Linggood R, Govern F, Coleman C N
Harvard University, USA.
J Health Polit Policy Law. 1998 Dec;23(6):973-94. doi: 10.1215/03616878-23-6-973.
The processes by which academic medicine will train the next generation of physicians and develop new knowledge have brought to the forefront the relationship between academic medical centers and community hospitals and practitioners. Over the past thirteen years, the Harvard Medical School Joint Center for Radiation Therapy (JCRT) has developed an integrated radiation oncology program designed to serve simultaneously the needs of the community, teaching hospitals, medical schools, and faculty. The structure and function of this program are described here, as are the challenges posed by the highly competitive health care marketplace. We believe that long-term vision should guide short-term goals. The success of academic-community collaborative programs depends not only on the good will and vision of the participants but also on the medical administration, academic leadership, policy makers, and politicians who define the principles and rules by which cooperation within the health care industry occurs.
学术医学培养下一代医生和开发新知识的过程，使学术医疗中心与社区医院及从业者之间的关系成为关注焦点。在过去的十三年里，哈佛医学院放射治疗联合中心（JCRT）制定了一项综合放射肿瘤学计划，旨在同时满足社区、教学医院、医学院和教职员工的需求。本文描述了该计划的结构和功能，以及竞争激烈的医疗保健市场带来的挑战。我们认为，长期愿景应指导短期目标。学术-社区合作项目的成功不仅取决于参与者的善意和愿景，还取决于定义医疗保健行业合作原则和规则的医疗管理部门、学术领导、政策制定者和政治家。
