Moore G T
Teaching Programs, Harvard Community Health Plan, Boston, MA 02215.
Acad Med. 1990 Jul;65(7):427-32. doi: 10.1097/00001888-199007000-00001.
Academic medical centers (AMCs) are under pressure to increase ambulatory medical education, but their capacity for such teaching is limited. Health maintenance organizations (HMOs) are a large and growing institutional setting that could participate in clinical education. Until now, relatively few HMOs and AMCs have reached agreements about teaching, because traditional suspicions have blocked collaboration. Responding to a case prepared as the basis of discussion, about 450 academics and HMO medical directors explored the barriers to and incentives for cooperation between AMCs and HMOs in clinical education. The two groups identified different issues as barriers to collaboration, leaving considerable room to negotiate agreements. AMCs, especially, need to be prepared to offer meaningful academic and financial inducements to attract HMOs to participate in teaching.
学术医疗中心（AMCs）面临着增加门诊医学教育的压力，但其此类教学能力有限。健康维护组织（HMOs）是一个规模庞大且不断发展的机构环境，可参与临床教育。到目前为止，相对较少的健康维护组织和学术医疗中心就教学达成协议，因为传统的疑虑阻碍了合作。针对一个作为讨论基础编写的案例，约450名学者和健康维护组织的医学主任探讨了学术医疗中心和健康维护组织在临床教育中合作的障碍和激励因素。两组确定了不同的问题作为合作障碍，这为达成协议留下了很大的谈判空间。尤其是学术医疗中心，需要准备好提供有意义的学术和经济诱因，以吸引健康维护组织参与教学。
