A New Conceptual Framework for Academic Health Centers
A New Conceptual Framework for Academic Health Centers
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DOI：
10.1097/acm.0000000000000688
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发表时间：
2015-05-01
影响因子：
7.4
通讯作者：
Pardes, Herbert
中科院分区：
文献类型：
--
作者：
Borden, William B.;Mushlin, Alvin I.;Pardes, Herbert
在《平价医疗法案》的领导下，美国医疗保健系统正在经历一场变革，朝着提高质量和效率的责任转变。学术健康中心（AHC），其三重使命的临床护理，研究和教育服务在国家的医疗保健系统中发挥着关键作用，必须适应这种不断变化的环境。然而，要成功地做到这一点，就需要对AHC的广泛作用有更广泛的理解。本文提出了一个概念框架，通过该框架，三重使命沿着沿着四个新的维度扩展：健康、创新、社区和政策。概念框架类别中的例子，如AHC的安全网功能，它们对当地经济的贡献，以及它们在合理调整卫生保健劳动力规模方面的作用，说明了这些方面中的每一个如何提供现代AHC的更强大的画面，并展示了AHC的附加值。这一概念框架还为制定新的业绩衡量标准提供了基础，根据这些标准，可以对人道主义协调员个人和作为一个群体进行问责，并为影响他们的政策决定提供信息。对现代AHCs的各种活动进行更仔细的检查，澄清了它们在我们的医疗保健系统中的重要作用，并将使这些机构能够发展，改进，负责，并更充分地为国家的健康服务。
Led by the Affordable Care Act, the U.S. health care system is undergoing a transformative shift toward greater accountability for quality and efficiency. Academic health centers (AHCs), whose triple mission of clinical care, research, and education serves a critical role in the country's health care system, must adapt to this evolving environment. Doing so successfully, however, requires a broader understanding of the wide-ranging roles of the AHC. This article proposes a conceptual framework through which the triple mission is expanded along four new dimensions: health, innovation, community, and policy. Examples within the conceptual framework categories, such as the AHCs' safety net function, their contributions to local economies, and their role in right-sizing the health care workforce, illustrate how each of these dimensions provides a more robust picture of the modern AHC and demonstrates the value added by AHCs. This conceptual framework also offers a basis for developing new performance metrics by which AHCs, both individually and as a group, can be held accountable, and that can inform policy decisions affecting them. This closer examination of the myriad activities of modern AHCs clarifies their essential role in our health care system and will enable these institutions to evolve, improve, be held accountable for, and more fully serve the health of the nation.