Role of the Physician
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Starr (1982) and Thomas and Sehnert (1989) report that the role of the physician has dramatically been altered, when comparing history to current times. Starr (1982) reports that the growth of medical authority on the part of in dependent physicians did not come easily, nor without political consequences. In fact, before physicians could transform into a position of high income, autonomy, and other attendant rewards, they confronted during the 1760s to the 1850s, tension between their aspirations and political resistance. Note the following. In the nineteenth century, many Americans, epitomized by the Populists, continued to believe in the adequacy of common sense and to resist the claims of the professions. On the other hand, there were those, like the Progressives, who believed that science provided the means of moral as well as political reform and who saw in the professions a new and more advanced basis of order. The Progressive view, always stated as a disinterested ideal, nevertheless happily coincided with the ambitions of the emerging professional class to cure and reform. The cultural triumph of Progressivism, which proved more lasting than its political victories, was inseparable from the rise in status and power of professionals in new occupations and organizational hierarchies. Yet this was no simple usurpation; the new authority of professionals reflected the instability of a new way of life and its challenge to traditi
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and external organizational environments in this century for the healthcare industry with regard to physician staffing. There now exists a situation in which physicians are no longer generally scarce: in fact, they are in surplus in most of the metropolitan areas and, resultantly, can no longer avoid structuring their independent practices in ways that bolster their autonomy.
Given this situation, the sovereignty of the medical profession is now at tremendous risk. That is, independent physicians, as well as allied healthcare professionals, must now curry to the general external environment, as well as specific external and internal environments, in recognition of market forces and changed healthcare expectations from their current and potential consumers. Moreover, independent physicians and other healthcare professionals must now confront the changing funding environment, in which MediCare and MediCaid programs no longer utilize retrospective reimbursement but function based upon prospective reimbursement as a way in which to drastically curb governmental and other third-party outlays. In fact, Starr (1982) reports that both the internal and external environments of healthcare providers have so drastically been altered tha
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Some common words found in the essay are:
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Approximate Word count = 2472
Approximate Pages = 10 (250 words per page)
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