Functional alignment, not structural integration, of medical schools and teaching hospitals is associated with high performance in academic health centers.

Abstract

BACKGROUND Debates continue regarding optimal structures for governance and administration between medical schools and their teaching hospitals. METHODS Structural integration (SI) for 85 academic health centers was characterized as high (single leader or fiduciary) or low (multiple leaders or fiduciaries). Functional alignment (FA) was estimated from… (More)
DOI: 10.1016/j.amjsurg.2011.05.001

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