Contemporary challenges and opportunities at academic health Centers

被引:7
作者
Retchin, SM [1 ]
Clark, RR [1 ]
机构
[1] Virginia Commonwealth Univ, Hlth Syst, Richmond, VA 23284 USA
关键词
D O I
10.1097/00115514-200503000-00010
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Academic health centers (AHCs) have struggled in recent years to redefine their special position in healthcare delivery. This article presents a description of structural and process features at AHCs to serve as a framework for redesigning healthcare delivery at AHCs. We review and synthesize the literature regarding health system performance. In addition, we address attributes of healthcare delivery that represent both challenges and opportunities for AHCs, including costs of care; comprehensiveness and capacity of care; coverage; continuity, communication, and coordination of care; consistency of practice; and consolidation. Recommendations on priorities for AHCs are given, and specific features of desirable academic delivery systems for the future are described.
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收藏
页码:121 / 134
页数:14
相关论文
共 46 条
[1]  
*AAMC REP, 1999, AAMC REP, V6
[2]   Relationship of hospital teaching status with quality of care and mortality for Medicare patients with acute MI [J].
Allison, JJ ;
Kiefe, CI ;
Weissman, NW ;
Person, SD ;
Rousculp, M ;
Canto, JG ;
Bae, S ;
Williams, OD ;
Farmer, R ;
Centor, RM .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2000, 284 (10) :1256-1262
[3]   The folly of teaching-hospital mergers [J].
Andreopoulos, S .
NEW ENGLAND JOURNAL OF MEDICINE, 1997, 336 (01) :61-64
[4]  
[Anonymous], 2003, Diffusion of Innovations
[5]  
*ASS PRESS, 2002, U AR SHUTS DOWN LIV
[6]   Quality of care for two common illnesses in teaching and nonteaching hospitals [J].
Ayanian, JZ ;
Weissman, JS ;
Chasan-Taber, S ;
Epstein, AM .
HEALTH AFFAIRS, 1998, 17 (06) :194-205
[7]  
BARTLETT JG, 2003, MED MANAGEMENT HIV I
[8]   Academic health centers on the front lines: Survival strategies in highly competitive markets [J].
Blumenthal, D ;
Weissman, JS ;
Griner, PF .
ACADEMIC MEDICINE, 1999, 74 (09) :1038-1049
[9]  
BREWESTER LR, 2004, EMERGENCY DEP DIVISI, P1
[10]   Managed care is not the problem, quality is [J].
Brook, RH .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1997, 278 (19) :1612-1614