• Physicians are perplexed by the ongoing erosion of their individual professional autonomy.
While the economic forces underlying such change have received much attention, the …

Within medicine there is growing uneasiness and debate about changes in medical care
delivery. Much of this concern centers on the evolution of organizations and the role of …

KEY CONCEPTS: Associations versus Bureaucracies, Doctor-Patient Relationship, Private
Practice, The Physician as Employee? Hospitals are institutions in which private physicians …

More physicians are assuming salaried positions within large health care organizations. In
this report, we discuss the influence of such organizational changes on physician behavior …

Physicians today are concerned that changes in the organization of medical care may
greatly reduce their control of the practice of medicine. Evidence of the effects of three of …

management Page 1 The secret of medical management James E. Rohrer A review of the
research on group practices punctures the myth of physician autonomy in hospitals and opens the …

In the arena of managed care and large delivery systems, professional associations find it
increasingly difficult to influence the environments in which their members practice …

Exclusive knowledge has been a powerful tool. Medical language has effectively excluded
consumers from participating in their treatment decisions or questioning medical outcomes …

ALTHOUGH the physician is the key figure in the voluntary hospital in this country, hospital
organization and administration neither reflect the doctor's actual role nor assign him a role …

Professionals subscribe to a given set of shared core values whichdefine their profession. In
medicine they relate to the saving of lifeand healing of the sick. Autonomy is concerned with …