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展望更优质的医疗体系:从社区医院到学术医疗中心的独特创新之旅。

Envisioning Better Healthcare Systems: A Unique and Innovative Journey From Community Hospital to Academic Medical Center.

作者信息

Finnigan Nancy, Barbera Andrew R, Davis Donald, Lugo Luis D, McCann Sean, Alleyne Shirley, Rusli Melissa, Wills Walter, Bugajski Andrew

机构信息

Medical Education, Lakeland Regional Health, Lakeland, USA.

Research and Sponsored Studies, Lakeland Regional Health, Lakeland, USA.

出版信息

Cureus. 2023 Jun 27;15(6):e41032. doi: 10.7759/cureus.41032. eCollection 2023 Jun.

DOI:10.7759/cureus.41032
PMID:37519600
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10373611/
Abstract

The transformation from a community hospital to an academic medical center (AMC) presents a unique set of challenges and opportunities. This editorial provides an in-depth analysis of the barriers encountered and solutions developed within a large community hospital in Florida as it embarked on this transition, with a focus on the global relevance of issues experienced such as competition with major markets, the ongoing COVID-19 pandemic, the development of multiple Accreditation Council for Graduate Medical Education (ACGME) programs and balancing the complexities of the United States healthcare system. In alignment with the call for submissions, this editorial highlights the personal experiences of healthcare providers, researchers, and policymakers involved in this transition and explores how the lessons learned can inform the development of better healthcare systems worldwide.

摘要

从社区医院向学术医疗中心(AMC)的转变带来了一系列独特的挑战和机遇。这篇社论深入分析了佛罗里达州一家大型社区医院在开始这一转变过程中遇到的障碍以及制定的解决方案,重点关注所经历问题的全球相关性,如与主要市场的竞争、持续的新冠疫情、多个毕业后医学教育认证委员会(ACGME)项目的发展以及平衡美国医疗系统的复杂性。与征稿要求一致,这篇社论突出了参与这一转变的医疗服务提供者、研究人员和政策制定者的个人经历,并探讨了所吸取的经验教训如何为全球更好的医疗系统发展提供参考。

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本文引用的文献

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Global Health 101.全球健康基础入门。
Clin Colon Rectal Surg. 2022 Sep 13;35(5):355-361. doi: 10.1055/s-0042-1746184. eCollection 2022 Sep.
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Effects of COVID-19 on Residency and Fellowship Training: Results of a National Survey.COVID-19 对住院医师规范化培训和专科医师培训的影响:一项全国性调查的结果。
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Diagnostics for COVID-19: moving from pandemic response to control.COVID-19 诊断:从大流行应对转向控制。
Lancet. 2022 Feb 19;399(10326):757-768. doi: 10.1016/S0140-6736(21)02346-1. Epub 2021 Dec 20.
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The Impact of the COVID-19 Pandemic on Pediatric Graduate Medical Education: Lessons Learned and Pathways Forward.《COVID-19 大流行对儿科住院医师医学教育的影响:经验教训和未来方向》。
Acad Med. 2022 Mar 1;97(3S):S35-S39. doi: 10.1097/ACM.0000000000004532.
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COVID-19 vaccine hesitancy: misinformation and perceptions of vaccine safety.COVID-19 疫苗犹豫:疫苗安全性的错误信息和认知。
Hum Vaccin Immunother. 2022 Dec 31;18(1):1950504. doi: 10.1080/21645515.2021.1950504. Epub 2021 Jul 30.
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Trends in US Emergency Department Visits for Mental Health, Overdose, and Violence Outcomes Before and During the COVID-19 Pandemic.美国在新冠疫情前后因心理健康、药物过量和暴力而前往急诊部就诊的趋势。
JAMA Psychiatry. 2021 Apr 1;78(4):372-379. doi: 10.1001/jamapsychiatry.2020.4402.
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Sponsoring Institution Interests, Not National Plans, Shape Physician Workforce in the United States.赞助机构的利益而非国家计划塑造了美国的医师劳动力。
Fam Med. 2020 Sep;52(8):551-556. doi: 10.22454/FamMed.2020.507727. Epub 2020 Jul 16.
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How to face the rising costs of healthcare?如何应对医疗保健费用的上涨?
Medicina (B Aires). 2019;79(Spec 6/1):529-533.
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Learning to Regulate Learning Healthcare Systems.学习规范学习型医疗系统。
Camb Q Healthc Ethics. 2019 Apr;28(2):369-377. doi: 10.1017/S0963180119000203.
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