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A U.S. perspective on AHSCs: a future of increased diversification
1Institute for Health Services Research, Tulane University, New Orleans, LA, USA.
Healthcarepapers
|June 19, 2003
Summary
Academic Health Sciences Centres (AHSCs) face competition, prompting efforts to integrate into delivery systems. However, market forces may fragment these systems, necessitating diversified organizational forms and increased research funding.
Area of Science:
- Health Services Management
- Organizational Theory
- Academic Medicine
Background:
- Academic Health Sciences Centres (AHSCs) are historically powerful but face challenges from agile competitors.
- Increased reliance on clinical revenue impacts the traditional teaching mission of AHSCs.
- Efforts are underway to reposition AHSCs within integrated delivery systems in the US.
Purpose of the Study:
- To review US AHSC leaders' strategies for integration into delivery systems.
- To analyze the impact of financial schemes on integrated care.
- To explore future organizational forms for AHSCs based on organizational theory.
Main Methods:
- Commentary review of leadership efforts.
- Analysis from an organizational theory perspective.
- Discussion of financial influences on integrated care.
Main Results:
- US integrated systems may be fragmenting due to marketplace financial schemes.
- AHSCs' reliance on clinical revenue is increasing.
- Diversification of organizational forms is suggested for AHSCs.
Conclusions:
- Future strategies for AHSCs may involve diversifying organizational forms.
- Reducing reliance on clinical revenue through enhanced research funding is recommended.
- The fragmentation of integrated systems poses a challenge for AHSCs.