CLIENT CONTROL AND MEDICAL-PRACTICE
CLIENT CONTROL AND MEDICAL-PRACTICE
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DOI：
10.1086/222726
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发表时间：
1960-01-01
影响因子：
4.4
通讯作者：
FREIDSON, E
中科院分区：
文献类型：
--
作者：
FREIDSON, E
同事，医生和病人之间的相互作用进行了分析，作为一个功能的变量的位置在两个有时相互冲突的系统-外行转诊系统，其中包括在一个变量的外行文化和网络的个人影响沿着患者前往医生，和专业的转诊系统的医疗文化和机构。根据它们在每个系统中的位置，可以区分两种分析上极端的实践类型。独立执业位于外行转介系统中，主要受客户控制。非独立执业完全位于专业推荐系统内，主要受同事控制。
The interaction among colleague, practitioner, and patient is analyzed as a function of variable location in two sometimes conflicting systems-the lay referral system, which consists in a variable lay culture and a network of personal influence along which the patient travels on his way to the physician, and the professional referral system of medical culture and institutions. Two analytically extreme types of practice are distinguished on the basis of their location in each of these systems. Independent practice is located in the lay referral system and is primarily subject to client controls. Dependent practice is located well within the professional referral system and is primarily subject to colleague controls.