ArticleLearning health systems2021
The triple helix of clinical, research, and education missions in academic health centers: A qualitative study of diverse stakeholder perspectives.
Article in Learning health systems, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
10 citing papers in PubMed, 21 citations in OpenAlex.
- Retention of fellows to the faculty at a research-intensive academic medical center: a mixed-methods study.Medical education online · 2026Article
- [Medical training in research: A challenge].Revista medica del Instituto Mexicano del Seguro Social · 2026Article
- Factors associated with academic-medicine faculty attrition before promotion to senior rank: A national-cohort study.PloS one · 2026Article
- Sociotechnical imaginaries in academic medicine strategic planning: a document analysis.Advances in health sciences education : theory and practice · 2024Article
- Medical Students as Teachers: A Student-Led Course in Developing Teaching Skills.Medical science educator · 2024Article
- Infrastructure Features Associated With Increased Department Research Capacity.Family medicine · 2023Article
- Communication and cooperation challenges in the online classroom in the COVID-19 era: a qualitative study.BMC medical education · 2023Article
- The triple helix of clinical, research, and education missions in academic health centers: A qualitative study of diverse stakeholder perspectives.Learning health systems · 2021Article
- Rethinking approaches of science, technology, and innovation in healthcare during the COVID-19 pandemic: the challenge of translating knowledge infrastructures to public needs.Health research policy and systems · 2021Article
- Harmonizing the Tripartite Mission in Academic Family Medicine: A Longitudinal Case Example.Annals of family medicineArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors at 7 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionAcademic health centers are poised to improve health through their clinical, education, and research missions. However, these missions often operate in silos. The authors explored stakeholder perspectives at diverse institutions to understand challenges and identify alignment strategies.
methodsAuthors used an exploratory qualitative design and thematic analysis approach with data obtained from electronic surveys sent to participants at five U.S. academic health centers (2017-18), with four different types of medical school/health system partnerships. Participants included educators, researchers, system leaders, administrators, clinical providers, resident/fellow physicians, and students. Investigators coded data using constant comparative analysis, met regularly to reconcile uncertainties, and collapsed/combined categories.
resultsOf 175 participants invited, 113 completed the survey (65%). Three results categories were identified. First, five higher-order themes emerged related to aligning missions, including (a) shared vision and strategies, (b) alignment of strategy with community needs, (c) tension of economic drivers, (d) coproduction of knowledge, and (e) unifying set of concepts spanning all missions. Second, strategies for each mission were identified, including education (new competencies, instructional methods, recruitment), research (shifting agenda, developing partnerships, operations), and clinical operations (delivery models, focus on patient factors/needs, value-based care, well-being). Lastly, strategies for integrating each dyadic mission pair, including research-education, clinical operations education, and research-clinical operations, were identified.
conclusionsAcademic health centers are at a crossroads in regard to identity and alignment across the tripartite missions. The study's results provide pragmatic strategies to advance the tripartite missions and lead necessary change for improved patient health.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.