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The focus of this narrative is the physician/physician group as a strategic partner. The discussion can only be understood however, in the concept of a business relationship. Therefore the topic of the narrative is really the physician as a strategic business partner.
We will dissect the physician partner into various components including the governance of his group, the group's mission and business plan, its operational plan and implementation, and various corporate ideals and rules along with more generalized reflections on quirks of the medical business environment.
Dramatic change has occurred in the last decade with marked impact on the delivery of health care in this country.
First, the process of business has changed with dramatic alteration in business practices and goals. Thirty years ago, landing a job with Kodak was a lifetime commitment by the employee and the employer. Today it is only a contract worked out between willing participants, possibly with a 90-day escape clause for both parties.
This cold, sharp process has invaded the realm of medicine, profoundly impacting hospitals, insurance companies, governments, and particularly the physician.