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The Influence of Managerialism on Medical Professionalism: Challenges, Risks and Future Directions.

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Managerialism in healthcare, focused on efficiency and cost control, challenges medical professionalism and patient care. Reforming healthcare requires integrating managerialism with clinical realities to support doctors and maintain ethical standards.

Keywords:
clinical decision‐makingeducation professionalethics and lawethics professionalhealth services administrationhealth services researchhealth systemsmedical educationphysician‐patient relationsquality of health care

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Area of Science:

  • Healthcare Management
  • Medical Professionalism
  • Organizational Behavior

Background:

  • Managerialism, emphasizing standardization and cost control, has significantly influenced healthcare systems.
  • These principles, while aiming for sustainability, often create tension with core medical values and patient-centered care.

Purpose of the Study:

  • To explore the negative impacts of managerialism on the medical profession.
  • To analyze effects on clinician autonomy, professional identity, and collegial relationships.
  • To propose solutions for aligning managerial goals with clinical practice.

Main Methods:

  • This perspective piece analyzes the influence of managerialism on medical practice.
  • It identifies key challenges faced by clinicians within hospital settings.
  • It advocates for specific institutional and professional changes.

Main Results:

  • Managerialism can diminish clinician autonomy, increase administrative burdens, and contribute to burnout.
  • It may erode professional values, impact medical identity, and fragment collegiality.
  • Challenges include diminishing control over patient care and increasing administrative tasks.

Conclusions:

  • Hybrid governance models integrating professional and managerial expertise are recommended.
  • Empowering doctors with leadership skills is crucial for organizational change.
  • Healthcare reform must thoughtfully integrate managerial systems to uphold professional integrity and patient care quality.