The Structure of Medical Education — It’s Time for a Change

Victor Fuchs

Chapter 40 in Health Economics and Policy:Selected Writings by Victor Fuchs, 2018, pp 533-541 from World Scientific Publishing Co. Pte. Ltd.

Abstract: Last spring, in his elegant commencement address to the Harvard Medical School, Dr. Atul Gawande appealed for a dramatic change in the organization and delivery of medical care. His reason, “medicine’s complexity has exceeded our individual capabilities as doctors.” He accepts the necessity of specialization, but he criticizes a system of care that emphasizes the independence of each specialist. Dr. Gawande is not alone in thinking that scientific, technologic, and economic changes require reorganization of care. Larry Casalino and Steve Shortell have proposed Accountable Care Organizations (ACOs); Fisher, Skinner, Wennberg and colleagues at the Dartmouth Medical School have focused on reforming Medicare, and many others have also called for major changes…

Keywords: Health; Medical Care; Health Policy; Economics; Health Care Reform; Health Insurance (search for similar items in EconPapers)
JEL-codes: I15 (search for similar items in EconPapers)
Date: 2018
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