Historical aspects of the creation and development of university clinics (literature review)

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Abstract

The study is relevant due to the special role of university clinics in maintaining and strengthening public health, since these medical institutions provide training future doctors, conduct clinical and scientific activities, develop and test advanced treatment methods. A systematic review of the literature sources (original research and reviews) selected using bibliographic and semantic search in the databases MedLine, The Cochrane Library, Global Health, CyberLeninka, RSCI, devoted to the historical aspects of the creation and development of university clinics. The authors studied the specifics of the activities of university clinics, searched for solutions to the problem of improving the efficiency and quality of both medical and educational processes of their life. Despite the fact that university clinics originated in different ways, the main models of their activities are highlighted in the form of a single educational, scientific, and medical complex, which allows training of medical personnel at a qualitatively different level, providing practice-oriented training, as well as the possibility of developing scientific achievements of medical science.

The literature data provided by the authors indicate university clinics today to be centers of advanced practical and scientific experience in providing medical care of the population. The study of historical patterns of development of university clinics makes it possible to use the most successful experience of their management in the structure of an educational institution and develop requirements that a university clinic must meet at the present stage to ensure strategic sectoral tasks of the state health system both within the framework of training medical personnel and in ensuring the process of providing medical care of the population in the Russian Federation.

Contribution of the authors:
Kotelnikov G.P. — study concept and design, editing;
Kolsanov A.V. — study concept and design, text writing, editing; Izmalkov N.S. — collecting and processing material writing text, compiling a list of references, editing;
Chertukhina O.B. — collecting and processing material, writing text, compiling a list of references, editing.
All co-authors — approval of the final version of the article, responsibility for the integrity of all parts of the article.

Acknowledgment. The study had no sponsorship.

Conflict of interest. The authors declare no conflict of interest.

Received: June 3, 2023 / Accepted: October 18, 2023 / Published: August 29, 2024

About the authors

Gennady P. Kotelnikov

Samara State Medical University

Author for correspondence.
Email: a.publ1@profpubl.com
ORCID iD: 0000-0001-7456-6160

MD, PhD, DSci., Professor, Academician of the Russian Academy of Sciences, President and the Honourary Rector of the Samara State Medical University, 443099, Russian Federation

e-mail: a.publ1@profpubl.com

Russian Federation

Aleksandr V. Kolsanov

Samara State Medical University

Email: a.v.kolsanov@samsmu.ru
ORCID iD: 0000-0002-4144-7090

MD, PhD, DSci., Professor, Rector of the Samara State Medical University, Samara, 443099, Russian Federation

e-mail: a.v.kolsanov@samsmu.ru

Russian Federation

Nikolay S. Izmalkov

Samara State Medical University

Email: n.s.izmalkov@samsmu.ru
ORCID iD: 0000-0002-0773-9524

MD, PhD, Associate Professor, Chief Physician of Clinics, Samara State Medical University, Samara, 443099, Russian Federation

e-mail: n.s.izmalkov@samsmu.ru

Russian Federation

Olga B. Chertukhina

Samara State Medical University

Email: o.b.chertuchina@samsmu.ru
ORCID iD: 0000-0003-2230-7292

MD, PhD, DSci., Professor, Head of the Department of public health and health of the Institute of Vocational Education of the Samara State Medical University, Samara, 443099, Russian Federation

e-mail: o.b.chertuchina@samsmu.ru

Russian Federation

References

  1. Kochorova L.V., Potapchuk A.A., Afanasieva V.V. A brief history of university clinics in Russia and in the world. Uchenye zapiski SPbGMU im. akad. I.P. Pavlova. 2018; 25(4): 26–30. https://doi.org/10.24884/1607-4181-2018-25-4-26-30 https://elibrary.ru/dtygly (in Russian)
  2. Arksey H., O’Malley L. Scoping studies: Towards a methodological framework. Int. J. Soc. Res. Methodol. 2005; 8(1): 19–32. https://doi.org/10.1080/1364557032000119616
  3. Levac D., Colquhoun H., O’Brien K. Scoping studies: advancing the methodology. Implement. Sci. 2010; 5: 69. https://doi.org/10.1186/1748-5908-5-69
  4. RIA News. Afanas’eva N.A. The history of university clinics as a path of medical science formation. Available at: https://ria.ru/20121016/902842512.html (in Russian)
  5. Kazakov V.N. Reflections on Medicine (Philosophy of Natural Science). The First Book [Razmyshleniya o meditsine (filosofiya estestvoznaniya). Kniga pervaya]. Donetsk: Noulidzh; 2010. (in Russian)
  6. Modanlou H.D. Historical evidence for the origin of teaching hospital, medical school and the rise of academic medicine. J. Perinatol. 2011; 31(4): 236–9. https://doi.org/10.1038/jp.2010.162
  7. Miller A.C. Jundi-Shapur, bimaristans, and the rise of academic medical centres. J. R. Soc. Med. 2006; 99(12): 615–7. https://doi.org/10.1177/014107680609901208
  8. Stochik A.M., Zatravkin S.N. On the clinical training of doctors in Medieval Europe. Klinicheskaya meditsina. 1998; 76(1): 63–7. https://elibrary.ru/tzprfx (in Russian)
  9. Ziganshina Z.R. Organizational and economic foundations of the development of regional healthcare on the basis of the creation of university clinics: Diss. Moscow; 2017. (in Russian)
  10. Del’vig V.S. The place and role of the Moscow Hospital in the history of the reform of Russian medicine in 1707–1735. Obshchestvo. Sreda. Razvitie. 2013; (1): 65–70. https://elibrary.ru/qiviqf (in Russian)
  11. Blagova O., Nedostup A. Faculty therapeutic clinic: 200 years of history and modernity. Vrach. 2008; (10): 2–6. https://elibrary.ru/kwvfth (in Russian)
  12. Khabriev R.U., ed. The History of Healthcare in Pre-Revolutionary Russia (Late XVI — Early XX Century) [Istoriya zdravookhraneniya dorevolyutsionnoi Rossii (konets XVI — nachalo XX v.)]. Moscow: GEOTAR-Media; 2014. (in Russian)
  13. Dolgoshapko O.N., Rogovoy A.N., Strionova V.S. Historical roots of creation of university clinics. Universitetskaya klinika. 2017; 13(1): 104–8. https://elibrary.ru/zhvlnr (in Russian)
  14. Starodubov V.I., Shchepin O.P., eds. Public Health and Healthcare. National Leadership [Obshchestvennoe zdorov’e i zdravookhranenie. Natsional’noe rukovodstvo]. Moscow; 2013. (in Russian)
  15. Visher R., Riethmuller H.U. In the Hospitals of the Future. The Dialogue between Medicine and Architecture. Facts, Guidelines, Fundaumentals. Vienna; 2007.
  16. Engbers R., Fluit C.R.M.G., Bolhuis S., de Visser M., Laan R.F.J.M. Implementing medical teaching policy in university hospitals. Adv. Health Sci. Educ. Theory Pract. 2017; 22(4): 985–1009. https://doi.org/10.1007/s10459-016-9737-y
  17. Sorana D. University hospitals — design excellence. Health Estate. 2011; 65(10): 84–8.
  18. Koikov V.V., Baigozhina Z.A., Umbetzhanova A.T., Bekbergenova Zh.T. Improving the mechanisms of interaction between medical education organizations and health organizations to ensure effective clinical training of future health workers: Policy Brief. Journal of Health Development. 2019; 5(S34): 46–58. https://doi.org/10.32921/2225-9929-2019-34-46-58 https://elibrary.ru/kbjgxr (in Russian)
  19. Akulin I.M. Organizational and legal principles of the university clinic concept as a basis for scientific and practical interdisciplinary cooperation. Peterburgskii yurist. 2015; (3): 20–42. https://elibrary.ru/vaarxx (in Russian)
  20. Akanov A.A., Tulebaev K.A., Turdalieva B.S., Kurakbaev K.K., Karibaev K.B., Kalmakhanov S.B., et al. Model of the university clinic “Uniclinic”. Vestnik Kazakhskogo natsional’nogo meditsinskogo universiteta. 2017; (2): 368–73. https://elibrary.ru/ypujgh (in Russian)
  21. Barrett D.J. The evolving organizational structure of academic health centers: the case of the University of Florida. Acad. Med. 2008; 83(9): 804–8. https://doi.org/10.1097/acm.0b013e318181d054
  22. Means R.T. Jr., Moliterno D.J., Allison G.R., Perman J.A., Lofgren R.P., Karpf M., et al. The evolution of a Department of Internal Medicine under an integrated clinical enterprise model: the University of Kentucky experience. Acad. Med. 2010; 85(3): 531–7. https://doi.org/10.1097/acm.0b013e3181ccd9ac
  23. Karpf M., Lofgren R., Bricker T., Claypool J.O., Zembrodt J., Perman J., et al. Defining the role of University of Kentucky HealthCare in its medical market — how strategic planning creates the intersection of good public policy and good business practices. Acad. Med. 2009; 84(2): 161–9. https://doi.org/10.1097/acm.0b013e3181939677
  24. Fleishon H.B., Itri J.N., Boland G.W., Duszak R. Jr. Academic Medical Centers and Community Hospitals Integration: Trends and Strategies. J. Am. Coll. Radiol. 2017; 14(1): 45–51. https://doi.org/10.1016/j.jacr.2016.07.006
  25. The Ministry of Health, RCD, universities, Strategic partners. The main stages of the creation of university clinics and integrated academic medical centers: the creation of university clinics and medical centers on the basis of medical universities of the Republic of Kazakhstan; 2017–2019. (in Russian)
  26. Ziganshina Z.R. University clinic as a way of formation of medical science. In: Materials of the International Youth Forum “Lomonosov–2016” [Materialy mezhdunarodnogo molodezhnogo foruma «Lomonosov–2016»]. Moscow: MAKS Press; 2016. (in Russian)
  27. Alekseevskaya T.I. Scientific justification for improving the joint activities of a medical university with management bodies and healthcare institutions of a constituent entity of the Federation: Diss. Moscow; 2008. (in Russian)

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Copyright (c) 2024 Kotelnikov G.P., Kolsanov A.V., Izmalkov N.S., Chertukhina O.B.

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