Re-evaluating professional autonomy in health care.
Professional autonomy, as the symbol of the traditional freedom of decision-making of medical professionals is criticized. This essay examines the critique. It analyses the underlying assumption that the autonomy of health professionals is incompatible with the need for organisation and management in order to control rising health care costs. It is argued that the concept of professional autonomy should be redefined, not through restricting the decision-making freedom of individual health professionals, but through expanding the concept into the sphere of management, so that managers will take responsibility for patient care.
Ten Have
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Faculty of Medical Sciences, University of Nijmegen, The Netherlands. H.tenhave@efg.kun.nl
D001294:Attitude to Health; D003363:Cost Control; D003659:Decision Making, Organizational; D004991:Ethics, Institutional; D004992:Ethics, Medical; D005610:Freedom; D018166:Health Care Reform / Q000458:organization & administration*; D006801:Humans; D010344:Patient Advocacy; D017009:Professional Autonomy