title: [The so-called medical team system in surgery, an alternative to hierarchy?].
abstract: Since some years representatives of the "Bundesärztekammer" (German Board of physicians)--induced too by the German parliament of physicians--demanded the establishment of "team-work-models" as a new form of administration of our clinical departments. There are many reasons argueing against a reformation of the present structures like economical considerations, a well-organized education and especially patient-care-management. Only scientifically-based evidence could justify a change of the well-approved head-physician-system in Germany.
authors.affiliation: Klinik für Allgemein-, Thorax- und Gefässchirurgie, Hegau-Klinikum GmbH, Singen.
authors.forename: D
authors.initials: D
authors.lastname: Rühland
mesh_terms: D013502:General Surgery / Q000458:organization & administration*; D005858:Germany; D006608:Hierarchy, Social; D006801:Humans; D010348:Patient Care Team / Q000458:organization & administration*; D008486:Physician Executives / Q000458:organization & administration; D013503:Surgery Department, Hospital / Q000458:organization & administration
vernacular_title: Das sogenannte Teamarztsystem in der Chirurgie, eine Alternative zur Hierarchie?