Gee D A, Rosenfeld L A
J Med Educ. 1984 Jul;59(7):547-52. doi: 10.1097/00001888-198407000-00002.
Increased competition among hospitals is a potential threat to teaching hospitals. The growing cost of medical education and the provision of care to the indigent can be endangered by the dilution of revenue sources which traditionally have been available to the academic health centers but which now are being taken over by suburban hospitals. As an example of such a threat, the authors in this paper relate a case study regarding the expansion of open heart surgery programs in St. Louis, Missouri.
医院之间日益激烈的竞争对教学医院构成了潜在威胁。医学教育成本的不断增加以及为贫困人口提供医疗服务的工作可能会因收入来源的稀释而受到威胁，这些收入来源传统上是学术健康中心所拥有的，但现在正被郊区医院所占据。作为这种威胁的一个例子，本文的作者讲述了一个关于密苏里州圣路易斯市心脏直视手术项目扩张的案例研究。
