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Leonardi A. Goenawan Interactive Lecture.  De-professionalization is characterized by the transformation of physicians into persons of self-interest,

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Presentation on theme: "Leonardi A. Goenawan Interactive Lecture.  De-professionalization is characterized by the transformation of physicians into persons of self-interest,"— Presentation transcript:

1 Leonardi A. Goenawan Interactive Lecture

2  De-professionalization is characterized by the transformation of physicians into persons of self-interest, unionized employees, entrepreneurs and business managers  A loss of the dedication to service, competence, caring and altruism that has characterized physicians from the beginning  An erosion of trust by society

3  Physician Employees/Subcontractors  Conflicts of Interest  Decline in Access to Care  Decline in Quality of Care  Loss of Physician Autonomy  Erosion of the profession of Medicine  Dispirited Physicians

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5 1. Unionization of the Medical Profession 2. Bureaucratization and Politics 3. Commoditization and Commercialization 4. Failures of Self-regulation (autonomy) 5. Choices of Life-style 6. Modern Medical Education

6  Market-driven policies that compromise the quality of care and negatively affect physicians' autonomy and personal satisfaction  Collective bargaining  Adversarial relationships and negotiations  Contrasts and deliverables  Withdrawal of service

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8  Licensing  Insurance plans  Approval of care  Allocation of resources  Acceptance of increased commercial and managerial responsibility

9  Volume of services becomes the driving force  Medicine as “business”  Advertising

10  Competence and quality  Error  Ethics  Distribution and service  Social responsibility

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12  The “soft” discipline  Distribution  Gender

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14  Lack of curriculum  The “Hidden” curriculum  Lack of assessment

15  Will 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?

16  How 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?

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