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May 12, 2015

Professionalism, Self-regulation, and MotivationHow Did Health Care Get This So Wrong?

Author Affiliations
  • 1Chief Executive Officer, American Medical Association, Chicago, Illinois
  • 2Feinberg School of Medicine, Northwestern University, Chicago, Illinois
  • 3Chief of Staff and Vice President, Executive Offices, American Medical Association, Chicago, Illinois
JAMA. 2015;313(18):1793-1794. doi:10.1001/jama.2015.4045

Motivation is the art of getting people to do what you want them to do, because they want to do it.

Dwight D. Eisenhower

What is the role of professional organizations and societies in the medical profession’s long-standing tradition of self-regulation, and what actions and influences might enhance the ability of the medical profession to operate effectively and responsibly? Such questions seem natural given the rapidly changing health care system with the emergence of a plethora of new payment and delivery models—all hoping to achieve the Institute for Healthcare Improvement’s Triple Aim initiative for better health, better health care, and lower cost. It is critical that the medical profession demonstrate its ability to respond to these changing environments in ways that both acknowledge and advance society’s interest in having an optimal physician workforce. It is equally critical to understand factors that underpin the noblest traits in physicians then deploy this knowledge in shaping delivery systems that emerge.

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