The deprofessionalization of medicine. Causes, effects, and responses.
In this article, we examine the components of medical professionalism; identify the roots of the loss of professional autonomy by physicians in the United States--a process that, in effect, is leading to the deprofessionalization of American medicine; discuss why such deprofessionalization is undesirable for the society; and explore three health care delivery systems and their effects on deprofessionalization. We suggest that a system based on organizations set up and directed by physicians will be the system that best preserves medical professionalism and serves the public interest.
Reed
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Reed Medical Group, Chartered, Lawrence, KS 66044.
Evans
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D005582:Foundations / Q000458:organization & administration; D006123:Group Practice / Q000458:organization & administration; D008511:Medicine; D011364:Professional Practice / Q000191:economics / Q000639:trends*; D012962:Sociology, Medical; D014481:United States