PT  - JOURNAL ARTICLE
AU  - Darius A. Rastegar
TI  - Health Care Becomes an Industry
AID  - 10.1370/afm.18
DP  - 2004 Jan 01
TA  - The Annals of Family Medicine
PG  - 79--83
VI  - 2
IP  - 1
4099  - http://www.annfammed.org/content/2/1/79.short
4100  - http://www.annfammed.org/content/2/1/79.full
SO  - Ann Fam Med2004 Jan 01; 2
AB  - The delivery of health care is in the process of “industrialization” in that it is undergoing changes in the organization of work which mirror those that began in other industries a century ago. This process is characterized by an increasing division of labor, standardization of roles and tasks, the rise of a managerial superstructure, and the degradation (or de-skilling) of work. The consolidation of the health care industry, the fragmentation of physician roles, and the increasing numbers of nonphysician clinicians will likely accelerate this process. Although these changes hold the promise of more efficient and effective health care, physicians should be concerned about the resultant loss of autonomy, disruption of continuity of care, and the potential erosion of professional values.