Merry M D
University of New Hampshire, Durham.
Qual Manag Health Care. 1993 Spring;1(3):31-41.
This article examines how rapidly evolving health care delivery structures are radically altering the traditional clinical and organizational autonomy enjoyed by physicians. These changes may render maintenance of prior levels of physician autonomy virtually impossible. The author calls for the emergence of a new breed of physician leaders who will preserve the best of traditional medical practice culture but also effectively implement a nascent form of integrated health care practice.
本文探讨了快速演变的医疗服务结构如何从根本上改变医生传统享有的临床和组织自主权。这些变化可能使维持先前医生自主权水平几乎变得不可能。作者呼吁新一代医生领导者的出现，他们既要保留传统医疗实践文化的精华，又要有效地实施一种新兴的综合医疗实践形式。
