“the movement of public opinion has been toward less confidence in physician authority”
Economic and social origins contribute to public dissatisfaction of the medical profession
Social Control of Medical Practice
Physicians lack the two most common forms of social control in advanced...
It is argued the problem of controlling organized medical care is solved by...
High levels of trust, satisfaction, and participation in decision making are...
“Rules of etiquette” between physicians discourages criticism
It can be assumed that physicians are dedicated to their patients
Mistakes in medical practice can be defended as “a difference of opinion”
The mid 20 th century was the height of the medical profession’s power and prestige in the US
“Golden Age of Medicine” or the “Age of Gold”
The greatest impact on the autonomy (independence) of the medical profession is external and largely due to (1.) government regulation, (2.) the managed care system, (3.) corporations in the health care business, and (4.) changes in the traditional doctor-patient relationship
Rising health care costs increase public demand for government intervention
Response of the federal government; support improvements in health care delivery for all segments of the population, exert limited controls over physicians, and initiate efforts to reform the health care delivery system
At their best
managed care organizes and improves health care in a stable, reliable, and less costly manner and combine prevention with patient education