Academic Health System Framework for Health Services Transformation: A Perspective View from West Java, Indonesia

Area of Science:

• Health Systems Strengthening
• Medical Education Reform
• Global Health Equity

Background:

• Low and middle-income countries face significant health challenges despite medical advancements.
• Medical schools are crucial for driving health service reform and leadership in health systems.
• Existing frameworks for Academic Health Systems (AHS) require adaptation for diverse national contexts.

Purpose of the Study:

• To outline an Academic Health Systems (AHS) agenda for Indonesia.
• To propose a conceptual framework for enhancing health systems in resource-limited settings.
• To identify key principles for AHS implementation in Indonesia.

Main Methods:

• System thinking methodology applied to analyze existing literature and frameworks.
• Stakeholder engagement through interviews, focus groups, and collaborative workshops.
• Consolidation of findings to develop proposed frameworks and principles.

Main Results:

• A conceptual framework and agenda for Academic Health Systems (AHS) in Indonesia were developed.
• Fundamental principles for AHS were identified, emphasizing transformative learning, community engagement, and translational research.
• A route for enhancing the Indonesian health system through AHS was outlined.

Conclusions:

• Academic Health Systems (AHS) offer a viable model for improving health services in Indonesia.
• The proposed principles of transformative learning, community engagement, and translational research are central to successful AHS programs.
• The AHS agenda for Indonesia has potential for adaptation and implementation in other low- and middle-income countries.