Chaim Sheba Medical Center, Tel-Hashomer, 5265601, Ramat Gan, Israel.
Department of Industrial Engineering at The Iby and Aladar Fleischman Faculty of Engineering, Tel Aviv University, 6997801, Tel Aviv, Israel.
Isr J Health Policy Res. 2019 Aug 5;8(1):65. doi: 10.1186/s13584-019-0334-4.
Academic Medical Centers (AMCs) must simultaneously serve different purposes: Delivery of high quality healthcare services to patients, as the main mission, supported by other core missions such as academic activities, i.e., researching, teaching and tutoring, while maintaining solvency. This study aims to develop a methodology for constructing models evaluating the academic value provided by AMCs and implementing it at the largest AMC in Israel.
Thirty five practiced educators and researchers, academic experts, faculty members and executives, all employed by a metropolitan 1500-bed AMC, were involved in developing academic quality indicators. First, an initial list of AMCs' academic quality indicators was drafted, using a literature review and consulting scholars. Afterwards, additional data and preferences were collected by conducting semi-structured interviews, complemented by a three-round Delphi Panel. Finally, the methodology for constructing a model evaluating the academic value provided by the AMC was developed.
The composite academic quality indicators methodology consists of nine indicators (relative weight in parentheses): 'Scientific Publications Value' (18.7%), 'Completed Studies' (13.5%), 'Authors Value' (13.0%), 'Residents Quality' (11.3%), 'Competitive Grants Budget' (10.2%), 'Academic Training' (8.7%), 'Academic Positions' (8.3%), 'Number of Studies' (8.3%) and 'Academic Supervision' (8.0%). These indicators were grouped into three core categories: 'Education', 'Research' and 'Publications', having almost the same importance on a scale from zero to one (0-1), i.e., 0.363, 0.320, and 0.317, respectively. The results demonstrated a high level of internal consistency (Cronbach-alpha range: 0.79-0.86).
We have found a gap in the ability to measure academic value provided by AMCs. The main contribution of this research is the development of methodology for constructing evaluation models for AMCs academic performance. Further studies are needed to further test the validity and reliability of the proposed methodology at other sites.
学术医疗中心（AMC）必须同时服务于不同的目的：作为主要使命，为患者提供高质量的医疗服务，同时支持其他核心使命，如学术活动，即研究、教学和辅导，同时保持偿付能力。本研究旨在开发一种方法来构建评估 AMC 提供的学术价值的模型，并在以色列最大的 AMC 中实施。
35 名经验丰富的教育工作者和研究人员、学术专家、教师和管理人员参与了制定学术质量指标。首先，使用文献回顾和咨询学者的方法起草了 AMC 学术质量指标的初始清单。之后，通过进行半结构化访谈收集了额外的数据和偏好，并通过三轮 Delphi 小组补充了数据。最后，开发了一种评估 AMC 提供的学术价值的模型构建方法。
综合学术质量指标方法由九个指标组成（括号内为相对权重）：“科学出版物价值”（18.7%）、“完成的研究”（13.5%）、“作者价值”（13.0%）、“住院医师质量”（11.3%）、“竞争性赠款预算”（10.2%）、“学术培训”（8.7%）、“学术职位”（8.3%）、“研究数量”（8.3%）和“学术监督”（8.0%）。这些指标被分为三个核心类别：“教育”、“研究”和“出版物”，在从 0 到 1 的量表上具有几乎相同的重要性，即 0.363、0.320 和 0.317。结果表明，内部一致性很高（Cronbach-alpha 范围：0.79-0.86）。
我们发现 AMC 提供的学术价值衡量能力存在差距。本研究的主要贡献是开发了一种构建 AMC 学术表现评估模型的方法。需要进一步的研究来进一步检验该方法在其他地点的有效性和可靠性。
