Past, present and future of university hospitals.

IF 1.1 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
Acta Clinica Belgica Pub Date : 2020-06-01 Epub Date: 2019-03-21 DOI:10.1080/17843286.2019.1590024
Kasper Raus, Eric Mortier, Kristof Eeckloo
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引用次数: 2

Abstract

Objectives: Health care systems worldwide are changing and taking new forms. The old, more hierarchically oriented, model with individual institutional and bilateral interactions between primary, secondary, tertiary and quaternary care is being replaced by an integrated and dynamic network model. We aim to look at what role university hospitals will play in this future organization of health care.Method: In this paper, we look at the relevant literature on the history of academic medicine and university hospitals. Subsequently, we look at the challenges university hospitals are facing according to contemporary literature on the topic.Results: Our current model of academic medicine with its university hospitals finds its origin in the institutionalization of the academic mission in the late 18th century. Currently, the sustainability of the model is under immense pressure. University hospitals are facing economic challenges, teaching challenges and research challenges. However, there is reason to believe that they can continue to play a role of importance in tomorrow's medicine. The organization of health care is undergoing two important changes. The first is the evolution towards a more dynamic and integrated network model. University hospitals can become an important hub within this network. The second change is an evolution towards evidence based medicine and translational research.Conclusion: Due to their unique tripartite mission, we argue that university hospitals can continue to play an important and critical role in promoting evidence-based medicine and speedy translation of new evidence.

大学医院的过去、现在和未来。
目标:世界各地的卫生保健系统正在发生变化并采取新的形式。在初级、二级、三级和四级保健之间进行个人机构和双边互动的旧的、更注重等级的模式正在被一个综合的、动态的网络模式所取代。我们的目标是研究大学医院在未来的医疗保健组织中扮演什么角色。方法:查阅学术医学史和大学医院史的相关文献。随后,我们根据有关该主题的当代文献,看看大学医院面临的挑战。结果:我们目前的学术医学模式及其大学医院的起源是18世纪后期学术使命的制度化。目前,该模式的可持续性面临巨大压力。大学医院面临着经济挑战、教学挑战和科研挑战。然而,我们有理由相信它们将继续在未来的医学中发挥重要作用。卫生保健的组织正在经历两个重要的变化。首先是向更加动态和集成的网络模型的演变。大学医院可以成为这一网络的重要枢纽。第二个变化是向循证医学和转化研究的演变。结论:由于其独特的三方使命,我们认为大学医院可以继续在促进循证医学和快速转化新证据方面发挥重要而关键的作用。
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来源期刊
Acta Clinica Belgica
Acta Clinica Belgica MEDICINE, GENERAL & INTERNAL-
CiteScore
3.50
自引率
0.00%
发文量
44
期刊介绍: Acta Clinica Belgica: International Journal of Clinical and Laboratory Medicine primarily publishes papers on clinical medicine, clinical chemistry, pathology and molecular biology, provided they describe results which contribute to our understanding of clinical problems or describe new methods applicable to clinical investigation. Readership includes physicians, pathologists, pharmacists and physicians working in non-academic and academic hospitals, practicing internal medicine and its subspecialties.
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