LeTourneau B, Curry W
Allina Health System, Minneapolis MN, USA.
Front Health Serv Manage. 1997 Spring;13(3):3-25; discussion 43-5.
It should come as no surprise to any observer of trends in the U.S. healthcare delivery system that physicians are taking a keener interest in the organization and management of that system. The practice of medicine has become, to a large degree, overtaken by events. Managed care and system integration have tended to place decision making at points further and further removed from patient care, the natural purview of the physician. It is to regain the initiative on how patient care is provided that physicians are moving in greater numbers into management. It is our contention that this move portends well for the future of the system. The unique advantage of the physician executive is the ability to bring to bear on healthcare management an understanding of the clinical processes that are its essential content. With strong clinical credentials and excellent management training, the physician is poised to make significant contributions to a healthcare organization's success.
对于任何观察美国医疗服务体系趋势的人来说，医生对该体系的组织和管理表现出更浓厚的兴趣并不奇怪。医学实践在很大程度上已被各种事件所超越。管理式医疗和系统整合往往使决策点越来越远离患者护理，而患者护理本是医生的自然职责范围。越来越多的医生进入管理领域，正是为了重新掌握提供患者护理的主动权。我们认为，这一举动对该体系的未来是个好兆头。医生管理者的独特优势在于能够将对临床过程的理解应用于医疗管理，而临床过程是医疗管理的核心内容。凭借强大的临床资质和出色的管理培训，医生有望为医疗组织的成功做出重大贡献。
