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Titolo:
A STRATEGY FOR COPING WITH CHANGE - AN AFFILIATION BETWEEN A MEDICAL-SCHOOL AND A MANAGED CARE HEALTH SYSTEM
Autore:
STEVENS DP; LEACH DC; WARDEN GL; CHERNIACK NS;
Indirizzi:
CASE WESTERN RESERVE UNIV,SCH MED,DEANS OFF,T101,10900 EUCLID AVE CLEVELAND OH 44106 HENRY FORD HLTH SYST DETROIT MI 00000
Titolo Testata:
Academic medicine
fascicolo: 2, volume: 71, anno: 1996,
pagine: 133 - 137
SICI:
1040-2446(1996)71:2<133:ASFCWC>2.0.ZU;2-N
Fonte:
ISI
Lingua:
ENG
Soggetto:
REFORM;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
13
Recensione:
Indirizzi per estratti:
Citazione:
D.P. Stevens et al., "A STRATEGY FOR COPING WITH CHANGE - AN AFFILIATION BETWEEN A MEDICAL-SCHOOL AND A MANAGED CARE HEALTH SYSTEM", Academic medicine, 71(2), 1996, pp. 133-137

Abstract

Case Western Reserve University School of Medicine (CWRU), a private research-focused medical school, and Henry Ford Health System (HFHS), an integrated health system with a preponderance of managed care, haveestablished a formal, broad affiliation that includes substantial commitments that bind the two organizations. Among them are formal full-time faculty appointments at CWRU for qualified professional staff of HFHS, designation of an associate dean for CWRU at HFHS, election of HFHS faculty to key medical school committees such as admission, curriculum, and promotions and tenure, and the commitment of funds to the affiliation by both organizations: a grant from HFHS to CWRU for curriculum development, and investment from CWRU to HFHS. The alliance of two such organizations is made complex by a number of issues. They includedifferences of institutional cultures as well as traditional issues in academic health centers such as departmental authority over curriculum and faculty appointments, competition for academic preeminence, andcompetition among hospitals for patients. The affiliation was facilitated by shared commitments to education, agreement on the need to adapt student education to the emerging managed Care environment, a sharedcommitment to health services research, investment in the concept that learners add value to a health care delivery setting, and the desireto develop graduates with knowledge of practice in managed care. The authors conclude that medical schools and integrated managed care health systems gain sufficiently from such an affiliation that the investment of time, effort, and resources is readily justified.

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Documento generato il 31/03/20 alle ore 16:01:14