ReviewBMC medicine2009
Transforming medical professionalism to fit changing health needs.
Review in BMC medicine, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
25 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Cost and effects of integrated care: a systematic literature review and meta-analysis.The European journal of health economics : HEPAC : health economics in prevention and care · 2020Pooled it
- Applying Van den Akker's Spider Web Model to curriculum design in medical education: a practical guide.Frontiers in medicine · 2026Article
- The need for a broad perspective when assessing value-for-money for out-of-hours primary care.Primary health care research & development · 2024Review
- Care complexity, perceptions of complexity and preferences for interprofessional collaboration: an analysis of relationships and social networks in paediatrics.BMC medical education · 2024Article
- Implementing structured follow-up of neonatal and paediatric patients: an evaluation of three university hospital case studies using the functional resonance analysis method.BMC health services research · 2022Article
- The Key Role of Strategically and People-Oriented HRM in Hospitals in Slovakia in the Context of Their Organizational Performance.Healthcare (Basel, Switzerland) · 2021Article
- A pay for performance scheme in primary care: Meta-synthesis of qualitative studies on the provider experiences of the quality and outcomes framework in the UK.BMC family practice · 2020Article
- A call for action to establish a research agenda for building a future health workforce in Europe.Health research policy and systems · 2018Article
- Application of latent class analysis in assessing the competency of physicians in China.BMC medical education · 2017Article
- How to Improve Integrated Care for People with Chronic Conditions: Key Findings from EU FP-7 Project INTEGRATE and Beyond.International journal of integrated care · 2017Article
- Professional groups driving change toward patient-centred care: interprofessional working in stroke rehabilitation in Denmark.BMC health services research · 2017Article
- Value-based integrated (renal) care: setting a development agenda for research and implementation strategies.BMC health services research · 2016Review
- "You have to keep fighting": maintaining healthcare services and professionalism on the frontline of austerity in Greece.International journal for equity in health · 2016Article
- How does an integrated primary care approach for patients in deprived neighbourhoods impact utilization patterns? An explorative study.BMC public health · 2016Article
- Medicine and management: looking inside the box of changing hospital governance.BMC health services research · 2016Article
- Hybrid management, organizational configuration, and medical professionalism: evidence from the establishment of a clinical directorate in Portugal.BMC health services research · 2016Article
- How Does Sex Influence Multimorbidity? Secondary Analysis of a Large Nationally Representative Dataset.International journal of environmental research and public health · 2016Article
- Care coordination of multimorbidity: a scoping study.Journal of comorbidity · 2015Article
- Family medicine model in Turkey: a qualitative assessment from the perspectives of primary care workers.BMC family practice · 2014Article
- "A manager in the minds of doctors:" a comparison of new modes of control in European hospitals.BMC health services research · 2013Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe professional organization of medical work no longer reflects the changing health needs caused by the growing number of complex and chronically ill patients. Key stakeholders enforce coordination and remove power from the medical professions in order allow for these changes. However, it may also be necessary to initiate basic changes to way in which the medical professionals work in order to adapt to the changing health needs. DISCUSSION: Medical leaders, supported by health policy makers, can consciously activate the self-regulatory capacity of medical professionalism in order to transform the medical profession and the related professional processes of care so that it can adapt to the changing health needs. In doing so, they would open up additional routes to the improvement of the health services system and to health improvement. This involves three consecutive steps: (1) defining and categorizing the health needs of the population; (2) reorganizing the specialty domains around the needs of population groups; (3) reorganizing the specialty domains by eliminating work that could be done by less educated personnel or by the patients themselves. We suggest seven strategies that are required in order to achieve this transformation. SUMMARY: Changing medical professionalism to fit the changing health needs will not be easy. It will need strong leadership. But, if the medical world does not embark on this endeavour, good doctoring will become merely a bureaucratic and/or marketing exercise that obscures the ultimate goal of medicine which is to optimize the health of both individuals and the entire population.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.