The Changing Ivory Tower: Balancing Mission and Business

Paul B. Rothman, Edward D. Miller, Landon S. King, Ellen F. Gibson

Research output: Chapter in Book/Report/Conference proceedingChapter

1 Scopus citations


There are tremendous challenges involved in balancing mission and money in health care. Academic health centers (AHCs) need sufficient margins and public support to subsidize the important work they do caring for society's sickest patients, pioneering new medical technologies, making biomedical discoveries, and educating future physicians. The business landscape for AHCs in the United States is changing rapidly due to legislative reforms, growing competition, and the urgent need to control health care expenditures. To continue leading the way in medicine, AHCs are breaking from tradition and implementing sustainable, forward-looking changes in all three areas of the mission (research, education, clinical care).

Original languageEnglish (US)
Title of host publicationThe Transformation of Academic Health Centers
Subtitle of host publicationMeeting the Challenges of Healthcare's Changing Landscape
PublisherElsevier Inc.
Number of pages10
ISBN (Electronic)9780128010044
ISBN (Print)9780128007624
StatePublished - Apr 7 2015


  • Challenges
  • Efficiency
  • Finances
  • Medicine
  • Mission
  • Money
  • Obamacare
  • Protocol
  • Reform
  • Research
  • Training

ASJC Scopus subject areas

  • Medicine(all)


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