Korean Medical Education Review (의학교육논단)

Yonsei university college of medicine (연세대학교 의과대학)
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Academic Medicine Is Patient-Centered Medicine

Academic Medicine은 환자 중심 의료이다

  • An, Shinki (Department of Medical Education, Yonsei University College of Medicine)
  • 안신기 (연세대학교 의과대학 의학교육학교실)
  • Received : 2019.05.13
  • Accepted : 2019.06.19
  • Published : 2019.06.30
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Abstract

The tripartite mission of 'academic medicine' is education, research, and patient care. Academic medical centers (AMCs) are carrying out the mission and ultimately aiming to improve the health of people and communities. Globally, AMCs are facing a tremendous financial risk stemming from the changes in health insurance reimbursement plans and a shortage of human resources. Innovative AMCs in the United States are trying to transform their physician-centered, and siloed structure into a patient-centered, and integrated structure. They are also building integrated systems with primary healthcare groups to provide continuous patient care from primary to tertiary levels and making strategic networks based on value-based payment and the patient-centered model. These changes have been proven to improve outcomes of patient care and increase fiscal revenues, which are both crucial in supporting education and research. To address the shortage of human resources, programs are being built to develop newly appointed faculty for the future. AMCs have different approaches to bringing changes into their organizations; however, there is a common emphasis on 'a patient-centered approach,' which helps them set more explicit organizational values and make strategic decisions based on their values. Korean AMCs are facing similar challenges to AMCs in the United States in spite of many differences between the countries' healthcare systems. The innovative efforts of AMCs in the United States to address the challenges will be helpful, well-worked examples for Korean AMCs with similar challenges.

Keywords

OHKOCT_2019_v21n2_80_f0001.png 이미지

Figure 1. AMC leaders are hesitant to address issues related to the AMC governance structure.

OHKOCT_2019_v21n2_80_f0002.png 이미지

Figure 2. Patient care and integrated healthcare delivery model of AMCs.

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