Health care reform and medical education: forces toward generalism.
Health care reform and medical education: forces toward generalism.
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医疗保健改革和医学教育：走向通才的力量。
DOI：
10.1097/00001888-199501000-00023
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发表时间：
1995
期刊：
影响因子：
--
通讯作者：
Seifer,SD
中科院分区：
文献类型：
--
作者：
O'Neil,EH;Seifer,SD
美国医疗保健的转型是由基本原则驱动的。现在存在的情况与未来 15 年将出现的情况之间的紧张关系遍及医疗保健的提供和融资、医患关系、提供者与付款人关系以及卫生专业教育机构内的氛围。那些尽早发展建立和维持战略伙伴关系能力的机构将能够充分利用快速变化的系统所带来的机遇，但那些不具备这种能力的机构将面临被孤立的风险，因为他们没有为医疗保健做出有意义的贡献所需的多样化资源。这种紧张局势还推动卫生专业人员的教育、培训和部署方式发生重大变化。医疗保健改革将极大地改变医学院在患者护理、研究和教育项目领域的文化。这些机构面临着变革的外部压力和变革的内部障碍，其中最重要的是缺乏持续的领导力和集体愿景。学术医疗中心现在必须采取积极措施，客观地评估自己的优势和劣势，现实地审视各种选择，并建立新的、互利的合作伙伴关系，这将是成功的关键。
The transformation of US health care is driven by underlying principles. The tensions between what exists now and what will emerge over the next 15 years pervade health care delivery and financing, the doctor-patient relationship, the provider-payer relationship, and the atmosphere within educational institutions for the health professions. The institutions that early on develop the capacity to forge and sustain strategic partnerships will be well positioned to take advantage of the opportunities of a rapidly changing system, but those that do not will risk being isolated without the diversity of resources needed to make meaningful contributions to health care. The tensions also drive major changes in the way health professionals are educated, trained, and deployed. Health care reforms will dramatically change the culture of the medical school in areas of patient care, research, and education programs. These institutions face external pressures to change and internal barriers to change, not the least of which are the lack of sustained leadership and collective vision. Academic medical centers must take active steps now to assess their strengths and weaknesses objectively, look realistically at options, and construct new, mutually beneficial partnerships that will be the keys to success.