TY - JOUR PY - 2004 SN - 1972-4845 T1 - Oltre il declino: autonomia professionale e rinnovamento del professionalismo medico JO - SALUTE E SOCIETÀ DA - 2/3/2006 12:35:00 PM DO - UR - http://www.francoangeli.it/Riviste/Scheda_rivista.aspx?idArticolo=25090 AU - Melocchi, Luigi AU - Tousijn, Willem IS - 1 VL - III LA - IT AB - In many industrialized countries there is a great attention to the reduction of health care costs. Physicians also have become aware of the problem. There are studies that consider the opinion of the physicians about the impact of financial constraints on professional autonomy, but in this article the focus is on managed care mechanisms and the their limits. Melocchi and Tousijn first deal with cost disease. Then they consider some usable tools for health care management. After a short discussion of the well known thesis on the decline of medical professionalism, the authors analyze, with favour, the hypothesis that the best defense of the profession stays in the uncertainty of the physicians’ tasks. We conclude by an appeal to professional associations that they rethink and adapt their professional logic, for some important aspects, to a changing health care system. PB - FrancoAngeli ER -