Reed R R, Evans D
Reed Medical Group, Chartered, Lawrence, KS 66044.
JAMA. 1987 Dec 11;258(22):3279-82.
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.
在本文中，我们审视了医学职业精神的构成要素；找出美国医生丧失职业自主性的根源——这一过程实际上正导致美国医学的非职业化；探讨为何这种非职业化对社会不利；并探究三种医疗服务体系及其对非职业化的影响。我们认为，基于由医生建立和主导的组织的体系将是最能维护医学职业精神并服务于公众利益的体系。
