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Causes, Effects, and Responses

Ralph R. Reed, MD; Daryl Evans, PhD

JAMA. 1987;258(22):3279-3282.

Abstract
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.

(JAMA 1987;258:3279-3282)

Author Affiliations
From The Reed Medical Group, Chartered (Dr Reed) and the Department of Sociology, University of Kansas (Dr Evans), Lawrence, Kan.

Footnotes
Reprint requests to The Reed Medical Group, Chartered, 404 Maine, Lawrence, KS 66044 (Dr Reed).

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