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Regulation of Physicians and Other Health Care Professionals
Book chapter

Regulation of Physicians and Other Health Care Professionals

Health Care Regulation in America
26 Oct 2006

Abstract

Flexner Report physicians licensure American Medical Association medical specialization allied health professionals managed care certification
This chapter presents the regulatory structure for health care professionals with an emphasis on physicians. It traces the history of the formalization of the medical profession, initiated by the American Medical Association (AMA). This organization successfully induced every state to adopt a licensing process, and it standardized medical education based on the findings of the Flexner Report, issued in 1910. Regulation of the medical profession, including granting licenses to practice and imposing discipline, remains at the state level but with several federal and private organizations providing elements of national coordination. Oversight is also imposed by various other governmental and private bodies, including the federal Medicare program, specialty boards, health maintenance organizations, and hospitals. Similar regulatory arrangements govern osteopathic physicians and many allied health professions. The chapter concludes with a review of perennial policy conflicts, including that between licensure and consumer information as arbiters of professional quality.

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