Health research in academic health systems: time for a new model

Area of Science:

• Health Services Research
• Medical Education
• Public Health

Background:

• Academic health systems have a tripartite mission encompassing research, patient care, and education.
• Health research is crucial for societal advancement and public health.
• Current financial models supporting research in U.S. academic health systems are strained and unsustainable.

Purpose of the Study:

• To review the societal roles of health research within academic health systems.
• To describe the current financial pressures impacting health research.
• To propose an evolved model and actionable steps for the future of health research.

Main Methods:

• This is a commentary, not an empirical study.
• It involves a review of the current landscape of health research funding and operations.
• It includes the proposal of a new model and strategic recommendations.

Main Results:

• The financial model supporting health research in academic health systems is unsustainable.
• Significant resource constraints are impacting research activities.
• An evolved model is necessary to ensure the future of health research.

Conclusions:

• Academic health systems must adapt their financial and operational models to support research.
• Urgent consideration of new strategies is needed to advance health research.
• The proposed evolved model offers a path toward sustainable health research.