Physician leadership for the 21st century.
This article examines how rapidly evolving health care delivery structures are radically altering the traditional clinical and organizational autonomy enjoyed by physicians. These changes may render maintenance of prior levels of physician autonomy virtually impossible. The author calls for the emergence of a new breed of physician leaders who will preserve the best of traditional medical practice culture but also effectively implement a nascent form of integrated health care practice.
Merry
M D
MD
University of New Hampshire, Durham.
D000553:Ambulatory Care / Q000458:organization & administration; D003659:Decision Making, Organizational; D005377:Financial Management, Hospital; D007857:Leadership; D008505:Medical Staff, Hospital / Q000458:organization & administration*; D017146:Models, Organizational; D009936:Organizational Innovation; D008486:Physician Executives / Q000639:trends*; D010819:Physician's Role; D017009:Professional Autonomy; D017749:Total Quality Management; D014481:United States