The Harvard Joint Center for Radiation Therapy, 1968–1999: a unique concept and its relationship to the prevailing times in academic medicine
| Autor: | Frank S. Govern, R.B Mitchell, John T. Chaffey, Göran K. Svensson, C. Norman Coleman |
|---|---|
| Rok vydání: | 2000 |
| Předmět: |
Gerontology
Cancer Research medicine.medical_treatment media_common.quotation_subject MEDLINE Hospital Administrators Health care medicine Hospital-Physician Joint Ventures Organizational Objectives Radiology Nuclear Medicine and imaging Medical history Center (algebra and category theory) Hospitals Teaching Function (engineering) Academic medicine Schools Medical media_common Medical education Radiation Radiology Department Hospital business.industry Historical Article History 20th Century Organizational Policy Radiation therapy Oncology Health Care Reform Radiation Oncology business Boston |
| Zdroj: | International Journal of Radiation Oncology*Biology*Physics. 47:1357-1369 |
| ISSN: | 0360-3016 |
| DOI: | 10.1016/s0360-3016(00)00548-4 |
| Popis: | Purpose: Institutional structure, function, and philosophy reflect the organizational needs, and tend to mirror societal values of the times. For many years, the field of radiation oncology had among its major academic centers, an organization that served as a model for collaboration among health care institutions in an effort to serve the common good of its patients, hospitals, professional colleagues, and community. For over three decades, the Joint Center for Radiation Therapy (JCRT) was a leader in developing new organizational approaches for academic and clinical radiation oncology through the philosophy of collaboration in patient care, education, and research. Methods and Results: In tracing the development and changes in organizational philosophy and structure of the JCRT, one can see the impact on academic oncology and cancer care through the emergence of both radiation and medical oncology as independent subspecialties, the importance of the National Cancer Act of 1971 accompanied by the growth of the NIH research and training programs and, more recently, the effect of the changing attitudes and approaches of hospitals, academicians, practitioners, and policy makers to health care delivery, structures, and cooperation. Conclusion: Lessons learned from the 31-year history of the JCRT may help provide organizational insight useful in guiding academic oncology and academic medical centers through periods of change. |
| Databáze: | OpenAIRE |
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