title: Large medical group-practice organizations and employed physicians: a relationship in transition.
abstract: Out of the revolution in medical practice is being forged a new type of group-practice organization--larger and more complex, more tightly administered, and more strategically aware than its antecedents. A typology is offered to contribute to an understanding of the changing physician/group-practice relationship. Drawing upon historical and contemporary literature, initial and following-up field observations, and extensive interviews, large medical group-practice organizations are analyzed according to basic orientation toward the health care market, and to a belief in how medical practice should be organized. The revolution in practice will be stamped on future health care arrangements, and will be transmitted into the professional culture of medicine.
authors.affiliation: University of North Carolina, Chapel Hill.
authors.forename: D L
authors.initials: DL
authors.lastname: Madison
authors.forename: T R
authors.initials: TR
authors.lastname: Konrad
mesh_terms: D004651:Employment; D006123:Group Practice / Q000458:organization & administration / Q000639:trends*; D006279:Health Maintenance Organizations / Q000458:organization & administration; D007325:Institutional Practice; D008503:Medical Staff; D015279:Organizational Culture; D010817:Physician-Patient Relations; D011209:Power, Psychological; D014481:United States