Krakower J, Ganem J L, Beran R L
Institutional Data Systems, Association of American Medical Colleges, Washington, D.C.
Acad Med. 1994 Jan;69(1):72-81. doi: 10.1097/00001888-199401000-00021.
Medical schools are often thought of as relatively homogeneous entities with similar financial and structural characteristics. In fact, they are of several types. For this report, the authors group the 126 accredited U.S. medical schools that share at least one key characteristic (e.g., being community-based) into seven groups, provide an analysis of the differences in revenue patterns for the groups, examine intragroup differences, and present detailed information about the student financial aid that all schools provide. The data used in this analysis were derived from the schools' responses to the Part 1A and the Part 1B questionnaires of the Liaison Committee on Medical Education for the academic year 1991-92. The results of the analysis indicate that there were substantial differences in the financial structures both within and between the groups studied. The differences suggest that generalizations regarding how medical schools will be affected by impending changes in health care reform are likely to be tenuous at best.
医学院通常被认为是具有相似财务和结构特征的相对同质化的实体。事实上,它们有几种类型。在本报告中,作者将126所获得认证的美国医学院分为七组,这些医学院至少共享一个关键特征(例如,以社区为基础),对各组的收入模式差异进行分析,研究组内差异,并提供所有学校提供的学生经济援助的详细信息。本分析中使用的数据来自各学校对1991 - 92学年医学教育联络委员会第1A部分和第1B部分问卷的回复。分析结果表明,在所研究的组内和组间,财务结构存在重大差异。这些差异表明,关于医学院将如何受到即将到来的医疗保健改革变化影响的一般化结论充其量可能是站不住脚的。