Health care becomes an industry

Research output: Contribution to journalReview articlepeer-review

27 Scopus citations


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.

Original languageEnglish (US)
Pages (from-to)79-83
Number of pages5
JournalAnnals of family medicine
Issue number1
StatePublished - Jan 2004


  • Continuity of care
  • Primary health care
  • Professional autonomy
  • Specialism

ASJC Scopus subject areas

  • Family Practice


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