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Journal ArticleDOI

Doctors’ groups a roadblock to reform, researchers say

13 Jul 2010-Canadian Medical Association Journal (Canadian Medical Association)-Vol. 182, Iss: 10

TL;DR: Medical associations often pose a powerful barrier to health care reform in Canada, according to researchers participating in a web seminar hosted by the Canadian Health Services Research Foundation.

AbstractMedical associations often pose a powerful barrier to health care reform in Canada, according to researchers participating in a web seminar hosted by the Canadian Health Services Research Foundation. Organizations representing the medical profession have played a key role in preventing or

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Journal ArticleDOI
TL;DR: There is often tension between administrative groups who are hired to manage health care costs effectively and physicians who wish to provide effective treatment.
Abstract: Physicians drive a high proportion of costs in health care. Without their engagement, managing costs is difficult. There is often tension between administrative groups who are hired to manage health care costs effectively and physicians who wish to provide effective treatment. Sometimes, patient

19 citations


08 Aug 2013
TL;DR: The author reveals that doctors’ resistance to Scope of Practice changes and their reaction to technology have changed since the implementation of the Canada Medicare reforms in 2003.
Abstract: ..........................................................................................................................................iv List of Abbreviations Used..............................................................................................................v Acknowledgements.........................................................................................................................vi Chapter 1: Introduction....................................................................................................................1 Background: Doctors and Canadian Medicare.....................................................................2 Chapter Outline.....................................................................................................................8 Chapter 2: What is Known About Physician Power?....................................................................12 Complaints..........................................................................................................................12 International Literature.......................................................................................................19 The Medical Profession as an Interest Group.....................................................................21 Popularity and Discourse....................................................................................................25 Sociology of the Professions..............................................................................................30 Tuohy and Institutionalism.................................................................................................33 Building on Tuohy’s Framework........................................................................................41 Implications........................................................................................................................46 Chapter 3: Are the Conditions Underlying Physician Power in Canada Changing?.....................50 Doctors and their Government: Reducing the State’s Reliance on Physicians for Information...................................................................................................................51 Doctors and their Patients: Diffusion of Knowledge to the Population.............................59 Doctors and their Coworkers: The Expanding Scope of Practice of Lower-Paid Health Professionals...........................................................................................................68 Chapter 4: How have Doctors Responded?...................................................................................76 Physicians’ Resistance to Scope of Practice Changes........................................................78 Their Acceptance (and Co-optation) of Certain Reforms...................................................84 Their Reaction to Technology.............................................................................................90 Mitigation, not Confrontation: What this Response Means for the Future of Physician Power..................................................................................................................................95 Chapter 5: Conclusion....................................................................................................................98 The Counterargument.......................................................................................................100

5 citations