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Governance of academic medical centres in changing healthcare systems: An international comparison

Author

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  • Cardinaal, Ester
  • Dubas-Jakóbczyk, Katarzyna
  • Behmane, Daiga
  • Bryndová, Lucie
  • Cascini, Fidelia
  • Duighuisen, Heleen
  • Davidovitch, Nadav
  • Waitzberg, Ruth
  • Jeurissen, Patrick

Abstract

We provide an explorative and international comparison of the governance models of academic medical centres (AMCs). These centres face significant challenges, including disruptive external pressures and enduring financial conflicts pertaining to patient treatment, research and education. Therefore, we covered 10 European countries (Cyprus, Czechia, Denmark, Germany, Italy, Latvia, the Netherlands, Norway, Poland and Spain) and one associated state (Israel) in our analysis. In addition, we developed an expert questionnaire to collect data on the governance of AMCs in these 11 countries. Our results revealed no standardised definition of AMCs, with countries combining patient care, education/teaching and research differently. However, the ownership of such institutions is significantly homogeneous and is limited to public or private, nonprofit ownership. Furthermore, significant differences are associated with the (functional) integration level between the hospital and medical school. Therefore, most experts believe that the governance of AMCs will evolve into a more functionally integrated model of patient care, research and education.

Suggested Citation

  • Cardinaal, Ester & Dubas-Jakóbczyk, Katarzyna & Behmane, Daiga & Bryndová, Lucie & Cascini, Fidelia & Duighuisen, Heleen & Davidovitch, Nadav & Waitzberg, Ruth & Jeurissen, Patrick, 2022. "Governance of academic medical centres in changing healthcare systems: An international comparison," Health Policy, Elsevier, vol. 126(7), pages 613-618.
    • Handle: RePEc:eee:hepoli:v:126:y:2022:i:7:p:613-618
    DOI: 10.1016/j.healthpol.2022.04.011
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    References listed on IDEAS

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    1. Katarzyna Dubas-Jakóbczyk & Alicja Domagała & Dorota Kiedik & Juan Nicolás Peña-Sánchez, 2019. "Exploring Satisfaction and Migration Intentions of Physicians in Three University Hospitals in Poland," IJERPH, MDPI, vol. 17(1), pages 1-15, December.
    2. French, Catherine E. & Ferlie, Ewan & Fulop, Naomi J., 2014. "The international spread of Academic Health Science Centres: A scoping review and the case of policy transfer to England," Health Policy, Elsevier, vol. 117(3), pages 382-391.
    3. Bryndová, Lucie & Bar, Michal & Herzig, Roman & Mikulík, Robert & Neumann, Jiří & Šaňák, Daniel & Škoda, Ondřej & Školoudík, David & Václavík, Daniel & Tomek, Aleš, 2021. "Concentrating stroke care provision in the Czech Republic: The establishment of Stroke Centres in 2011 has led to improved outcomes," Health Policy, Elsevier, vol. 125(4), pages 520-525.
    4. Katarzyna Dubas-Jakóbczyk & Ewa Kocot & Anna Kozieł, 2020. "Financial Performance of Public Hospitals: A Cross-Sectional Study among Polish Providers," IJERPH, MDPI, vol. 17(7), pages 1-14, March.
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