Experiments in the Delivery of Health Care and Their Impact on Medical Schools

Abstract

Considering the evidence to date, apparently many medical schools have accepted the challenge that they should be involved in experiments in the delivery of health care. One might pose a naive question: why? One possible answer is that they provide the best examples of ambulatory care rendered in their communities. A second reason might be because they above all others have the most experience in the utilization of new types of health professionals, and in working in interprofessional teams. Anyone pretending positive responses to these questions would reveal their lack of objectivity and provinciality. The third logical reason for their involvement is because they have a generous inventory of individuals expert in the management of organizations. For those who are members of those medieval institutions called medical schools this needs no further comment. A fourth possible reason for their participation is that medical faculties<i>as a group</i>feel a desperate