Gallup E M
Physician Exec. 1999 Sep-Oct;25(5):14-8.
Richard L. Reece, MD, interviewed Elizabeth M. Gallup, MD, JD, MBA, on July 9, 1999, to talk about the evolving role of the physician executive. Dr. Gallup discusses how medical directors have evolved from a purely clinical role to participating in the business side of medicine as well. The traditional medical director, a Dr. No who denies treatment and watches clinical performance, is now becoming an educator helping physicians to manage their behavior and change their practices based on comparative data. Her book, How Physicians Can Avoid Surrender and Lead Change: Gaining Real Influence in Your Own Health Care Organization Before It's Too Late, (American College of Physician Executives, 1996) promotes acting together as a group if physicians want to stay independent and not become employed. Independent physicians can form IPAs and act together as a group, avoiding some antitrust laws. Unless physicians get together and act as a group, she says, they are doomed to further and further erosion of their economic interests as well as their clinical autonomy.
1999年7月9日,医学博士理查德·L·里斯采访了医学博士、法学博士、工商管理硕士伊丽莎白·M·盖洛普,探讨医师高管不断演变的角色。盖洛普博士讨论了医疗主任如何从纯粹的临床角色演变为也参与医疗业务方面的工作。传统的医疗主任,即那个拒绝治疗并关注临床绩效的“说不博士”,如今正成为一名教育者,帮助医生管理自身行为,并根据比较数据改变他们的行医方式。她的著作《医生如何避免屈服并引领变革:在为时已晚之前在自己的医疗保健组织中获得真正影响力》(美国医师高管学院,1996年)倡导,如果医生想要保持独立而不成为雇员,就要集体行动。独立医生可以组建独立医生协会并集体行动,从而规避一些反垄断法。她说,除非医生们团结起来并集体行动,否则他们注定会使其经济利益以及临床自主权受到越来越大的侵蚀。