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Biomedical subjects

D E Rogers

Publications and source records attributed to D E Rogers.

At least 55 records · Page 3Linked to original sources
PubMed1984

The academic medical center today.

Some recent circumstances, including the nation's economic difficulties, a probable physician surplus, a declining need for acute-care medical beds, and an overwhelming public perception that medical care is too expensive, are creating serious problems for academic medical centers today. To survive, many academic medical centers probably will make certain short-term adaptations that will be viewed as undesirable by many. We suggest four initiatives that may help academic centers maintain their vital national role. These initiatives include becoming major public advocates for the medical care needs of the least fortunate; a sharp reduction in the training of subspecialists; the commitment of more of their faculty practice income to academic research, teaching, and support of low-income students; and refocusing attention on the training of young persons to be the physicians of tomorrow.

Academic Medical Centers↗
PubMed1984

The research program and priorities of the Robert Wood Johnson Foundation.

Since its establishment as a national philanthropy in 1972, The Robert Wood Johnson Foundation has appropriated almost $560 million in grants directed toward improvement of health in the United States. Grants are made primarily to develop innovative methods of providing health services, for research and evaluation, and for education and training of health professionals. Since 1972, more than $100 million has been appropriated for research and evaluation projects. The research supported by the Foundation is applied rather than basic, and, like all of the Foundation's programs, must be responsive to the institution's mission. In the 1980s, this mission comprises three objectives: improving access to health care for the most vulnerable underserved population groups, containing increases in health care costs, and improving functional outcomes for patients. In this article, we provide details on the Foundation's research program and priorities, including evolution of the mission, the role of research in the Foundation's overall programs, the purposes for which the Foundation supports research and evaluation activities, and the types of grants available for health services researchers.

Budgets↗
PubMed1983

Cutting medical care costs. Primum non nocere.

A serious slowdown in the nation's economy has led to widespread agreement that the rate of escalation of medical care costs must be slowed. In responding to the pressures to cut costs, physicians need to be guided by the basic tenet of medicine: first do no harm. In recent years, this nation has made extraordinary progress in improving health and longevity. A recent study suggestively links reductions in mortality to increased expenditures for health. Thus, physicians should watch closely how the nation reduces medical care expenses. We suggest a series of yardsticks that might track the effects of the nation's cost-cutting efforts on personal health. Keeping a careful eye on where people receive care, how frequently they see a physician, trends in mortality, and the adequacy or timeliness of care could help us keep our sights set on the continuing improvement of the health of Americans.

Aged↗
PubMed1983

An innovation in physician training: the Clinical Scholars Program.

The Robert Wood Johnson Foundation Clinical Scholars Program was developed to allow selected physician clinicians to acquire certain skills which are not part of the usual physician's repertoire. Begun in 1969 with support from the Carnegie Corporation and the Commonwealth Fund, funding has been provided since 1973 by the Robert Wood Johnson Foundation. By June 1981, 309 physicians had completed their training as clinical scholars, and a majority were pursuing careers in academic medicine. This paper recounts the factors and forces which led to the initiation and development of the program, its successes and failures, the problems faced, the achievements of clinical scholar alumni, and the program's current status.

Achievement↗
PubMed1982

Who needs Medicaid?

Faced by a worsening economy and a powerful public mandate to decrease taxes and non-defense government expenditures, many are calling for additional cuts in spending for Medicaid-a large, not very popular program that pays for the medical care of many of the nation's poor. Available evidence suggests that Medicaid has been far more valuable than is commonly realized: It serves a broad cross-section of the American people, its adoption coincides with major improvements in the health of Americans, and its costs per recipient are about the same as the costs of care per person for all Americans of similar age. Not widely recognized is the program's importance to the financial well-being (if not the very survival) of any major teaching hospitals and the majority of nursing homes in this country. Public and professional awareness of the accomplishments of this program may be a crucial factor in determining whether the cuts will spare many of the gains in access to medical care that have been made during the past two decades. If we do not wish to reduce needed medical services to the poor, health-care institutions and health professionals will have to cooperate with each other and with the government in developing less costly ways of delivering high-quality care.

Cost Control↗