Wielding Organizational Influence in Health Care

Not long ago, most physicians were solo practitioners, but today large and complex organizations dominate the health care sector. Organizational cultures shape policies, policies shape practices, and practices express the reasons clinicians have for acting in relationships with patients. Distributing authority and responsibility in health care environments is not only a function of a clinician’s professional background and training, but also how organizations wield power and situate encounters and relationships among clinicians, patients, and other stakeholders.

Volume 22, Number 3: E177-259 Full Issue PDF