Poduval Murali, Poduval Jayita
Lecturer, Department of Orthopedics, Seth G.S. Medical College and The KEM Group of Hospitals, Mumbai, Editor, IJCP's Asian Journal of Orthopedics and Rheumatology.
Mens Sana Monogr. 2008 Jan;6(1):157-74. doi: 10.4103/0973-1229.34714.
The medical profession is set for a change. It is being redesigned as a corporate enterprise. The health-care industry has proved to be lucrative and therefore has seen the entry of newer players from the corporate field into the market. The "Medical-Industrial complex" has led to the commercialization of health care well beyond what traditional practitioners would consider ideal. Medicine is being treated as a business, with cost curtailment measures and profit margins often dictating physicians' choices. A number of factors decide working environment in a corporate setup, all of which may affect the sacrosanct physician-doctor relationship and "physician" ethics. On the other side, the ability of the corporate sector to bring about a welcome change in the health-care sector in terms of availability of newer modalities of management, implementation of preventive and personalized health-care programme and, at the same time, adding to the comfort of the treating physician cannot be ignored.
医疗行业即将发生变革。它正被重新设计成一个企业实体。事实证明,医疗保健行业利润丰厚,因此吸引了企业领域的新参与者进入市场。“医疗产业联合体”已导致医疗保健的商业化程度远超传统从业者认为的理想范围。医学正被当作一门生意,成本削减措施和利润率常常决定着医生的选择。在企业环境中,有诸多因素决定着工作环境,所有这些因素都可能影响神圣不可侵犯的医患关系以及“医生”职业道德。另一方面,企业部门在引入更新的管理模式、实施预防和个性化医疗保健计划方面,以及同时提升治疗医生的工作舒适度方面,给医疗保健领域带来可喜变化的能力不容忽视。