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By Institute of Medicine, Board on Health Care Services, Committee on the Roles of Academic Health Centers in the 21st Century, Linda T. Kohn

Policymakers might want to create incentives to aid innovation and alter in AHCs. In reaction, AHCs might want to bring up the extent of co-ordination and integration throughout their roles and the person firms that contain the AHC in the event that they are to effectively adopt the kinds of adjustments wanted. "Academic wellbeing and fitness facilities" lays out a technique to begin a continual and long term strategy of switch.

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Html 34 ACADEMIC HEALTH CENTERS tion and communications technology, and biotechnology—are reviewed below. Information and Communications Technology Inaccessible or poor-quality information has been identified as one of the health sector’s most avoidable shortcomings (Detmer, 2003). Public health agencies are unable to share critical information quickly or pool data for analysis; treatment advances take too long to reach people, while unproven procedures are widely used; variation in practice patterns means that the costs and outcomes of care that people experience depend on where they live rather than scientific evidence; and both patients and clinicians face conflicting and poor-quality information.

The committee also heard from a number of experts at its other meetings. Leaders from several universities, varying in size, ownership, and organizational structure, offered their views on the risks and rewards of sponsoring an AHC. Presentations were made by Judith Rodin, president, University of Pennsylvania; Lee Bollinger, president, Columbia University (formerly president, University of Michigan); Leonard Sandridge, executive Copyright © National Academy of Sciences. All rights reserved. html 27 INTRODUCTION BOX 1-1 Committee Statement of Task This study will examine the current role and status of academic health centers in American society, anticipate intermediate and long-term opportunities and challenges for these institutions, and recommend to the institutions themselves, to policy makers, to the health professions, and to the public scenarios that might be undertaken to maximize the public good associated with these institutions.

In the area of neurological diseases, neuroscientists are applying new understandings in modern genetics and information derived from the sequencing of the human genome to gain insight into the hundreds of disorders that afflict the nervous system, advancing the treatment of spinal cord Copyright © National Academy of Sciences. All rights reserved. html 37 FORCES FOR CHANGE injury, acute stroke, multiple sclerosis, and Parkinson’s disease. Progress in research on the channels, synapses, and circuit structures of the body at the atomic level offer the greatest opportunity for applying methods by which new drugs are targeted for the treatment of epilepsy, pain, movement disorders, and neuromuscular disorders (National Institute of Neurological Disorders and Stroke, 1999).

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