TY - JOUR
T1 - Governance of academic medical centres in changing healthcare systems
T2 - An international comparison
AU - Cardinaal, Ester
AU - Dubas-Jakóbczyk, Katarzyna
AU - Behmane, Daiga
AU - Bryndová, Lucie
AU - Cascini, Fidelia
AU - Duighuisen, Heleen
AU - Davidovitch, Nadav
AU - Waitzberg, Ruth
AU - Jeurissen, Patrick
N1 - Funding Information:
The authors would like to thank all questionnaire respondents and consultants, including José Manuel Aranda (ES), José Manuel Freire (ES), Josep Bonet (ES), Szczepan Cofta (PL), Ewout van Ginneken (DE), Verena van Ginneken (DE), Arjan van der Hoeven (NL), Juan Del Llano (ES), Jacques Landman (NL), Anne-Karin Lindahl (NO), Antonio Moreno (ES), Santiago Rabanal (ES), Bob de Jonge (NL), Marios Kantaris (CY), Fernando Silio (ES), and Karsten Vrangbaek (DK).
Funding Information:
The work of LB was supported by the grant SVV 260 596 of the Charles University.
Publisher Copyright:
© 2022
PY - 2022/7
Y1 - 2022/7
N2 - 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.
AB - 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.
KW - Academic Medical Centres
KW - Changing Healthcare System
KW - European comparison
KW - Functional integration
KW - Governance
UR - http://www.scopus.com/inward/record.url?scp=85130071424&partnerID=8YFLogxK
U2 - 10.1016/j.healthpol.2022.04.011
DO - 10.1016/j.healthpol.2022.04.011
M3 - Review article
C2 - 35490139
AN - SCOPUS:85130071424
SN - 0168-8510
VL - 126
SP - 613
EP - 618
JO - Health Policy
JF - Health Policy
IS - 7
ER -
