[Work distribution and cooperation in surgery--horizontal and vertical decision and responsibility fields]

Horizontal delegation of labor in medicine means independent cooperation of medical specialties. Careful division and confidence in other physicians is very important. Vertical delegation of labor means cooperation between physicians in respect to hierarchical systems in the hospital or between physicians and nurses or medical technical staff members. Special problems have to be solved in the cooperation between the medical staff, on the other hand, and administration or nurses, on the other.