title: A dance in anger: physician responses to changes in practice.
abstract: Although "managed care" means different things to different people, it has become an icon for health care change and is commonly cited as the principle cause for the physician's lament. Successful leaders are finding ways to address the signs, symptoms, and causes of the physician grief reaction to the tumultuous marketplace changes affecting how they view themselves as professionals and how they practice medicine. Health care CEOs continue to place the search for solutions, physician-hospital integration, and the alignment of system and physician incentives as their number one strategic priority. This article reviews common sources of anger and identifies potential solutions. Strategies for dealing with the anger include: (1) recognizing the issues, causes, signs, and symptoms; (2) restoring balance and power; (3) developing new economic partnerships; (4) managing the organizational culture; and (5) educating one another and developing leadership.
authors.affiliation: Swedish American Health System, Rockford, IL, USA. callk-lint@aol.com
authors.forename: R B
authors.initials: RB
authors.lastname: Klint
mesh_terms: D000786:Anger; D002321:Career Choice; D003659:Decision Making, Organizational; D006117:Grief; D018578:Hospital-Physician Relations; D006801:Humans; D007400:Interprofessional Relations; D007588:Job Satisfaction; D007857:Leadership; D008329:Managed Care Programs / Q000191:economics / Q000458:organization & administration* / Q000592:standards; D010817:Physician-Patient Relations; D010820:Physicians / Q000523:psychology*; D011209:Power, Psychological; D017009:Professional Autonomy; D014481:United States