Academic Health System Framework for Health Services Transformation: A Perspective View from West Java, Indonesia
Although the field of medicine has made significant progress in recent decades, low and middle-income countries continue to face significant difficulties in addressing the unprecedented obstacles to improving health. Medical schools should play a critical role in driving health services reform and take on a new leadership role in strengthening the health system. This paper discusses a conceptual framework and outlines the Academic Health Systems (AHS) agenda in Indonesia. A comprehensive analysis was conducted on the existing literature and frameworks regarding AHS, applying the system thinking method, which engages stakeholders actively. The findings and interpretations from interviews, focus groups, and collaborative workshops were consolidated and a set of proposed frameworks, fundamental principles, and a route for enhancing the health system in Indonesia were put forward. Our recommendations include transformative learning, community engagement, and translational research as pillar principles of AHS program. These recommendations have the potential to be modified and implemented in other low- and middle-income countries.
Authors
- John J. Norcini (ORCID: https://orcid.org/0000-0002-8464-4115)
- Insi Farisa Desy Arya (ORCID: https://orcid.org/0000-0002-7240-2629)
- Guswan Wiwaha (ORCID: https://orcid.org/0000-0002-2514-7493)
- Ria Bandiara (ORCID: https://orcid.org/0000-0001-8530-6022)
- Dwi Agustian (ORCID: https://orcid.org/0000-0002-6122-0758)
- Tri Hanggono Achmad (ORCID: https://orcid.org/0000-0003-4151-2929)
- Qorinah Estiningtyas Sakilah Adnani (ORCID: https://orcid.org/0000-0002-4625-4861)
- Gaga Irawan Nugraha (ORCID: https://orcid.org/0000-0003-3248-5957)
- Arief Kartasasmita (ORCID: https://orcid.org/0000-0003-2249-8965)
- Wiryawan Permadi (ORCID: https://orcid.org/0000-0002-3275-7521)
- Muhammad Hasan Bashari (ORCID: https://orcid.org/0000-0001-7298-0317)
- Irvan Afriandi (ORCID: https://orcid.org/0000-0002-5143-0524)
- Afiat Berbudi (ORCID: https://orcid.org/0000-0001-8809-0810)
- Windi Nurdiawan (ORCID: https://orcid.org/0000-0003-1298-7941)
- Yudi Mulyana Hidayat (ORCID: https://orcid.org/0000-0002-8010-5907)
- Ruswana Anwar (ORCID: https://orcid.org/0000-0001-5416-1238)
- Wijana Hasansulama
Institutions
- SUNY Upstate Medical University (US)
- Padjadjaran University (ID)
Publication Details
- Journal
- Advances in Medical Education and Practice
- Published
- 2024-10-01
- DOI
- https://doi.org/10.2147/amep.s474314
- Citations
- 1
- Primary Topic
- Primary Care and Health Outcomes
- Type
- article
- Field-Weighted Citation Impact
- 0.85
Funders
- Kementerian Pendidikan, Kebudayaan, Riset, dan Teknologi
- Direktorat Jenderal Pendidikan Tinggi