The successes and problems of the polyclinic (so named to indicate that many subspecialties of internal medicine and related services are represented) approach are discussed. The polyclinic is described as a means of improving the quality of care and the teaching of ambulatory care in clinics of university teaching hospitals. (Editor/LBH)

The new Peer Review Organizations (PSRO) will review the quality, necessity, and appropriateness of medical care for which payment is made under the terms of the Social Security Act. The many differences between teaching and nonteaching hospitals suggest that it may be inappropriate to evaluate institutional services using a single set of norms of…

Social security can stifle the teaching hospital's development through increasing expenses and budgetary considerations. These problems are discussed in relation to the hospital organization and university structure in Paris, France. (Author/PG)

An assessment of the demographic, health status, and health care use characteristics of the patients at hospital- and community-based health care centers at one family practice residency location is used to examine the effects these differences may have on resident training. It was found that neither site is clearly preferable for training. (MSE)

Describes a traditional hospital-based subspeciality training program and a hospital-based primary care teaching unit and then describes two new programs which are working reasonably well. Discusses opportunities such programs represent, problems they face, and some possible solutions, including the need for involving all participants in planning…

The medical care system is undergoing widespread and significant changes. Individual hospitals may be disappearing as mergers, acquisitions, and a variety of multi-institutional arrangements become the dominant form and as a host of free-standing medical enterprises spread out into the community. (MLW)