Agustian Dwi, Arya Insi Farisa Desy, Adnani Qorinah Estiningtyas Sakilah, Wiwaha Guswan, Bashari Muhammad Hasan, Nurdiawan Windi, Bandiara Ria, Hasansulama Wijana, Berbudi Afiat, Nugraha Gaga Irawan, Permadi Wiryawan, Anwar Ruswana, Afriandi Irvan, Kartasasmita Arief, Hidayat Yudi Mulyana, Achmad Tri Hanggono, Norcini John
Department of Public Health, Faculty of Medicine, Universitas Padjadjaran, Bandung, West Java, Indonesia.
Department of Biomedical Sciences, Faculty of Medicine, Universitas Padjadjaran, Bandung, West Java, Indonesia.
Adv Med Educ Pract. 2024 Oct 11;15:957-969. doi: 10.2147/AMEP.S474314. eCollection 2024.
Although the field of medicine has made significant progress in recent decades, low and middle-income countries continue to face significant difficulties in addressing the unprecedented obstacles to improving health. Medical schools should play a critical role in driving health services reform and take on a new leadership role in strengthening the health system. This paper discusses a conceptual framework and outlines the Academic Health Systems (AHS) agenda in Indonesia. A comprehensive analysis was conducted on the existing literature and frameworks regarding AHS, applying the system thinking method, which engages stakeholders actively. The findings and interpretations from interviews, focus groups, and collaborative workshops were consolidated and a set of proposed frameworks, fundamental principles, and a route for enhancing the health system in Indonesia were put forward. Our recommendations include transformative learning, community engagement, and translational research as pillar principles of AHS program. These recommendations have the potential to be modified and implemented in other low- and middle-income countries.
尽管近几十年来医学领域取得了重大进展，但低收入和中等收入国家在应对改善健康方面前所未有的障碍时，仍继续面临重大困难。医学院校应在推动卫生服务改革中发挥关键作用，并在加强卫生系统方面发挥新的领导作用。本文讨论了一个概念框架，并概述了印度尼西亚的学术健康系统（AHS）议程。运用系统思维方法，对有关AHS的现有文献和框架进行了全面分析，该方法积极吸引了利益相关者参与。对访谈、焦点小组和协作研讨会的结果及解读进行了整合，并提出了一套拟议的框架、基本原则以及加强印度尼西亚卫生系统的途径。我们的建议包括将变革性学习、社区参与和转化研究作为AHS项目的支柱原则。这些建议有可能在其他低收入和中等收入国家进行修改和实施。
