Medici A C
Banco Interamericano de Desenvolvimento, Washington, D.C., USA.
Rev Assoc Med Bras (1992). 2001 Apr-Jun;47(2):149-56. doi: 10.1590/s0104-42302001000200034.
This article discusses the evolution of university hospitals, their characteristics, functioning and financing and their role in medical education and research.
Data come from a workshop organized by the World Health Organization on university hospitals in 22 countries.
The main finding is that these institutions are increasingly inadequate to the reality of the health sector in which they operate and to the challenges posed by the profound changes currently taking place in the health system of most countries.
A reform is needed, and the article presents a few possible strategies for reforming these hospitals.
本文探讨大学医院的演变、其特点、运作与融资情况以及它们在医学教育和研究中的作用。
数据来自世界卫生组织组织的关于22个国家大学医院的研讨会。
主要发现是，这些机构越来越无法适应它们所运作的卫生部门的实际情况，也无法应对大多数国家卫生系统当前正在发生的深刻变革所带来的挑战。
需要进行改革，本文提出了一些改革这些医院的可能策略。
