The Academic Medical System Reinvention to Survive the Revolution in Health Care

被引：26

作者：

Konstam, Marvin A. ^{[1
]}

Hill, Joseph A. ^{[2
]}

Kovacs, Richard J. ^{[3
]}

Harrington, Robert A. ^{[4
]}

Arrighi, James A. ^{[5
,6
]}

Khera, Amit ^{[2
]}

机构：

[1] Tufts Med Ctr, CardioVasc Ctr, 800 Washington St,Box 108, Boston, MA 02111 USA

[2] Univ Texas Southwestern Med Ctr Dallas, Div Cardiol, Dallas, TX 75390 USA

[3] Indiana Univ, Dept Med, Krannert Inst Cardiol, Indianapolis, IN USA

[4] Stanford Univ, Dept Med, Sch Med, Stanford, CA 94305 USA

[5] Brown Univ, Warren Alpert Med Sch, Providence, RI 02912 USA

[6] Lifespan Cardiovasc Inst, Providence, RI USA

来源：

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY | 2017年 / 69卷 / 10期

关键词：

academic medical center; health care system; medical economics; medical education; research funding;

D O I：

10.1016/j.jacc.2016.12.024

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Academic medical centers (AMCs) are presently facing enormous challenges arising from a prospective decline in government funding for research and education, shifting payment models emphasizing efficiency and value, and increasing competition. Left unabated, these challenges will drive many AMCs to de-emphasize or forsake their core missions in an effort to survive. Stemming from a symposium held at the 2015 Scientific Sessions of the American College of Cardiology titled, "The Academic Medical Center of the Future," we propose a series of changes, including internal restructuring, system-wide partnership, and novel approaches to support research and education, that are designed to better position AMCs to compete and face their growing challenges in a manner that preserves their essential missions. In aggregate, these changes will facilitate establishing the academic medical system of the future. (J Am Coll Cardiol 2017; 69: 1305-12) (C) 2017 by the American College of Cardiology Foundation.

引用

页码：1305 / 1312

页数：8

共 15 条

[1]

[Anonymous], HLTH AFFAIRS BLOG

[2]

[Anonymous], PHYS SUPPL DEM 2025

[3] Acquisition, Analysis, and Sharing of Data in 2015 and Beyond: A Survey of the Landscape A Conference Report From the American Heart Association Data Summit 2015 [J].

Antman, Elliott M. ;

Benjamin, Emelia J. ;

Harrington, Robert A. ;

Houser, Steven R. ;

Peterson, Eric D. ;

Bauman, Mary Ann ;

Brown, Nancy ;

Bufalino, Vincent ;

Califf, Robert M. ;

Creager, Mark A. ;

Daugherty, Alan ;

Demets, David L. ;

Dennis, Bernard P. ;

Ebadollahi, Shahram ;

Jessup, Mariell ;

Lauer, Michael S. ;

Lo, Bernard ;

MacRae, Calum A. ;

McConnell, Michael V. ;

McCray, Alexa T. ;

Mello, Michelle M. ;

Mueller, Eric ;

Newburger, Jane W. ;

Okun, Sally ;

Packer, Milton ;

Philippakis, Anthony ;

Ping, Peipei ;

Prasoon, Prad ;

Roger, Veronique L. ;

Singer, Steve ;

Temple, Robert ;

Turner, Melanie B. ;

Vigilante, Kevin ;

Warner, John ;

Wayte, Patrick .

JOURNAL OF THE AMERICAN HEART ASSOCIATION, 2015, 4 (11)

[4]

Association of American Medical Colleges, 2013, MED PAYM GRAD MED ED

[5]

Carroll J., 2016, LESSONS MERCKS 20M P

[6]

Center for Medicare & Medicaid Services, BUNDL PAYM CAR IMPR

[7]

Centers for Medicare & Medicaid Services, HOSP OUTP PROSP PAYM

[8]

Eden J., 2014, COMMITTEE GOVERNANCE

[9]

Fidler B, 2016, BIOGEN TURNS UPENN G

[10] Working group 8: Defining the different types of cardiovascular specialists and developing a new model for training general clinical cardiologists [J].

Fuster, V ;

Hirshfeld, JW ;

Brown, AS ;

Brundage, BH ;

Fye, WB ;

Lewis, RP ;

Nash, IS ;

Sketch, MH ;

Vetrovec, GW .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2004, 44 (02) :267-271

← 1 2 →