or":[74],"part":[76],"a":[78],"degree-granting":[79],"university.":[80],"Imminent":[81],"reforms":[82],"promise":[86],"accelerate":[88],"trends":[89],"have":[91],"made":[92],"discharge":[94],"traditional":[97],".":[98,99,100]},"counts_by_year":[{"year":2024,"cited_by_count":1},{"year":2023,"cited_by_count":1},{"year":2020,"cited_by_count":2},{"year":2014,"cited_by_count":1},{"year":2012,"cited_by_count":1}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}