Academic health centers: leading change in the 21st century by Institute of Medicine, Board on Health Care Services,

By Institute of Medicine, Board on Health Care Services, Committee on the Roles of Academic Health Centers in the 21st Century, Linda T. Kohn

Policymakers might want to create incentives to aid innovation and alter in AHCs. In reaction, AHCs might want to raise the extent of co-ordination and integration throughout their roles and the person agencies that include the AHC in the event that they are to effectively adopt the kinds of adjustments wanted. "Academic well-being facilities" lays out a method to begin a continuous and long term means of swap.

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Compared with people with acute conditions, annual medical costs per person were more than double for people with one chronic condition and almost six times higher for those with two or more such conditions (The Robert Wood Johnson Foundation, 1996). People with chronic conditions also spend more out of their own pockets for health care. , 2001). People with chronic conditions make different demands on the health care system than those requiring acute care. They use more health care and Copyright © National Academy of Sciences.

Patients, low-income populations, health plans), and experts in health policy and financing. The workshop agenda is presented in Appendix B. html. The committee also heard from a number of experts at its other meetings. Leaders from several universities, varying in size, ownership, and organizational structure, offered their views on the risks and rewards of sponsoring an AHC. Presentations were made by Judith Rodin, president, University of Pennsylvania; Lee Bollinger, president, Columbia University (formerly president, University of Michigan); Leonard Sandridge, executive Copyright © National Academy of Sciences.

All rights reserved. Copyright © National Academy of Sciences. All rights reserved. What the system can offer Services people need; preferences and expectations Public Needs and System Capabilities FIGURE 1-1 The Changing Roles of AHCs. html 26 ACADEMIC HEALTH CENTERS technological advances, combined with changes in the organization and financing of care, provide the health system with additional capabilities. These changing needs, expectations, and capabilities have their most direct impact on care delivery—what care is provided, how it is provided, by whom, and where.

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