Academic medical cluster of a multidisciplinary university as an organizational model of integrated preventive and curative care

The integration of clinical, educational, and research activities is regarded as one of the defining vectors in the development of university medicine, whereas the organizational forms of such integration and the medico-preventive needs of the university population itself remain insufficiently studied in the Russian context. This review summarizes a multi-stage analysis combining a comparison of the organizational models of leading university clinics in China, Western Europe, the USA, and Southeast Asia, an examination of domestic experience and regulatory prerequisites, an assessment of the needs of students and staff of a multidisciplinary university, and the development and expert verification of an organizational and functional model of an academic medical cluster. The university community is shown to experience a marked unmet demand for medico-preventive care and a high readiness for integrated services, while professional burnout among the teaching staff and psycho-emotional distress acquire the character of a systemic need. The proposed Health University model integrates a clinical diagnostic center, a university clinical hospital, and a sanatorium within a full cycle of care, with a coordinating council, end-to-end routing, a unified electronic health record, and multichannel financing. The conceptual validity of the model was confirmed by expert verification using the Delphi method, which yielded full consensus and a unanimous recognition of the model readiness for pilot implementation. From the full text, the reader learns how the dispersed medical, educational, and research resources of a multidisciplinary university can be combined into a manageable system of integrated preventive and curative care, and which organizational, personnel, and regulatory conditions determine its sustainability.