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. 1994 Jan 15;150(2):171–176.

Physicians in health care management: 1. Physicians as managers: roles and future challenges.

P Leatt 1
PMCID: PMC1486206  PMID: 8287339

Abstract

Physicians are increasingly expected to assume responsibility for the management of human and financial resources in health care, particularly in hospitals. Juggling their new management responsibilities with clinical care, teaching and research can lead to conflicting roles. However, their presence in management is crucial to shaping the future health care system. They bring to management positions important skills and values such as observation, problem-solving, analysis and ethical judgement. To improve their management skills physicians can benefit from management education programs such as those offered by the Physician-Manager Institute and several Canadian universities. To manage in the future environment they must increase their knowledge and skills in policy and political processes, financial strategies and management, human resources management, systems and program quality improvement and organizational design.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Crutcher R. A. CMA-run courses for MDs sign of changing times in health care management. CMAJ. 1992 Mar 1;146(5):748–750. [PMC free article] [PubMed] [Google Scholar]
  2. Friedson E. The reorganization of the medical profession. Med Care Rev. 1985 Spring;42(1):11–35. doi: 10.1177/107755878504200103. [DOI] [PubMed] [Google Scholar]
  3. Hirschhorn L., Gilmore T. The new boundaries of the "boundaryless" company. Harv Bus Rev. 1992 May-Jun;70(3):104–115. [PubMed] [Google Scholar]
  4. Kindig D. A., Dunham N. C., Chun L. M. Career paths of physician executives. Health Care Manage Rev. 1991 Fall;16(4):11–19. [PubMed] [Google Scholar]
  5. Kindig D. A., Lastiri-Quiros S. The changing managerial role of physician executives. J Health Adm Educ. 1989 Winter;7(1):33–46. [PubMed] [Google Scholar]
  6. Kindig D. A., Lastiri S. Administrative medicine: a new medical specialty? Health Aff (Millwood) 1986 Winter;5(4):146–156. doi: 10.1377/hlthaff.5.4.146. [DOI] [PubMed] [Google Scholar]
  7. Kirkman-Liff B., Schneller E. The Resource Management Initiative in the English National Health Service. Health Care Manage Rev. 1992 Spring;17(2):59–70. doi: 10.1097/00004010-199201720-00007. [DOI] [PubMed] [Google Scholar]
  8. Leatt P., O'Rourke K., Fried B., Deber R. Regulatory intensity, hospital size and the formalization of medical staff organization in hospitals. Health Serv Manage Res. 1992 Jul;5(2):123–136. doi: 10.1177/095148489200500205. [DOI] [PubMed] [Google Scholar]
  9. Lemieux-Charles L., Meslin E. M., Aird C., Baker R., Leatt P. Ethical issues faced by clinician/managers in resource-allocation decisions. Hosp Health Serv Adm. 1993 Summer;38(2):267–285. [PubMed] [Google Scholar]
  10. Lowy F. H. Health maintenance organizations in Canada: some ethical considerations. CMAJ. 1988 Jul 15;139(2):105–109. [PMC free article] [PubMed] [Google Scholar]
  11. Myers T., Leatt P., Bonus W. An approach to the assessment of learning needs for physician-managers. J Health Adm Educ. 1986 Fall;4(4):629–643. [PubMed] [Google Scholar]
  12. O'Connor S. J., Lanning J. A. The end of autonomy? Reflections on the postprofessional physician. Health Care Manage Rev. 1992 Winter;17(1):63–72. doi: 10.1097/00004010-199201710-00008. [DOI] [PubMed] [Google Scholar]
  13. Ottensmeyer D. J., Smith H. L. Patterns of medical practice in an era of change. Front Health Serv Manage. 1986 Aug;3(1):3–44. [PubMed] [Google Scholar]
  14. Patterson D. J., Thompson K. A. Product line management: organization makes the difference. Healthc Financ Manage. 1987 Feb;41(2):66–72. [PubMed] [Google Scholar]
  15. Pool J. Hospital management: integrating the dual hierarchy? Int J Health Plann Manage. 1991 Jul-Sep;6(3):193–207. doi: 10.1002/hpm.4740060304. [DOI] [PubMed] [Google Scholar]
  16. Ruelas E., Leatt P. The roles of physician-executives in hospitals: a framework for management education. J Health Adm Educ. 1985 Spring;3(2 Pt 1):151–169. [PubMed] [Google Scholar]
  17. Shortell S. M. The medical staff of the future: replanting the garden. Front Health Serv Manage. 1985 Feb;1(3):3–48. [PubMed] [Google Scholar]
  18. Smith T., Leatt P., Ellis P., Fried B. Decentralized hospital management: rationale, potential, and two case examples. Health Matrix. 1989 Spring;7(1):11–17. [PubMed] [Google Scholar]

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