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ARTICLE |

Doctors in Hospitals: Medical Staff Organization and Hospital Performance

David Littauer, MD
JAMA. 1971;217(5):700. doi:10.1001/jama.1971.03190050156028.
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ABSTRACT

When current debates about delivery of health services are resolved, the complex task of implementing the broad policy decisions reached will require assessment of each component of presently existing health services. These include medical practice and hospital performance, which intersect primarily through the medical staff organization. This book attempts to relate the varieties of medical staff structures to the hospital performance in providing direct care to patients (as well as a miscellany of community health services). Performance is conceived as "what the hospital as a social organization does."

In order to put such a study in perspective, the authors describe in several excellent introductory chapters the development of the modern hospital and its organized medical staff, the conflicts that divide them, and the social pressures and external controls that affect the institutions in which physicians work.

No single study method can probe hospital-based medical practice as well as the diverse

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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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