BMC Health Serv Res. 2009 Apr 01;9:57. doi: 10.1186/1472-6963-9-57.
A new model for health care delivery.
BMC health services research
John P Kepros, Razvan C Opreanu
PMID: 19335920
PMCID: PMC2670290 DOI: 10.1186/1472-6963-9-57
Abstract
BACKGROUND: The health care delivery system in the United States is facing cost and quality pressures that will require fundamental changes to remain viable. The optimal structures of the relationships between the hospital, medical school, and physicians have not been determined but are likely to have a large impact on the future of healthcare delivery. Because it is generally agreed that academic medical centers will play a role in the sustainability of this future system, a fundamental understanding of the relative contributions of the stakeholders is important as well as creativity in developing novel strategies to achieve a shared vision.
DISCUSSION: Core competencies of each of the stakeholders (the hospital, the medical school and the physicians) must complement the others and should act synergistically. At the same time, the stakeholders should determine the common core values and should be able to make a meaningful contribution to the delivery of health care.
SUMMARY: Health care needs to achieve higher quality and lower cost. Therefore, in order for physicians, medical schools, and hospitals to serve the needs of society in a gratifying way, there will need to be change. There needs to be more scientific and social advances. It is obvious that there is a real and urgent need for relationship building among the professionals whose duty it is to provide these services.
References
- Health Aff (Millwood). 2002 Mar-Apr;21(2):296-9 - PubMed
- Acad Med. 2005 Jun;80(6):527-32 - PubMed
- J Med Pract Manage. 2007 Mar-Apr;22(5):278-9 - PubMed
- N Engl J Med. 2004 Oct 7;351(15):1479-81 - PubMed
- Acad Psychiatry. 2006 Jan-Feb;30(1):5-8 - PubMed
- Chest. 2004 Apr;125(4):1518-21 - PubMed
- J Allied Health. 1995 Winter;24(1):13-28 - PubMed
- Acad Med. 2001 Jul;76(7):693-9 - PubMed
- J Health Care Mark. 1986 Jun;6(2):49-56 - PubMed
- Transfus Med Rev. 2005 Jul;19(3):241-5 - PubMed
- Acad Med. 2000 Feb;75(2):194-6 - PubMed
- J Bone Joint Surg Am. 2007 Nov;89(11):2536-46 - PubMed
- Mark Health Serv. 2001 Winter;21(4):18-23 - PubMed
- J Surg Res. 2007 Mar;138(1):1-9 - PubMed
- Ann Surg. 1990 Jan;211(1):60-2 - PubMed
- Jt Comm J Qual Patient Saf. 2006 Oct;32(10):556-63 - PubMed
- Acad Med. 2006 Feb;81(2):107-12 - PubMed
- Acad Med. 1993 Oct;68(10):729-31 - PubMed
- Mod Healthc. 1999 Feb 1;29(5):22-3 - PubMed
- Acad Med. 2002 Aug;77(8):761-6 - PubMed
- Clin Orthop Relat Res. 2007 Apr;457:64-72 - PubMed
- Health Care Manage Rev. 1996 Spring;21(2):29-37 - PubMed
- JAMA. 2007 Aug 15;298(7):799-801 - PubMed
- J Am Coll Radiol. 2004 Jul;1(7):493-6 - PubMed
- JAMA. 1985 May 3;253(17):2543-8 - PubMed
- Minn Med. 2005 Dec;88(12):39-42 - PubMed
- Acad Med. 2006 Aug;81(8):713-20 - PubMed
- Am J Health Syst Pharm. 2006 Feb 1;63(3):198, 201, 206 - PubMed
- Aust N Z J Public Health. 2003;27(1):5-11 - PubMed
- Hosp Food Nutr Focus. 1991 Sep;8(1):1, 3-4 - PubMed
- Healthc Forum J. 1993 Sep-Oct;36(5):64-71 - PubMed
- Arch Surg. 2005 Aug;140(8):719-23 - PubMed
- N Engl J Med. 1993 Dec 9;329(24):1812-4 - PubMed
- Hosp Top. 1984 Jan-Feb;62(1):4-10 - PubMed
- Postgrad Med. 1984 May;75(6):14-6,21-6 - PubMed
- JAMA. 1996 Apr 3;275(13):1052 - PubMed
- Mod Healthc. 2000 Feb 28;30(9):28 - PubMed
- Hosp Health Netw. 1996 Jan 5;70(1):20-5 - PubMed
- Med Group Manage J. 1991 Sep-Oct;38(5):32-4, 36 - PubMed
- Hosp Peer Rev. 1996 Mar;21(3):43-5 - PubMed
- Hosp Health Netw. 2005 Sep;79(9):59-64, 2 - PubMed
- J Am Coll Surg. 2005 Sep;201(3):489-90; author reply 490 - PubMed
- J Soc Health Syst. 1992;3(4):25-30 - PubMed
- Med Group Manage J. 1992 Jul-Aug;39(4):20-2 - PubMed
- Mod Healthc. 2001 Apr 9;31(15):21 - PubMed
- Health Aff (Millwood). 2007 Mar-Apr;26(2):w242-53 - PubMed
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