Presentation on theme: "De-Professionalization of Medicine"— Presentation transcript:
1De-Professionalization of Medicine Leonardi A. GoenawanInteractive Lecture
2A Profession under threat De-professionalization is characterized by the transformation of physicians into persons of self-interest, unionized employees, entrepreneurs and business managersA loss of the dedication to service, competence, caring and altruism that has characterized physicians from the beginningAn erosion of trust by society
3Social Consequences Physician Employees/Subcontractors Conflicts of InterestDecline in Access to CareDecline in Quality of CareLoss of Physician AutonomyErosion of the profession of MedicineDispirited Physicians
56 Elements Unionization of the Medical Profession Bureaucratization and PoliticsCommoditization and CommercializationFailures of Self-regulation (autonomy)Choices of Life-styleModern Medical Education
61. UnionizationMarket-driven policies that compromise the quality of care and negatively affect physicians' autonomy and personal satisfactionCollective bargainingAdversarial relationships and negotiationsContrasts and deliverablesWithdrawal of service
146. Modern Medical Education Lack of curriculumThe “Hidden” curriculumLack of assessment
15Discussion QuestionsWill fewer Indonesian students be attracted to medicine as a career?Will quality of medical students be lower?Will most physicians work as employees for private care corporations on a salary basis?Will routine procedures that physicians perform be taken over by nurse practitioners and allied health care workers?
16Discussion QuestionsHow will these changes effect doctor-patient relations?Will there be increased competition for patients by health care organizations and groups of physicians?Will increased corporate control and consolidation of health care reduce the autonomy and influence of community boards and local groups of physicians?