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The deprofessionalization of medicine. Causes, effects, and responses.

1987; National Institutes of Health; Volume: 258; Issue: 22 Linguagem: Inglês

R R Reed, Daryl Evans,

Healthcare Policy and Management

In this article, we examine the components of medical professionalism; identify the roots of the loss of professional autonomy by physicians in the United States--a process that, in effect, is leading to the deprofessionalization of American medicine; discuss why such deprofessionalization is undesirable for the society; and explore three health care delivery systems and their effects on deprofessionalization. We suggest that a system based on organizations set up and directed by physicians will be the system that best preserves medical professionalism and serves the public interest.