Download PDF by Institute of Medicine, Board on Health Care Services,: Academic health centers: leading change in the 21st century

By Institute of Medicine, Board on Health Care Services, Committee on the Roles of Academic Health Centers in the 21st Century, Linda T. Kohn

ISBN-10: 0309088933

ISBN-13: 9780309088930

Policymakers might want to create incentives to help innovation and alter in AHCs. In reaction, AHCs might want to bring up the extent of co-ordination and integration throughout their roles and the person agencies that contain the AHC in the event that they are to effectively adopt the kinds of alterations wanted. "Academic healthiness facilities" lays out a technique to begin a continuous and long term means of swap.

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All rights reserved. html 34 ACADEMIC HEALTH CENTERS tion and communications technology, and biotechnology—are reviewed below. Information and Communications Technology Inaccessible or poor-quality information has been identified as one of the health sector’s most avoidable shortcomings (Detmer, 2003). Public health agencies are unable to share critical information quickly or pool data for analysis; treatment advances take too long to reach people, while unproven procedures are widely used; variation in practice patterns means that the costs and outcomes of care that people experience depend on where they live rather than scientific evidence; and both patients and clinicians face conflicting and poor-quality information.

While external forces ultimately affect how AHCs carry out their roles, the actions of AHCs also affect care delivery and peoples’ needs and expectations, and even interact with other factors in the external environment (see Figure 1-1). The circular flow of the figure illustrates that AHCs can interact with the external environment in both reactive and proactive ways. For example, information technology affects how health professionals should be trained for practice, but as health professionals receive more training that incorporates information technology, changes can occur in clinical care that affect future training needs.

As health care expenditures rise, employers and payers are indicating their intention to increase consumer cost sharing (Robinson, 2002). Tiered pricing plans are one potential means of putting more decision making into the hands (and pockets) of consumers. , 2001). The same concept is being applied to hospital choice. Some health plans in selected markets are varying consumer out-of-pocket payments for different hospitals that are tiered according to their costs. Consumers who choose to use AHCs, which are typically more expensive than other hospitals, may face higher out-of-pocket spending for that choice (Robinson, 2003; Yegian, 2003).

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Academic health centers: leading change in the 21st century by Institute of Medicine, Board on Health Care Services, Committee on the Roles of Academic Health Centers in the 21st Century, Linda T. Kohn


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