scholarly journals Medical Research and Health Care Finance: Evidence from Academic Medical Centers

2020 ◽  
Author(s):  
Pierre Azoulay ◽  
Misty Heggeness ◽  
Jennifer Kao
Keyword(s):  
Health Care ◽  
Medical Research ◽  
Academic Medical Centers ◽  
Health Care Finance ◽  
Medical Centers ◽  
Academic Medical

scholarly journals Seroprevalence of SARS-CoV-2 Among Frontline Health Care Personnel in a Multistate Hospital Network — 13 Academic Medical Centers, April–June 2020

2020 ◽  
Vol 69 (35) ◽  
pp. 1221-1226 ◽  
Author(s):  
Wesley H. Self ◽  
Mark W. Tenforde ◽  
William B. Stubblefield ◽  
Leora R. Feldstein ◽  
Jay S. Steingrub ◽  
...  
Keyword(s):  
Health Care ◽  
Academic Medical Centers ◽  
Health Care Personnel ◽  
Medical Centers ◽  
Academic Medical

Gastroenterology, Academic Medicine and a Changing Landscape

2015 ◽  
Vol 33 (Suppl. 1) ◽  
pp. 57-60
Author(s):  
Daniel K. Podolsky
Keyword(s):  
Health Care ◽  
The United States ◽  
Cost Of Care ◽  
Academic Medical Centers ◽  
Value Proposition ◽  
Common Elements ◽  
Human Welfare ◽  
Medical Centers ◽  
Use Of Resources ◽  
Academic Medical

The forces that are reshaping the delivery of health care through much of the developed world are especially acute within academic centers that carry the responsibility for delivering that care while advancing medical knowledge and ensuring well-trained physicians. Gastroenterology will not be spared any of those forces, and in some ways represents the leading edge of their impact. Though the dynamics vary within the context of the health-care delivery and scientific enterprise of individual countries, common elements are demands for greater accountability and transparency in how academic medical centers demonstrate their value while assuring broad access to their expertise. In the United States, underlying many forms of change in the payment scheme are the common elements that will increasingly place the risk for the cost of care on providers rather than on the payers, be it government or private, as has historically been true. At the same time, academic medical centers, with gastroenterology responsible for addressing the burden of digestive diseases, must remain the stem cells for health care integrating all their missions and providing the foundation of medical advances which will ultimately improve human welfare. What will academic gastroenterology units look like if they are able to effectively respond to these forces? Gastrointestinal (GI) divisions and faculty will own new roles including responsibility for system success in caring for patients. They will evolve their training programs to provide the next generation with skills needed to succeed, including the discipline of system improvement, team leadership and others. And there will be new models that will drive the organization of research that are not as conventionally self-contained within the gastroenterology units, but fostering research teams that have hubs and spokes. The vitality of GI divisions will depend on the willingness to seize ownership of the new value proposition of disease management ensuring that each patient achieves the best outcome with the most effective use of resources and endeavor within their systems to capture some of that value to invest in their training and research missions. In the course of that evolution, gastroenterology will be well served by rebalancing the dependence on existing modalities. If procedural gastroenterology becomes the sole value proposition, it will lead to an increasingly narrow view of the field.

scholarly journals Use of Facebook by Academic Medical Centers in Taiwan During the COVID-19 Pandemic: Observational Study (Preprint)

2020 ◽  
Author(s):  
Wei-Min Chu ◽  
Gow-Jen Shieh ◽  
Shi-Liang Wu ◽  
Wayne Huey-Herng Sheu
Keyword(s):  
Health Care ◽  
Social Media ◽  
Observational Study ◽  
Health Care Organizations ◽  
Pearson Correlation ◽  
Public Hospitals ◽  
Academic Medical Centers ◽  
Medical Centers ◽  
Academic Medical ◽  
Nationwide Observational Study

BACKGROUND The battle against COVID-19 remains ongoing, and social media has played an important role during the crisis for both communication and health promotion, particularly for health care organizations. Taiwan’s success during the COVID-19 outbreak is well known and the use of social media is one of the key contributing factors to that success. OBJECTIVE This nationwide observational study in Taiwan aimed to explore the use of Facebook by academic medical centers during the COVID-19 pandemic. METHODS We conducted a nationwide observational study of all Facebook fan page posts culled from the official accounts of all medical centers in Taiwan from December 2019 to April 2020. All Facebook posts were categorized into either COVID-19–related posts or non–COVID-19–related posts. COVID-19–related posts were split into 4 categories: policy of Taiwan’s Center for Disease Control (TCDC), gratitude notes, news and regulations from hospitals, and education. Data from each post was also recorded as follows: date of post, headline, number of “likes,” number of messages left, number of shares, video or non-video post, and date of search. RESULTS The Facebook fan pages of 13 academic medical centers, with a total of 1816 posts, were analyzed. From January 2020, the percentage of COVID-19 posts increased rapidly, from 21% (January 2020) to 56.3% (April 2020). The trends of cumulative COVID-19 posts and reported confirmed cases were significantly related (Pearson correlation coefficient=0.93, <i>P</i>&lt;.001). Pages from private hospitals had more COVID-19 posts (362 versus 289), as well as more video posts (72 posts, 19.9% versus 36 posts, 12.5%, <i>P</i>=.011), when compared to public hospitals. However, Facebook pages from public hospitals had significantly more “likes,” comments, and shares per post (314, 5, 14, respectively, <i>P</i>&lt;.001). Additionally, medical centers from different regions displayed different strategies for using video posts on Facebook. CONCLUSIONS Social media has been a useful tool for communication during the COVID-19 pandemic. This nationwide observational study has helped demonstrate the value of Facebook for academic medical centers in Taiwan, along with its engagement efficacy. We believe that the experience of Taiwan and the knowledge it can share will be helpful to health care organizations worldwide during our global battle against COVID-19.

scholarly journals The U.S. Health Care System Is in Crisis: Implications for Academic Medical Centers and Their Missions

2006 ◽  
Vol 81 (8) ◽  
pp. 713-720 ◽  
Author(s):  
Richard Lofgren ◽  
Michael Karpf ◽  
Jay Perman ◽  
Courtney M. Higdon
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Academic Medical Centers ◽  
Medical Centers ◽  
Academic Medical ◽  
The U.S ◽  
Care System

scholarly journals Innovating From Within: A Process Model for User-Centered Digital Development in Academic Medical Centers (Preprint)

2018 ◽  
Author(s):  
Sara Kuppin Chokshi ◽  
Devin M. Mann
Keyword(s):  
Health Care ◽  
Process Model ◽  
Design Thinking ◽  
Academic Research ◽  
Integrated Approach ◽  
Academic Medical Centers ◽  
Medical Centers ◽  
Academic Medical ◽  
Digital Development ◽  
User Centered

BACKGROUND Design thinking and human-centered design approaches have become increasingly common in health care literature, particularly in relation to health information technology (HIT), as a pathway toward the development of usable, diffusible tools and processes. There is a need in academic medical centers tasked with digital innovation for a comprehensive process model to guide development that incorporates current industry trends, including design thinking and lean and agile approaches to digital development. OBJECTIVE This study aims to describe the foundations and phases of our model for user-centered HIT development. METHODS Based on our experience, we established an integrated approach and rigorous process for HIT development that leverages design thinking and lean and agile strategies in a pragmatic way while preserving methodological integrity in support of academic research goals. RESULTS A four-phased pragmatic process model was developed for user-centered digital development in HIT. CONCLUSIONS The model for user-centered HIT development that we developed is the culmination of diverse innovation projects and represents a multiphased, high-fidelity process for making more creative, flexible, efficient, and effective tools. This model is a critical step in building a rigorous approach to HIT design that incorporates a multidisciplinary, pragmatic perspective combined with academic research practices and state-of-the-art approaches to digital product development to meet the unique needs of health care.

scholarly journals Patient Engagement and Attitudes Toward Using the Electronic Medical Record for Medical Research: The 2015 Greater Plains Collaborative Health and Medical Research Family Survey (Preprint)

2018 ◽  
Author(s):  
Ann M Davis ◽  
Lawrence P Hanrahan ◽  
Alex F Bokov ◽  
Sarah Schlachter ◽  
Helena H Laroche ◽  
...  
Keyword(s):  
Medical Research ◽  
Geographic Location ◽  
Academic Medical Centers ◽  
Child Rearing ◽  
Research Network ◽  
Willingness To Participate ◽  
Patient Centered ◽  
Medical Centers ◽  
Academic Medical ◽  
National Patient

BACKGROUND Electronic health records (EHRs) are ubiquitous. Yet little is known about the use of EHRs for prospective research purposes, and even less is known about patient perspectives regarding the use of their EHR for research. OBJECTIVE This paper reports results from the initial obesity project from the Greater Plains Collaborative that is part of the Patient-Centered Outcomes Research Institute’s National Patient-Centered Clinical Research Network (PCORNet). The purpose of the project was to (1) assess the ability to recruit samples of adults of child-rearing age using the EHR; (2) prospectively assess the willingness of adults of child-rearing age to participate in research, and their willingness (if parents) to have their children participate in medical research; and (3) to assess their views regarding the use of their EHRs for research. METHODS The EHRs of 10 Midwestern academic medical centers were used to select patients. Patients completed a survey that was designed to assess patient willingness to participate in research and their thoughts about the use of their EHR data for research. The survey included questions regarding interest in medical research, as well as basic demographic and health information. A variety of contact methods were used. RESULTS A cohort of 54,269 patients was created, and 3139 (5.78%) patients responded. Completers were more likely to be female (53.84%) and white (85.84%). These and other factors differed significantly by site. Respondents were overwhelmingly positive (83.9%) about using EHRs for research. CONCLUSIONS EHRs are an important resource for engaging patients in research, and our respondents concurred. The primary limitation of this work was a very low response rate, which varied by the method of contact, geographic location, and respondent characteristics. The primary strength of this work was the ability to ascertain the clinically observed characteristics of nonrespondents and respondents to determine factors that may contribute to participation, and to allow for the derivation of reliable study estimates for weighting responses and oversampling of difficult-to-reach subpopulations. These data suggest that EHRs are a promising new and effective tool for patient-engaged health research. INTERNATIONAL REGISTERED REPOR NA

Intellectual Elitism Attacked

PEDIATRICS ◽  
1974 ◽  
Vol 54 (2) ◽  
pp. 249-251
Author(s):  
Reed E. Pyeritz
Keyword(s):  
Health Care ◽  
Scientific Investigation ◽  
Medical Faculty ◽  
Academic Medical Centers ◽  
Medical Centers ◽  
Academic Medical ◽  
Total Lack ◽  
Health Care Crisis

There is today universal agreement on the existence of a health care crisis in this country, and total lack of agreement on how to improve the situation. Dr. David Nathan in his commentary1 proposes no solutions, but rather suggests people whom he feels are best qualified to effect a cure, and, by implication, the manner by which solutions should be sought. Beginning with the trenchant observation of Dr. David Rogers2 (not found, incidently, in the reference cited by Dr. Nathan3) that academic medical centers are partly to blame for the present health care mess and that they should aid society in correcting the situation, Dr. Nathan calls for established, research-oriented medical faculty to switch interests, "retrain themselves" where necessary, and solve the problems of health care by scientific investigation.

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