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

E. Cardinaal, K. Dubas-Jakóbczyk, D. Behmane, L. Bryndová, F. Cascini, H. Duighuisen, N. Davidovitch, R. Waitzberg, P. Jeurissen

. 2022 ; 126 (7) : 613-618. [pub] 20220426

Language English Country Ireland

Document type Journal Article, Review

Persistent link   https://www.medvik.cz/link/bmc22017892

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.

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$a We provide an explorative and international comparison of the governance models of academic medical centres (AMCs). These centres face significant challenges, including disruptive external pressures and enduring financial conflicts pertaining to patient treatment, research and education. Therefore, we covered 10 European countries (Cyprus, Czechia, Denmark, Germany, Italy, Latvia, the Netherlands, Norway, Poland and Spain) and one associated state (Israel) in our analysis. In addition, we developed an expert questionnaire to collect data on the governance of AMCs in these 11 countries. Our results revealed no standardised definition of AMCs, with countries combining patient care, education/teaching and research differently. However, the ownership of such institutions is significantly homogeneous and is limited to public or private, nonprofit ownership. Furthermore, significant differences are associated with the (functional) integration level between the hospital and medical school. Therefore, most experts believe that the governance of AMCs will evolve into a more functionally integrated model of patient care, research and education.
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$a Dubas-Jakóbczyk, Katarzyna $u Institute of Public Health, Chair of Health Sciences, Jagiellonian University Medical College, Krakow, Poland
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$a Behmane, Daiga $u Riga Stradiņš University, Riga, Latvia
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$a Bryndová, Lucie $u Center for Social and Economic Strategies, Faculty of Socials Sciences, Charles University, Prague, Czechia
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$a Cascini, Fidelia $u Section of Hygiene and Public Health, Università Cattolica del Sacro Cuore, Rome, Italy
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$a Duighuisen, Heleen $u Radboud universitair medisch centrum, Nijmegen, The Netherlands
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$a Davidovitch, Nadav $u Ben-Gurion University of the Negev, Beer-Sheva, Israel
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$a Waitzberg, Ruth $u The Smokler Center for Health Policy Research, Myers-JDC-Brookdale Institute, Jerusalem, Israel; Department of Health Systems Management, School of Public Health, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel; Department of Health Care Management, Faculty of Economics & Management, Technical University Berlin, Germany
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