Figure 1. AMC leaders are hesitant to address issues related to the AMC governance structure.
Figure 2. Patient care and integrated healthcare delivery model of AMCs.
References
- Kanter SL. What is academic medicine? Acad Med. 2008;83(3):205-6. https://doi.org/10.1097/ACM.0b013e318168e828
- Kingston O, Behjati S. Academic medicine. BMJ. 2008;336:s172. https://doi.org/10.1136/bmj.39576.631238.CE.
- Kim KW. 'Academic medicine' evangelist, Hee Chul Han, the chairman of the board of directors of KAMC [Internet]. Seoul: Doctor's Times;c2017 [cited 2019 May 11]. Available from: http://www.doctorstimes.com/news/articleView.html?idxno=190588.
- Lee KS. Development and reconsideration of Korea healthcare system. Health Policy Manag. 2013;23(4):303-13. https://doi.org/10.4332/KJHPA.2013.23.4.303
- Kwon S. Thirty years of national health insurance in South Korea: lessons for achieving universal health care coverage. Health Policy Plan. 2009;24(1):63-71. https://doi.org/10.1093/heapol/czn037
- Lee EK. Current issues and policy directions for the national health insurance. Health Welf Policy Forum. 2018;(256):51-64.
- Stein D, Chen C, Ackerly DC. Disruptive innovation in academic medical centers: balancing accountable and academic care. Acad Med. 2015;90(5):594-8. https://doi.org/10.1097/ACM.0000000000000606
- Chung YH, Ko SJ. Comparison of US and UK for health care reform. Health Welf Policy Forum. 2005;(102):77-87.
- Kim CY. Health coverage system of the united state (1): past and present. Health Insur Forum. 2004;3(4):52-66.
- MCOL. Managed care fact sheets > national managed care penetration: managed care penetration 2017 [Internet]. Modesto (CA): MCOL; 2018 [cited 2019 Jun 14]. Available from: http://www.mcol.com/managed_care_penetration.
- Phillips RL Jr, Fryer GE, Chen FM, Morgan SE, Green LA, Valente E, et al. The Balanced Budget Act of 1997 and the financial health of teaching hospitals. Ann Fam Med. 2004;2(1):71-8. https://doi.org/10.1370/afm.17
- Obama B. United States health care reform: progress to date and next steps. JAMA. 2016;316(5):525-32. https://doi.org/10.1001/jama.2016.9797
- Quito A, Shendruk A. US hospitals are now required by law to post prices online: good luck finding them [Internet]. New York (NY): Quartz Media Inc.; c2019 [cited 2019 May 11]. Available from: https://qz.com/1518545/price-lists-for-the-115-biggest-us-hospitals-new-transparency-law/.
- Cleveland Clinic. Cleveland Clinic 2007 annual report [Internet]. Cleveland (OH): Cleveland Clinic; 2007 [cited 2019 May 11]. Available from: https://my.clevelandclinic.org/ccf/media/Files/About/CC_Annual_Report_2007.pdf?la=en.
- Miller JC, Andersson GE, Cohen M, Cohen SM, Gibson S, Hindery MA, et al. Perspective: follow the money: the implications of medical schools' funds flow models. Acad Med. 2012;87(12):1746-51. https://doi.org/10.1097/ACM.0b013e3182713b77
- Statistical Analysis and Reporting. Research project grants: average funding in current and constant dollars: NIH data book report ID 155 [Internet]. Bethesda (MD): National Institutes of Health; 2018 [cited 2019 May 11]. Available from: https://report.nih.gov/nihdatabook/report/155.
- Densen P. Challenges and opportunities facing medical education. Trans Am Clin Climatol Assoc. 2011;122:48-58.
- Heiser S. New research shows increasing physician shortages in both primary and specialty care [Internet]. Washington (DC): Association of American Medical Colleges; 2018 [cited 2019 Jun 12]. Available from: https://news.aamc.org/press-releases/article/workforce_report_shortage_04112018/.
- National Institutes of Health. Physician-Scientist Workforce Working Group Report. [Internet]. Bethesda (MD): National Institutes of Health; 2014 [cited 2019 Jun 12]. Available from: https://acd.od.nih.gov/documents/reports/PSW_Report_ACD_06042014.pdf.
- Tsugawa Y, Newhouse JP, Zaslavsky AM, Blumenthal DM, Jena AB. Physician age and outcomes in elderly patients in hospital in the US: observational study. BMJ. 2017;357:j1797.
- Kaiser J. NIH report warns of looming shortage of physician-scientists [Internet]. Washington (DC): American Association for the Advancement of Science; 2014 [cited 2019 Jun 12]. Available from: https://www.science mag.org/news/2014/06/nih-report-warns-looming-shortage-physicianscientists.
- Daniels RJ. A generation at risk: young investigators and the future of the biomedical workforce. Proc Natl Acad Sci U S A. 2015;112(2):313-8. https://doi.org/10.1073/pnas.1418761112
- Fresne J, Youngclaus J, Shick M, Earle K. Medical student education: debt, costs, and load repayment fact card [Internet]. Washington (DC): Association of American Medical Colleges; 2018 [cited 2019 May 10]. Available from: https://store.aamc.org/downloadable/download/sample/sample_id/240/.
- Furuya H, Brenner D, Rosser CJ. On the brink of extinction: the future of translational physician-scientists in the United States. J Transl Med. 2017;15(1):88. https://doi.org/10.1186/s12967-017-1188-6
- Schindler BA, Novack DH, Cohen DG, Yager J, Wang D, Shaheen NJ, et al. The impact of the changing health care environment on the health and well-being of faculty at four medical schools. Acad Med. 2006;81(1):27-34. https://doi.org/10.1097/00001888-200601000-00008
- Souba WW. Academic medicine and the search for meaning and purpose. Acad Med. 2002;77(2):139-44. https://doi.org/10.1097/00001888-200202000-00008
- Campbell EG, Weissman JS, Moy E, Blumenthal D. Status of clinical research in academic health centers: views from the research leadership. JAMA. 2001;286(7):800-6. https://doi.org/10.1001/jama.286.7.800
- Feldman AM. Pursuing excellence in healthcare: preserving America's academic medical centers. New York (NY): CRC Press; 2010.
- Zinner DE, Campbell EG. Life-science research within US academic medical centers. JAMA. 2009;302(9):969-76. https://doi.org/10.1001/jama.2009.1265
- Meador KJ. Decline of clinical research in academic medical centers. Neurology. 2015;85(13):1171-6. https://doi.org/10.1212/WNL.0000000000001818
- Druss BG, Marcus SC. Academic medicine: who is it for?: funding gap between clinical and basic science publications is growing. BMJ. 2005;330(7487):360-1. https://doi.org/10.1136/bmj.330.7504.E360
- PWC Health Research Institute. The future of the academic medical center: strategies to avoid a margin meltdown [Internet]. Orlando (FL): PWC Health Research Institute; 2012 [cited 2019 May 11]. Available from: https://uofuhealth.utah.edu/hcr/2012/resources/the-future-of-academic-medical-centers.pdf.
- Mann DM, Hess R. Academic medical center R&D: a call for creating an operational research infrastructure within the academic medical center. Clin Transl Sci. 2015;8(6):871-2. https://doi.org/10.1111/cts.12329
- Kattan MW. Why Cleveland Clinic shares its outcomes data with the world [Internet]. Waltham (MA): NEJM Catalyst; 2016 [cited 2019 May 11]. Available from: https://catalyst.nejm.org/why-cleveland-clinic-shares-its-outcomes-data-with-the-world/.
- Robeznieks A. Geisinger makes quality pledge that lasts a lifetime [Internet]. Chicago (IL): American Medical Association; 2018 [cited 2019 May 11]. Available from: https://www.ama-assn.org/practice-management/economics/geisinger-makes-quality-pledge-lasts-lifetime.
- Vartorella L. Steal this idea: Geisinger CEO David Feinberg explains how giving back money is his system's most valuable expense [Internet]. Chicago (IL): Becker's Hospital Review; 2018 [cited 2019 May 12]. Available from: https://www.beckershospitalreview.com/hospital-management-administration/steal-this-idea-geisinger-ceo-david-feinberg-explains-howgiving-away-money-is-his-system-s-most-valuable-expense.html.
- Hsu J, Price M, Vogeli C, Brand R, Chernew ME, Chaguturu SK, et al. Bending the spending curve by altering care delivery patterns: the role of care management within a pioneer ACO. Health Aff (Millwood). 2017;36(5):876-84. https://doi.org/10.1377/hlthaff.2016.0922
- Peikes D, Peterson G, Brown RS, Graff S, Lynch JP. How changes in Washington University's Medicare coordinated care demonstration pilot ultimately achieved savings. Health Aff (Millwood). 2012;31(6):1216-26. https://doi.org/10.1377/hlthaff.2011.0593
- Ritchie C, Andersen R, Eng J, Garrigues SK, Intinarelli G, Kao H, et al. Implementation of an interdisciplinary, team-based complex care support health care model at an academic medical center: impact on health care utilization and quality of life. PLoS One. 2016;11(2):e0148096. https://doi.org/10.1371/journal.pone.0148096
- Blumenthal D, McCarthy D, Shah TB. Academic medical centers and high-need, high-cost patients: a call to action. Acad Med. 2018;93(11):1617-9. https://doi.org/10.1097/ACM.0000000000002334
- Porter ME. What is value in health care? N Engl J Med. 2010;363(26):2477-81. https://doi.org/10.1056/NEJMp1011024
- Porter ME, Lee TH. The strategy that will fix health care. Harv Bus Rev. 2013;91(10):50-70.
- Roberts P. Total teamwork: the Mayo Clinic. Radiol Manage. 1999;21(4):29-30,32-6.
- AAMC Advisory Panel on Health Care. Advancing the academic health system for the future: a report from the AAMC Advisory Panel on Health Care [Internet]. Washington (DC): Association of American Medical Colleges; 2014 [cited 2019 Jun 12]. Available from: https://www.manatt.com/uploadedFiles/Content/2_Our_People/Enders,_Thomas/AdvancingtheAcademicHealthSystemfortheFuture_AAMC_Mar2014_Paper.PDF.
- Cleveland Clinic. Newsroom: resources for journalists and media outlets: facts and figures: Cleveland Clinic by the numbers [Internet]. Cleveland (OH): Cleveland Clinic; 2019 [cited 2019 May 10]. Available from: https://newsroom.clevelandclinic.org/facts-figures/.
- Khorana AA, Bolwell BJ. Reducing time-to-treatment for newly diagnosed cancer patients [Internet]. Waltham (MA): NEJM Catalyst; 2019 [cited 2019 Jun 14]. Available from: https://catalyst.nejm.org/time-to-treatment-cancer-patients/.
- Johns Hopkins Medicine. A look at our books: fiscal year 2015 capital budget and annual operating plan [Internet]. Baltimore (MD): Johns Hopkins Medicine; 2016 [cited 2019 Jun 14]. Available from: https://www.hopkinsmedicine.org/news/publications/_docs/operating_capital_budget_infographic.pdf.
- Ries A, Wingard D, Morgan C, Farrell E, Letter S, Reznik V. Retention of junior faculty in academic medicine at the University of California, San Diego. Acad Med. 2009;84(1):37-41. https://doi.org/10.1097/ACM.0b013e3181901174
- Ries A, Wingard D, Gamst A, Larsen C, Farrell E, Reznik V. Measuring faculty retention and success in academic medicine. Acad Med. 2012; 87(8):1046-51. https://doi.org/10.1097/ACM.0b013e31825d0d31
- Choi AM, Moon JE, Steinecke A, Prescott JE. Developing a culture of mentorship to strengthen academic medical centers. Acad Med. 2019;94(5):630-3. https://doi.org/10.1097/ACM.0000000000002498
- Harvard Medical School, Harvard School of Dental Medicine. Governance, appointment, promotion handbook [Internet]. Boston (MA): Harvard Medical School; 2018 [cited 2019 May 11]. Available from: https://fa.hms.harvard.edu/files/hmsofa/files/fom_handbook_current_issue.dec2018v2.pdf.
- Johns Hopkins University School of Medicine. Professional development guide for the faculty of The Johns Hopkins University School of Medicine [Internet]. Baltimore (MD): Johns Hopkins University School of Medicine; 2016 [cited 2019 May 11]. Available from: https://www.hopkinsmedicine.org/som/faculty/_downloads/silver-book.pdf.
- Straus SE, Straus C, Tzanetos K; International Campaign to Revitalise Academic Medicine. Career choice in academic medicine: systematic review. J Gen Intern Med. 2006;21(12):1222-9. https://doi.org/10.1111/j.1525-1497.2006.00599.x
- Yale School of Medicine. Medical doctorate thesis [Internet]. New Haven (CT): Yale School of Medicine; 2019 [cited 2019 May 11]. Available from: https://medicine.yale.edu/education/research/mdthesis/.
- Cosgrove T. The Cleveland Clinic way: lessons in excellence from one of the world's leading health care organizations. New York (NY): McGraw-Hill Education; 2014.
- Berry LL, Seltman KD. The enduring culture of Mayo Clinic. Mayo Clin Proc. 2014;89(2):144-7. https://doi.org/10.1016/j.mayocp.2013.10.025
- Scott A. Employee-free hospitals. Brunswick Rev. 2017;13:46-8.
- Mayo Clinic. "The Mayo effect": ten things you may not know about Mayo Clinic [Internet]. Rochester (MN): Mayo Clinic; 2011 [cited 2019 May 9]. Available from: https://www.mayoclinic.org/documents/mayo-effect-10-things-pdf/doc-20079459.
- Hiebert PG. Cultural differences and the communication of the gospel. In: Winter RD, Hawthorne SC, Dorr DR, Graham DB, Koch BA, editors. Perspectives on the world Christian movement. 3rd ed. Pasadena (CA): William Carey Library; 1999. p. 373-83.
- Tilburt J, Geller G. Viewpoint: the importance of worldviews for medical education. Acad Med. 2007;82(8):819-22. https://doi.org/10.1097/ACM.0b013e3180d098cc
- Schein EH. Organizational culture and leadership. San Francisco (CA): Jossey-Bass Publishers; 1985.
- Fullan M. The new meaning of educational change. 5th ed. New York (NY): Teachers College Press; 2016.
- Viggiano TR, Pawlina W, Lindor KD, Olsen KD, Cortese DA. Putting the needs of the patient first: Mayo Clinic's core value, institutional culture, and professionalism covenant. Acad Med. 2007;82(11):1089-93. https://doi.org/10.1097/ACM.0b013e3181575dcd
- Ferlie E, Fitzgerald L, Wood M, Hawkins C. The nonspread of innovations: the mediating role of professionals. Acad Manag J. 2005;48(1):117-34. https://doi.org/10.5465/amj.2005.15993150
- Dzau VJ, Yoediono Z, Ellaissi WF, Cho AH. Fostering innovation in medicine and health care: what must academic health centers do? Acad Med. 2013;88(10):1424-9. https://doi.org/10.1097/ACM.0b013e3182a32fc2
- National Institutes of Health. History [Internet]. Bethesda (MD): National Institutes of Health; 2019 [cited 2019 May 9]. Available from: https://www.nih.gov/about-nih/who-we-are/history.
- Chung BK, Sung JE, Song WJ. Development of basic medical sciences as the platform research and task to be solved. Sci Tech Policy. 2013;23(3):123-35.
- Lee SW. Re-ignited debate about telemedicine [Internet]. Seoul: Sisain; 2018 [cited 2019 May 11]. https://www.sisain.co.kr/?mod=news&act=articleView&idxno=32698.
- Lim S. Medical professors who are about to retire are looking for places to go to hospitals, government agencies, and so forth [Internet]. Seoul: MEDIGATE; 2018 [cited 2019 Jun 14]. Available from: https://www.medigatenews.com/news/2786326503.
- Jung SM. Current status and directions of resident education. J Korean Med Assoc. 2019;62(2):72-7. https://doi.org/10.5124/jkma.2019.62.2.72
- Park SM. A way to support resident education and improvement of training environment by the governmental finance [Internet]. Seoul: Korean Academy of Medical Science; 2017 [cited 2019 Apr 30]. Available from: http://kams.or.kr/webzine/17vol83/index.php?main_num=1.