Academic health centers: leading change in the 21st century by Institute of Medicine, Board on Health Care Services,

By Institute of Medicine, Board on Health Care Services, Committee on the Roles of Academic Health Centers in the 21st Century, Linda T. Kohn

Policymakers might want to create incentives to aid innovation and alter in AHCs. In reaction, AHCs might want to raise the extent of co-ordination and integration throughout their roles and the person organisations that include the AHC in the event that they are to effectively adopt the categories of adjustments wanted. "Academic healthiness facilities" lays out a method to begin a continuous and long term technique of swap.

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They need to speak loudly and clearly for the actions necessary to improve the health of the public, including, for example, the provision of health insurance for all Americans. Meeting this need may be a challenge in that some actions that would improve health may not benefit a specific AHC; for example, better models of care may reduce inpatient admissions, resulting in negative financial consequences for an AHC’s hospital. However, maintaining the trust that the country has placed in AHCs requires that they speak out for the nation’s health.

As a result, the opportunity now exists to detect early changes in brain function and assist in understanding the mechanisms of such diseases as autism. The list could go on, but it is clear that these and other scientific advances will produce an explosion of knowledge that is just getting under way today. To derive the benefits of such advances, however, efforts at translating the knowledge gained from research into clinical practice need to be “substantially improved” (Frist, 2002, p. 1723).

Growing interest in defined contribution plans may also give consumers a greater role in deciding what coverage and services to buy. In defined contribution plans, an employer or other payer contributes a certain amount to the purchase of health insurance by employees or beneficiaries. Those who wish to purchase a more expensive package must pay the difference in cost out of their own pockets (Blumenthal, 2001). About 24 percent of all small firms and 13 percent of all large firms say they are very or somewhat likely to switch to a defined contribution plan over the next 5 years, compared with 20 percent and 16 percent, respectively, in the prior year (Kaiser Family Foundation and Health Research and Educational Trust, 2001).

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