title: Medical leadership in an era of managed care and continual improvement.
abstract: Because clinicians control more than 70% of the total costs of medical care, the success of managed care systems in containing expenditures depends to a large degree on their leadership. Clinicians must make cultural changes and develop core competencies and technical skills to promote the continuous improvement needed for the success of managed care.
authors.affiliation: Case Western Reserve University School of Medicine, MetroHealth Medical Center, Cleveland, OH 44109, USA.
authors.forename: J E
authors.initials: JE
authors.lastname: McEachern
authors.forename: C A
authors.initials: CA
authors.lastname: Curley
authors.forename: D
authors.initials: D
authors.lastname: Neuhauser
mesh_terms: D002204:Capitation Fee / Q000706:statistics & numerical data; D015510:Clinical Medicine / Q000191:economics / Q000458:organization & administration*; D019033:Delivery of Health Care, Integrated; D018588:Fee-for-Service Plans / Q000706:statistics & numerical data; D006302:Health Services Research; D007857:Leadership; D008329:Managed Care Programs / Q000191:economics / Q000458:organization & administration* / Q000592:standards / Q000706:statistics & numerical data; D015279:Organizational Culture; D009936:Organizational Innovation; D010819:Physician's Role; D012922:Social Change; D017749:Total Quality Management / Q000458:organization & administration*; D014481:United States