The evolving organizational structure of academic health centers: the case of the University of Florida

Academic Medicine : Journal of the Association of American Medical Colleges
Douglas J Barrett

Abstract

The organizational structures of academic health centers (AHCs) vary widely, but they all exist along a continuum of integration--that is, the degree to which the academic and clinical missions operate under a single administrative and governance structure. This author provides a brief overview of the topic of AHC integration, including the pros and cons of more integrated or less integrated models. He then traces the evolution of the University of Florida (UF) Health Science Center, which was created in the 1950s as a fully integrated AHC and which now operates under a more distributed management and governance model. Starting as a completely integrated AHC, UF's Health Science Center reached a time of maximal nonintegration (or dys-integration) in the late 1990s and at the beginning of this decade. Circumstances are now pushing the expanding clinical and academic enterprises to be more together as they face the challenges of market competition, federal research budget constraints, and reengineering clinical operations to reduce costs, enhance access, and improve quality and patient safety. Although formal organizational integration may not be possible or appropriate for any number of legal or political reasons, the author sug...Continue Reading

References

Nov 1, 1996·Academic Medicine : Journal of the Association of American Medical Colleges·R A CulbertsonR M Dickler
Jun 15, 2007·JAMA : the Journal of the American Medical Association·Marjorie A BowmanArthur S Levine

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Citations

Aug 30, 2008·Academic Medicine : Journal of the Association of American Medical Colleges·Steven A Wartman
Aug 12, 2010·Journal of Health Organization and Management·B P GeislerS N Willich
Jul 25, 2012·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·M AbouljoudS Whitehouse
Oct 5, 2016·Journal of Health Organization and Management·Gillian KingKathryn Parker
Nov 15, 2017·Journal of Healthcare Management / American College of Healthcare Executives·Catherine P SladeSusan James
Sep 15, 2017·Academic Medicine : Journal of the Association of American Medical Colleges·Ramya ChariChristopher Nelson
May 28, 2010·Academic Medicine : Journal of the Association of American Medical Colleges·Stephen M DaviesBob de Jonge
May 30, 2014·Academic Medicine : Journal of the Association of American Medical Colleges·Jim P StimpsonJanelle J Jacobson
Jul 8, 2017·Journal of Health Organization and Management·Gillian KingGolda Milo-Manson
Jun 27, 2020·Academic Medicine : Journal of the Association of American Medical Colleges·Emily HillmanBetty Drees

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