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Relations between national health care and medical education systems

Relations between national health care and medical education systems. Professor Sam Leinster University of East Anglia Norwich UK. Aims of the organisations. Health Services. Medical Schools. Delivery of health care. Education. Hospital Services. Primary Care. Research. Public Health.

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Relations between national health care and medical education systems

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  1. Relations between national health care and medical education systems Professor Sam Leinster University of East Anglia Norwich UK

  2. Aims of the organisations Health Services Medical Schools Delivery of health care Education Hospital Services Primary Care Research Public Health Training of staff Development of therapies

  3. Educational responsibility Medical School Medical School Health Service Medical School Health Service Undergraduate Postgraduate Continuing

  4. Relationships between organisations - Education - Service delivery Health Services Medical Schools Research - +

  5. Political dimensions UK USA USA Centralised controlInstitutional autonomy UK USSR USSR State funding Mixed Private funding

  6. Organisational models Weiner, Culbertson, Jones, Dickler 2001 Single organisation CAO CEO University owns hospital Hospital owns medical school CEO CAO Kaunus Mayo

  7. Organisational models Weiner, Culbertson, Jones, Dickler 2001 University Health system contract Highly interdependent Alliance leader Alliance partner CAO major figure in health system governance and budgeting CAO role in health system consultative

  8. Organisational models Weiner, Culbertson, Jones, Dickler 2001 Health provider Health provider Coalition leader University Health provider Coalition partner Health provider Joint Venture Agreement

  9. Organisational models Weiner, Culbertson, Jones, Dickler 2001 Health provider Health provider Health provider University Health provider Health provider Health provider Community leader Community partner

  10. Organisational models Weiner, Culbertson, Jones, Dickler 2001 Health provider Health provider Health provider University Established partner Health provider Health provider Health provider Hybrid

  11. Questions • Do you recognise any of the models? • Are there other possible models? • Are hybrid models viable? • Which form of organisation is most effective? • Can the organisational model be changed?

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