Contemporary Challenges and Opportunities at Academic Health Centers
Contemporary Challenges and Opportunities at Academic Health Centers
复制标题
学术健康中心的当代挑战和机遇
DOI：
10.1097/00115514-200503000-00010
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发表时间：
2005
期刊：
影响因子：
--
通讯作者：
R. R. Clark
中科院分区：
文献类型：
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作者：
S. Retchin;R. R. Clark
执行摘要 学术健康中心 (AHC) 近年来一直在努力重新定义其在医疗保健服务方面的特殊地位。本文介绍了 AHC 的结构和流程特征，作为重新设计 AHC 医疗保健服务的框架。我们回顾并综合了有关卫生系统绩效的文献。此外，我们还讨论了医疗保健服务的属性，这些属性对 AHC 来说既是挑战也是机遇，包括护理成本；护理的全面性和能力；覆盖范围；护理的连续性、沟通和协调；实践的一致性；和整合。给出了关于 AHC 优先事项的建议，并描述了未来理想的学术交付系统的具体特征。
EXECUTIVE SUMMARY 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.