Policy-making and governance in academic health centers

Hastings, Douglas A.; Crispell, Kenneth R.

doi:10.1097/00001888-198004000-00002

Cited by 3 publications

(1 citation statement)

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“…The most common way of defining an AMC is its tripartite mission, which consists of patient care, research, education, and their relation to universities [3][4][5]. This tripartite mission suggests that AMCs are expected to achieve high standards of (specialised) clinical care, perform fundamental and translational research, and educate doctors and other health professionals [6][7][8]. The existence of different organisational components within one organisation ensures variability and thus complexity in the organisational structure of an AMC [9].…”

Section: Introductionmentioning

confidence: 99%

Inventory and analysis of literature on the organisation of eight European academic medical centres—A scoping review

Cardinaal

Duighuisen²,

Jeurissen³

et al. 2023

PLoS ONE

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Academic Medical Centres (AMCs) are important organisations for shaping healthcare. The purpose of this scoping review is to understand the scope and type of evidence related to the organisation of European AMCs. We selected the study population intending to obtain a demographic cross-section of European countries: Czech Republic, Germany, Latvia, the Netherlands, Poland, Spain, Sweden and the UK. We focused our search strategy on the relationship between medical schools and AMCs, the organisation of governing bodies, and legal ownership. We searched the bibliographic databases of PubMed and Web of Science (most recent search date 17-06-2022). To enrich the search result, we used Google search engines to conduct targeted searches for relevant websites. Our search strategy yielded 4,672 records for consideration. After screening and reviewing full-text papers, 108 sources were included. Our scoping review provided insight into the scope and type of evidence related to the organisation of European AMCs. Limited literature is available on the organisation of these AMCs. Information from national-level websites complemented the literature and provided a more complete picture of the organisation of European AMCs. We found some meta-level similarities regarding the relationship between universities and AMCs, the role of the dean and the public ownership of the medical school and the AMC. In addition, we found several reasons why a particular organisational and ownership structure was chosen. There is no uniform model for AMC organisations (apart from some meta-level similarities). Based on this study, we cannot explain the diversity in these models. Therefore, further research is needed to explain these variations. For example, by generating a set of hypotheses through in-depth case studies that also focus on the context of AMCs. These hypotheses can then be tested in a larger number of countries.

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