The study:

1. Assessed the development, contribution and performance of AHCs in teaching, research and technology development, patient care including the provision of specialized care, and community service including caring for underserved populations.
2. Evaluated whether AHCs are prepared to meet societal needs and expectations over the coming decades in the areas of a) an educated and trained professional work force; b) assessment of the value and cost effectiveness of new technologies and facilitation of their dispersion; c) provision of health care services to populations dependent upon them (e.g., uninsured, poor); and d) provision of leadership in relation to ethical and social aspects of health.
3. Assessed the capacity of AHCs to carry out their multiple functions in an effective and efficient manner.
4. Identified steps that can be taken by AHCs themselves, and by communities, policymakers, and others to maintain and enhance the performance of AHCs.