Academic Health System in West Java in Strengthening Primary Health Care



Yoni Fuadah Syukriani (Department of Forensic and Legal Medicine, Faculty of Medicine, Universitas Padjadjaran)


Academic Health System (AHS) has been developed in many countries to strengthen the relationship between medical education and health professions with the health care system, which is essential to improve health outcome. Indonesia has chosen to establish AHS in several provinces, each with the autonomy to develop the system in accord with regional needs. Health cluster faculties in Universitas Padjadjaran, with its two main teaching hospitals, the West Java provincial government strived to develop AHS to overcome health services problem and medical education in the province that has enormous geographical and demographic challenges. The strategy used focuses on two things: distributed medical education (DME) and the development of a more effective referral system. The goals are dividing the province into seven regionals, upscaling one local hospital in each to become a regional referral hospital, expanding learning opportunities for medical students, and endorsing research to strengthen the primary healthcare services. Activities were carried out through the distribution of medical students and residents to local hospitals and primary healthcare facilities along with the education of local medical professionals as supervisors. Grants were provided for research that focus on quality primary healthcare, construction of data portal for patient management referral systems, telemedicine, and tele-education. The challenges faced are mainly related to the different mindset between institutions that have different work cultures and the wide variance of situations between regions. It is therefore recommended to build a more straightforward AHS system with addition of sub-networks, besides continue to maintain close communication and policy development.


academic health system, university, primary healthcare, distributed medical education, west java

Full Text:



Aditya PE, Lelonowati D, Ramdani HK. Delayed Data Collection for BPJS Claim Verification in X Hospital: What is the Root Cause and Solution?. Jurnal Medicoeticolegal dan Manajemen Rumah Sakit, Vol. 6, No. 2, 2017, pp. 112-121.

Culbertson RA, Goode LD, Dickler RM. Organizational models of medical school relationships to the clinical enterprise. Academic Medicine, Vol. 71, No. 11, 1996, pp. 1258-1274.

De-Villiers M, Van-Schalkwyk S, Blitz J, Couper I, Moodley K, Talib Z, Young T. Decentralised Training for Medical Students: A Scoping Review. Medical Education, Vol. 17, 2017, pp. 196.

Fakultas Kedokteran Universitas Padjadjaran, RSUP Dr. Hasan Sadikin Bandung, PMN RS Mata Cicendo. Strategic Business Planning 2015-2016. Fakultas Kedokteran Universitas Padjadjaran, RSUP Dr. Hasan Sadikin Bandung, PMN RS Mata Cicendo, Bandung, 2015.

French CE, Ferlie E, Fulop NJ. The International Spread of Academic Health Science Centres: A Scoping Review and the Case of Policy Transfer to England. Health Policy, Vol. 117, No. 3, 2014, pp. 382-391.

Hassan N, Rogers E. Distributed Medical Education: A Student Centered Review and Best Practice Recommendation. Canadian Federation of Medical Students. 2011.

Leinarts R. Knowledge Valorization Around Academic Medical Centers [Thesis]. Universiteit Utrecht. 2014.

Ludmerer KM. Flexner and Medical Education. Perspectives in Biology and Medicine, Vol. 54, No. 1, 2011, pp. 8-16.

Mahendradhata Y, Trisnantoro L, Listyadewi S, Soewondo P, Marthias T, Harimurti P, Prawira J. The Republic of Indonesia Health System Review. Health System in Transition, Vol. 7, No. 1, 2017.

Mas’udin. Identification of Finansial Problem in the Era of Jaminan Kesehatan Nasional. Info Artha, Vol. 1, No. 2, 2017, pp. 111-119 – in Bahasa Indonesia

Meliala A, Hort K, Trisnantoro L. Addressing the Unequal Geographic Distribution of Specialist Doctors in Indonesia: The Role of the Private Sector and Effectiveness of Current Regulations. Social Science & Medicine, Vol. 82, 2013, pp. 30-34.

Ministry of Health of the Republic of Indonesia. Strategic Planning 2015-2019. Jakarta. 2015 - in Bahasa Indonesia.

Ministry of Research and Higher Education. Ministry of Research and Higher Education in agreement with Ministry of Health to Enhance the Quality of Healthcare Service, Research, and Education by Establishing a Joint Commission. Press Release. Jakarta, 2016 – in Bahasa Indonesia

Ostrovsky A, Barnett M. Accelerating Change: Fostering Innovation in Healthcare Delivery at Academic Medical Centers. Healthcare, Vol. 2, 2014, pp. 9-13.

Sari NM, Susanah S, Pratiwi YS, Khairani AF, Atik N, Hilmanto D, Syukriani YF. Integrating Community Services with Learning: An Approach to Soft Skills Development for Medical Students Universitas Padjadjaran. Journal of Medical Education Development, Vol. 12, No. 35, 2019, pp. 61-66.

Snyderman R. A Chancellor Tale: Transforming Academic Medicine. Duke University Press. 2016. e-ISBN 9780822373933.

Universitas Padjadjaran. Strategic Planning 2015-2019. Bandung: s.n. 2015.

Wartman SA, Steinberg MJ. The Role of Academic Health Centers in Addressing Social Responsibility. Medical Teacher, Vol. 33, No. 8, 2011, pp. 638-642.

Wartman SA, Zhou Y, Knettel AJ. Health Reform and Academic Health Centers: Commentary on an Evolving Paradigm. Academic Medicine, Vol. 90, No. 12, 2015, pp. 1587-1590.

Wartman, SA. The Academic Health Center in a Disrupted World. Pharos Alpha Omega Alpha Honor Medical Society, Vol. 78, No. 2, 2015, pp. 2-9.

Weiner BJ, Culbertson R, Jones RF, Dickler R. Organizational Models for Medical School-Clinical Enterprise Relationships. Academic Medicine, Vol. 76, No. 2, 2001, pp. 113-124.

World Health Organization. World Health Statistics 2016: Monitoring Health for the SDGs. Geneva: World Health Organization. 2016. ISBN 9789241565264.

Yuliyanti C, Thabrany H. Delayed Claim Payment and the Threat to Hospital Cash Flow Under the National Health Insurance Scheme in Indonesia. International conference on Applied Science and Health (ICASH). Proceedings of International Conference on Applied Science and Health, 3: ICASH-A18, 2018.

Article Metrics

This article has been read : 95 times
PDF file viewed/downloaded : 106 times

Copyright & License

Copyright (c) 2021 Yoni Fuadah Syukriani

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

Published by:
Undergraduate Program of Midwifery
Faculty of Medicine - Universitas Andalas - Indonesia
Faculty of Medicine, Universitas Andalas

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.