Professional oligarchy in medical group practice :Toward the development of a middle-range theory development of a middle-range theory
作者:
Daniel Fahey,
期刊:
Journal of Ambulatory Care Management
(OVID Available online 1994)
卷期:
Volume 17,
issue 1
页码: 77-90
ISSN:0148-9917
年代: 1994
出版商: OVID
关键词: contingency theory;medical group governance;middle range theory;professional oligarchy
数据来源: OVID
摘要:
The article presents the findings from a study of 27 large, multi-specialty medical groups that suggests a new middle range theory that the governance of medical groups is evolving away from professional autonomy due to environmental changes resulting from the expansion of managed care. The article takes a contingency theory approach to the governance of medical groups to determine the locus-of-control for strategic and management decision making. The findings support the contention that successful medical groups limit decision making at the highest level in the organization to a small number of physician leaders, thereby creating a new organizational form, professional oligarchy.
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