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Academic practice groups: Strategy for survival

SURGERY 2000年第4期128卷 505-510页

作者： Rodriguez, JL Jacobs, DM Zera, RT Van Camp, JM Muehlstedt, SG West, MA Bubrick, MP Univ Minnesota Sch Med Hennepin Cty Med Ctr Dept Surg Minneapolis MN 55455 USA

Background. The mission of public academic health centers (puAHC) and their affiliated practice groups (APG) focuses on teaching, research, and the clinical care of at-risk populations. Resources to accomplish this mission, however, are becoming scarce. For puAHC to survive and remain competitive, innovative strategies will need to be developed by the APG. We hypothesized that the integration of a surgical academic practice of the APG with a nonacademic integrated health care delivery system (NAIDS) in a managed care environment would benefit all involved. Methods. A surgical academic practice was integrated with a NAIDS in a 95% managed care market. Faculty alone provided care the first year and third-year residents were added the following year. To assess outcome, we collected benefit and cost data for the 1-year period before integration and compared them with the two, 1-year periods after integration. Results. In the second year of integration 1-revenues from the NAIDS referrals to the puAHC and APG increased 89% and 150%, respectively. The NAIDS' general surgical and endoscopy caseload increased by 25%. Additionally, there was a 92% reduction in operating room technician cost with no increase in operating time per case. Finally, the third-year resident experienced a caseload increase of 163%. Conclusions. In an environment where resources are diminishing and managed care consists of many large NAIDS that drive referrals and revenue, the integration of a surgical academic practice with a NAIDS benefits all shareholders. Academic practice groups that develop strategies that leverage their competitive advantage will have the best chance of surviving in today's turbulent health care market.

关键词：医学科学研究中心/组织和管理卫生保健提供联合/组织和管理全体教工医学院校/组织和管理联合开业/组织和管理医院县/组织和管理实习医师和住院医师职务/组织和管理管理医疗规划/组织和管理卫生服务使用研究组织隶属关系结果评价(卫生保健) 外科学/组织和管理人类

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对天津医学院基础课部教学队伍结构的分析与建立合理结构的改进措施

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天津医科大学学报 1983年第4期 71-77页

作者：邢克浩

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Time management 101

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ACADEMIC RADIOLOGY 2001年第8期8卷 768-770页

作者： Pisano, ED Univ N Carolina Sch Med Dept Radiol Chapel Hill NC 27599 USA Univ N Carolina Sch Med Dept Biomed Engn Chapel Hill NC 27599 USA

Academic radiology is a challenging field. Success requires strong effort in three major, somewhat disparate, areas: patient care, teaching, and research. Some academic radiologists also have administrative duties. Many young faculty members feel overwhelmed with their responsibilities at the time in their careers when they are seeking tenure and promotion. Often these crucial years in terms of faculty development coincide with increased responsibilities at home, since many faculty members are also starting families and raising children during their 30s and 40s. These demands can lead to stress and burnout, and promising junior faculty members often choose to leave the academic fold (1), usually for more lucrative private practice jobs in which the only duties are *** an academic radiologist with four children and a husband who has his own busy private ophthalmology practice, I am sometimes asked by residents and junior faculty for my “secrets of success”—how do I juggle my family responsibilities with the administration of the breast imaging section in my department and the management of several large funded research projects? To share what I have learned, I give a workshop on time management as part of the Marconi Faculty Development Course at the annual meeting of the Association of University Radiologists. My secrets are not all that secret, of course, having been discussed extensively by others (2), but I have learned to apply general advice on time management to the particular demands of academic radiology. In that spirit, I offer my five tips for time management, the strategies that allow me to juggle all of my duties while maintaining a balanced life for my family and myself.

关键词：医学科学研究中心决策效率全体教工医学院校/组织和管理放射学/组织和管理研究时间安排/方法时间安排/心理学人类

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贯彻院师资工作会议精神抓好青年教师队伍的建设

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基础医学教育 1997年第3期5卷 11-13页

作者：李宝萱徐冀兰甘肃兰州医学院 730000

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Academic internal medicine: Challenges and opportunities - Part I

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AMERICAN JOURNAL OF MEDICINE 2000年第6期108卷 525-529页

作者： Ibrahim, T

At the beginning of the 21st century, the US health-care system presents a challenging contradiction to politicians and policy makers, providers and patients. By most comparisons, the United States offers superior care, while leading the world in innovation, technology, and training. Paradoxically, the United States also has the most expensive, complex, and inadequate health-care system in the world.

关键词：费用控制卫生保健提供/组织和管理全体教工医学院校/组织和管理诈骗/预防和控制卫生经费支出/统计学和数值数据卫生经费支出/发展趋势医院教学/组织和管理内科学/教育内科学/组织和管理未参加医疗保险者/统计学和数值数据组织改革人员选用院校医学/组织和管理美国人类

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浅谈高校教师队伍不稳的原因及对策

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基础医学教育 1997年第3期5卷 6-8页

作者：辛宪棣江苏徐州医学院基础医学部 221002

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建立院系师资计算机管理系统的尝试

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基础医学教育 1997年第3期5卷 13-14页

作者：李曦彭贵成谢丹玫四川重庆医科大学 630046

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Implementing residential treatment for prison inmates with mental illness

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ARCHIVES OF PSYCHIATRIC NURSING 2002年第5期16卷 232-238页

作者： O'Connor, FW Lovell, D Brown, L Univ Washington Sch Nursing Seattle WA 98195 USA

There is evidence that mentally ill offenders (MIOs) in prisons commit more infractions, serve longer sentences, and are more likely to be victimized than inmates who are not mentally ill. Humanistic and prison management interests are served if intervention programs minimize symptoms and promote coping and other functional skills. A collaborative agreement was established between Washington State Department of Corrections and a consortium of University of Washington faculty to mutually develop a prison-based program of clinical management and psychoeducation for MIOs. The resulting program is described, along with rationale, planning processes, implementation, and initial evaluation. Most aspects of the planned program are in place. Clinical and behavioral progress by inmates following program participation has been documented. Issues concerning treatment program implementation in prisons are discussed. Copyright 2002, Elsevier Science (USA). All rights reserved.

关键词：咨询/组织和管理全体教工医学院校/组织和管理司法精神病学/组织和管理机构间关系精神障碍/心理学精神障碍/康复囚犯/心理学监狱/组织和管理规划制订寄托治疗/组织和管理安全措施/组织和管理华盛顿人类

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关于基础医学教师队伍建设的探讨

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基础医学教育 1997年第3期5卷 8-10页

作者：艾寿坤王志强张昌菊李卫红湖北湖北三峡学院医学院基础部 443003

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