Final Report of the FOPE II Financing of Pediatric Education Workgroup
| Autor: | Jimmy L. Simon, M. Douglas Jones, Lucy M. Osborn, Russell W. Chesney, Thomas F. Boat, Robert Adler, Holly J. Mulvey, Harlan R. Gephart, Errol R. Alden |
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| Rok vydání: | 2000 |
| Předmět: | |
| Zdroj: | Pediatrics. 106:1256-1270 |
| ISSN: | 1098-4275 0031-4005 |
| DOI: | 10.1542/peds.106.se1.1256 |
| Popis: | Some of the challenges of financing pedi- atric medical education are shared with all medical edu- cation; others are specific to pediatrics. The general dis- advantage that funding of graduate medical education (GME) is linked to reimbursement for clinical care has uniquely negative consequences for freestanding chil- dren's hospitals because they therefore receive little Medicare GME support. This represents both a compet- itive disadvantage for such hospitals and an aggregate federal underinvestment in children's health care that now amounts to billions of dollars. The need to subsidize medical student and subspecialty education with clinical practice revenue jeopardizes both activities in pediatric departments already burdened by inadequate reimburse- ment for children's health care and the extra costs of ambulatory care. The challenges of funding are compli- cated by rising costs as curriculum expands and clinical education moves to ambulatory settings. Controversies over prioritization of resources are inevitable. Solutions require specification of costs of education and a durable mechanism for building consensus within the pediatric community. Pediatrics 2000;106(suppl):1256 -1269; medi- cal student education, continuing medical education, med- ical subspecialties, children, pediatrics, health mainte- nance organizations, managed care, hospital finances, children's hospitals. |
| Databáze: | OpenAIRE |
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