4 results
Search Results
2. The triple helix of clinical, research, and education missions in academic health centers: A qualitative study of diverse stakeholder perspectives.
- Author
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Gonzalo, Jed D., Dekhtyar, Michael, Caverzagie, Kelly J., Grant, Barbara K., Herrine, Steven K., Nussbaum, Abraham M., Tad‐y, Darlene, White, Earla, and Wolpaw, Daniel R.
- Subjects
ACADEMIC medical centers ,PRAGMATICS ,TEACHING methods ,VALUE-based healthcare ,QUALITATIVE research ,ELECTRONICS in surveying - Abstract
Introduction: Academic health centers are poised to improve health through their clinical, education, and research missions. However, these missions often operate in silos. The authors explored stakeholder perspectives at diverse institutions to understand challenges and identify alignment strategies. Methods: Authors used an exploratory qualitative design and thematic analysis approach with data obtained from electronic surveys sent to participants at five U.S. academic health centers (2017‐18), with four different types of medical school/health system partnerships. Participants included educators, researchers, system leaders, administrators, clinical providers, resident/fellow physicians, and students. Investigators coded data using constant comparative analysis, met regularly to reconcile uncertainties, and collapsed/combined categories. Results: Of 175 participants invited, 113 completed the survey (65%). Three results categories were identified. First, five higher‐order themes emerged related to aligning missions, including (a) shared vision and strategies, (b) alignment of strategy with community needs, (c) tension of economic drivers, (d) coproduction of knowledge, and (e) unifying set of concepts spanning all missions. Second, strategies for each mission were identified, including education (new competencies, instructional methods, recruitment), research (shifting agenda, developing partnerships, operations), and clinical operations (delivery models, focus on patient factors/needs, value‐based care, well‐being). Lastly, strategies for integrating each dyadic mission pair, including research‐education, clinical operations education, and research‐clinical operations, were identified. Conclusions: Academic health centers are at a crossroads in regard to identity and alignment across the tripartite missions. The study's results provide pragmatic strategies to advance the tripartite missions and lead necessary change for improved patient health. [ABSTRACT FROM AUTHOR]
- Published
- 2021
- Full Text
- View/download PDF
3. Digital Management Systems in Academic Health Sciences Laboratories: A Scoping Review.
- Author
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Timóteo, Margareth, Lourenço, Emanuelle, Brochado, Ana Carolina, Domenico, Luciana, da Silva, Joice, Oliveira, Bruna, Barbosa, Renata, Montemezzi, Pietro, Mourão, Carlos Fernando de Almeida Barros, Olej, Beni, and Alves, Gutemberg
- Subjects
LABORATORIES ,LABORATORY management ,EXPERIMENTAL medicine ,COLLEGE laboratories ,WORKFLOW software ,WORKFLOW - Abstract
Good laboratory practices (GLP) increase the quality and traceability of results in health sciences research. However, factors such as high staff turnover, insufficient resources, and a lack of training for managers may limit their implementation in research and academic laboratories. This Scoping Review aimed to identify digital tools for managing academic health sciences and experimental medicine laboratories and their relationship with good practices. Following the PRISMA-ScR 2018 criteria, a search strategy was conducted until April 2021 in the databases PUBMED, Web of Sciences, and Health Virtual Library. A critical appraisal of the selected references was conducted, followed by data charting. The search identified twenty-one eligible articles, mainly originated from high-income countries, describing the development and/or implementation of thirty-two electronic management systems. Most studies described software functionalities, while nine evaluated and discussed impacts on management, reporting both improvements in the workflow and system limitations during implementation. In general, the studies point to a contribution to different management issues related to GLP principles. In conclusion, this review identified evolving evidence that digital laboratory management systems may represent important tools in compliance with the principles of good practices in experimental medicine and health sciences research. [ABSTRACT FROM AUTHOR]
- Published
- 2021
- Full Text
- View/download PDF
4. Benchmarks for ethically credible partnerships between industry and academic health centers: beyond disclosure of financial conflicts of interest
- Author
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Jon Duke, Margaret M. Gaffney, Kimberly A. Quaid, Peter H. Schwartz, Joshua B. Rager, Eric M. Meslin, and William M. Tierney
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Cooperative behavior ,Best practice ,Medicine (miscellaneous) ,Academic‐industry partnerships ,Industry ,Medicine ,Academic health centers ,Ethics ,Finance ,lcsh:R5-920 ,Research ethics ,business.industry ,Benchmarks ,Social benefits ,Conflict of interest ,Academic-industry relationships ,Collaboration ,Medicine public health ,Perspective ,Molecular Medicine ,Academic-industry partnerships ,lcsh:Medicine (General) ,business ,Academic‐industry relationships - Abstract
Relationships between industry and university‐based researchers have been commonplace for decades and have received notable attention concerning the conflicts of interest these relationships may harbor. While new efforts are being made to update conflict of interest policies and make industry relationships with academia more transparent, the development of broader institutional partnerships between industry and academic health centers challenges the efficacy of current policy to effectively manage these innovative partnerships. In this paper, we argue that existing strategies to reduce conflicts of interest are not sufficient to address the emerging models of industry‐academic partnerships because they focus too narrowly on financial matters and are not comprehensive enough to mitigate all ethical risk. Moreover, conflict‐of‐interest strategies are not designed to promote best practices nor the scientific and social benefits of academic‐industry collaboration. We propose a framework of principles and benchmarks for “ethically credible partnerships” between industry and academic health centers and describe how this framework may provide a practical and comprehensive approach for designing and evaluating such partnerships.
- Published
- 2015
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