From the Department of Neurology and Weill Institute for Neurosciences (S.A.J., J.M.C.), University of California, San Francisco; Department of Neurology (R.L.S.), Miller School of Medicine, University of Miami, FL; Department of Neurology (R.N.M., L.B.G.), KY Neuroscience Institute, University of Kentucky, Lexington; and American Academy of Neurology (C.S.K.), Minneapolis, MN.
Neurology. 2020 May 5;94(18):785-791. doi: 10.1212/WNL.0000000000009377. Epub 2020 Apr 8.
Funds flow arrangements define the financial relationships between departments, medical centers, and university entities within a coordinated academic health system. Although these funds flow frameworks differ, common themes emerge including those that are unique in their influence on academic departments of neurology. Here, we review various funds flow models and their application. Four typical models are described, highlighting the advantages and disadvantages of each for neurology, keeping in mind that most academic health systems use a hybrid model. Several considerations are important when neurology departmental leadership participates in crafting or revising of these funds flow agreements, including choice of benchmarking targets, planning and funding for future growth, demonstrating value, and supporting nonclinical missions including education and research. The American Academy of Neurology Academic Initiative aims to continue to help academic departments nationally understand these issues and define funds flow arrangements that incorporate the unique characteristics of our specialty and allow us to provide outstanding care for patients while supporting the broad missions of neurology departments.
资金流向安排定义了协调的学术医疗系统中各部门、医疗中心和大学实体之间的财务关系。尽管这些资金流向框架存在差异，但也出现了一些共同的主题，包括那些对神经病学学术部门有独特影响的主题。在这里，我们回顾了各种资金流向模型及其应用。描述了四种典型模型，重点介绍了每种模型对神经病学的优缺点，同时考虑到大多数学术医疗系统都使用混合模型。当神经病学部门领导层参与制定或修订这些资金流向协议时，有几个考虑因素很重要，包括基准目标的选择、未来增长的规划和资金、价值的体现，以及支持非临床任务，包括教育和研究。美国神经病学学会学术倡议旨在继续帮助全国的学术部门了解这些问题，并制定资金流向安排，这些安排将纳入我们专业的独特特征，使我们能够为患者提供出色的护理，同时支持神经病学部门的广泛使命。
