Abstract:
:Academic medical centers (AMCs) have traditionally symbolized technological advancements and specialization in patient care. AMCs are defined as institutions that include at a minimum a hospital and associated clinics and a medical education role. Today, these institutions face a transition to managed care and radical changes in the financing of health care. These issues are not unique to the private sector health care industry. Military AMCs also must respond to many of the same changes. Their survival may rest on the ability to recognize that they can no longer ignore trends favoring lower costs, less specialization, and more primary care. This paper describes actions being taken at AMCs throughout the country to pursue innovative ways of providing accessible, high-quality, and affordable health care while maintaining quality training programs. Besides examining changes currently taking place within the academic medical industry, recommendations are offered for new initiatives.
journal_name
Mil Medjournal_title
Military medicineauthors
Huntsinger CR Jr,Rubenstein DAkeywords:
subject
Has Abstractpub_date
1999-08-01 00:00:00pages
585-9issue
8eissn
0026-4075issn
1930-613Xjournal_volume
164pub_type
杂志文章,评审abstract::From 1976 to 1993 we inserted 160 chronic peritoneal dialysis catheters for renal failure patients. Three of these patients developed sudden onset of penile and scrotal edema after the catheter had been in place for several months. The first patient was diagnosed by instilling technetium sulfur colloid in the peritone...
journal_title:Military medicine
pub_type: 杂志文章
doi:
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abstract::A critical determinant of successful neck exploration for primary hyperparathyroidism (HPT) is the experience of the surgeon. Results of 17 patients treated surgically for HPT were reviewed to compare results at our medical center with results of large series reported from established national centers. Preoperative la...
journal_title:Military medicine
pub_type: 杂志文章
doi:
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abstract::Cluster headaches (CHs) are one of the most debilitating of all the identified headache syndromes. Their pathogenesis is poorly understood, which has made their treatment challenging. Various medicines and modalities have been put forth in an effort to minimize the symptoms, but none have proven to be consistently rel...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-14-00713
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journal_title:Military medicine
pub_type: 杂志文章,评审
doi:10.7205/milmed-d-10-00397
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journal_title:Military medicine
pub_type: 杂志文章,随机对照试验
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journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1997-05-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-12-00223
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journal_title:Military medicine
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journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1997-12-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
doi:
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journal_title:Military medicine
pub_type: 杂志文章,评审
doi:10.7205/MILMED-D-13-00327
更新日期:2014-06-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.170.6.546
更新日期:2005-06-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-17-00068
更新日期:2017-09-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章,评审
doi:
更新日期:1992-09-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-14-00519
更新日期:2015-06-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-11-00447
更新日期:2013-01-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usz475
更新日期:2020-06-08 00:00:00
abstract::Piercing in general and particularly tongue piercing is gaining popularity in the Western world. The French army and so the French air force are concerned by this phenomenon. A case report of a pilot suffering from dental pain with operational consequences due to a dental fracture during Operation Trident (Kosovo) is ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-10-00149
更新日期:2010-10-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-11-00344
更新日期:2012-04-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa476
更新日期:2021-01-25 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2000-09-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.169.12.976
更新日期:2004-12-01 00:00:00
abstract::One thousand five hundred thirty-eight U.S. Navy and Marine Corps enlisted recruits were tested for hepatitis A, B, and C serologic markers. The recruit population (mean age, 19 years) was 91% male, 69% white, 17% black, 9% Hispanic, 2% Filipino, and 2% "other" racial/ethnic group. Anti-HAV was found in 129 (8.4%) rec...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1992-11-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.172.3.266
更新日期:2007-03-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa403
更新日期:2021-01-25 00:00:00
abstract::World War I recruits were screened for tuberculosis almost exclusively with a history and physical exam. Radiography was unavailable on a large scale and expensive. New techniques developed in Brazil and elsewhere in the 1930s made mass radiographic screening practical. During World War II, the U.S. Army and Navy took...
journal_title:Military medicine
pub_type: 历史文章,杂志文章
doi:
更新日期:1992-03-01 00:00:00
abstract::Army active and reserve component personnel must be ready for rapid mobilization as world conflicts increase in number and intensity. Department of Defense civilian employees also need to be available to work long hours to maintain troop support. Healthy lifestyles are key to the physical and mental readiness demanded...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2001-01-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
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更新日期:2019-03-01 00:00:00
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journal_title:Military medicine
pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:2008-12-01 00:00:00
abstract:INTRODUCTION:Today, the prevalence of overweight and obesity is, respectively, 49% and 17% among French adults. This research investigates their existence in the French Armed Forces, in terms of the impact on military operative response and military readiness. As no previous studies have evaluated the weight status of ...
journal_title:Military medicine
pub_type: 杂志文章
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更新日期:2020-12-17 00:00:00