Even as academic medical centers accommodate themselves to the highly competitive--not to mention combative--world of managed health care, they're struggling to redefine their role before it gets redefined for them. "Academic institutions were never designed for managed care," one expert says. The question is, can they redesign themselves while there's still time?
即使学术医疗中心努力适应竞争激烈——更不用说充满争斗的——管理式医疗保健世界，它们仍在努力在自身角色被重新定义之前重新界定自己的角色。一位专家表示：“学术机构从来就不是为管理式医疗而设计的。”问题在于，它们还来得及重新设计自己吗？
