Related Experiment Video
Updated: May 23, 2026
14:32
Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
Systems model of physician professionalism in practice
Barrett T Kitch1, Catherine Desroches, Cara Lesser
1Mongan Institute for Health Policy, Massachusetts General Hospital, Boston, MA, USA. bkitch@partners.org
Journal of Evaluation in Clinical Practice
|March 23, 2012
Summary
This study developed a systems model of physician professionalism, finding that organizational factors significantly influence doctors' adherence to professional norms. The model was validated by physicians and administrators, suggesting implications for improving medical professionalism.
Area of Science:
- Medical professionalism
- Healthcare management
- Organizational behavior
Background:
- Physician professionalism is influenced by organizational characteristics.
- Hospitals, group practices, and physician organizations shape professional norms.
- A systems-level conceptualization is proposed.
Purpose of the Study:
- To develop a systems model of professionalism.
- To test the validity and applicability of the proposed model.
Main Methods:
- Conducted 25 interviews with healthcare leaders and physicians in Minneapolis and Miami.
- Coded and thematically analyzed interview data.
- Included diverse roles such as hospital presidents, medical directors, and practicing physicians.
Main Results:
- The systems model was confirmed by interview subjects.
- Real-life examples illustrated the impact of practice, hospital, and market factors on professional norms.
- Physicians and administrators recognized the influence of organizational context.
Conclusions:
- The systems model of professionalism aligns with the experiences of US physicians and administrators.
- The model has potential implications for interventions to enhance professionalism.
- Further research can solidify the model's impact on professionalism as a field of study.
Related Concept Videos
01:29Professional Values
Nurses are responsible for caring for patients during birth, death, illness, and healing. Professional values guide the decisions and actions that nurses make in their careers. If nurses know the decisions and actions to take, providing patients with exceptional care is possible.
The values that are the foundation of the nursing profession are altruism, autonomy, human dignity, and social justice.
First, altruism refers to the concern for the welfare and well-being of others without personal...
The values that are the foundation of the nursing profession are altruism, autonomy, human dignity, and social justice.
First, altruism refers to the concern for the welfare and well-being of others without personal...
01:22Ethics and Bioethics
Ethics is a philosophical study of moral actions. Ethics attempts to determine what is valuable for individuals and society. It examines the rational justification of moral judgments and analyzes what is morally just, fair, and right. Bioethics is a sub-discipline of applied ethics that analyzes the philosophical, social, and legal issues in life sciences and medicine. Ethical theories serve as a foundation for decision-making and represent the viewpoints from which people seek direction. They...
01:15Methods of Documentation VI: Case Management Model
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic illness...
For example, a patient with a chronic illness...
01:25Models of Health Promotion and Illness Prevention I
A model is a theoretical way to understand a concept or an idea. Models can overcome barriers to health regardless of diverse economic and cultural backgrounds. In addition, models make the task easier by providing different ways to approach complex issues. There are two major health promotion models: the health belief model and the health promotion model.
The health belief model (HBM) attempts to predict health-related behavior in specific belief patterns. According to the HBM, a person's...
The health belief model (HBM) attempts to predict health-related behavior in specific belief patterns. According to the HBM, a person's...
01:22The Professional Nurse
Professional nurses are not limited to bedside care and are taking roles of greater responsibility. A nurse should have a knowledge-based practice, including personal, theoretical, procedural, cultural, and reflexive knowledge. Additionally, nurses must be competent in cognitive, technical, interpersonal, and ethical/legal skills. Some of the best attributes of successful nurses include the following:
Communication skills: These are critical characteristics, especially speaking and listening.
Communication skills: These are critical characteristics, especially speaking and listening.
01:17Ethical Dilemmas I
Ethical dilemmas in nursing are of utmost importance, as they often arise from the tension between adhering to core ethical principles and the practical realities of healthcare delivery. These dilemmas require nurses to navigate complex situations where competing ethical considerations pull them in different directions.
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...