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May 30, 1953


Author Affiliations

Director Mt. Zion Hospital 1600 Divisadero St. San Francisco 15

JAMA. 1953;152(5):474-475. doi:10.1001/jama.1953.03690050098027

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To the Editor:  —It is obvious that in some hospitals the harmony that should be present among the medical staff, the lay board, and the administration is disappearing and that it may well be time to reexamine the situation and to define the relationship that must exist among these three groups. To meet its four generally accepted main functions, patient care, research, education, and preventive medicine, a voluntary hospital has as its basic organizational structure a triad composed of the medical staff, the board of trustees, and the administration. This triad is a three-way partnership, its common objective being to provide every patient with the high quality of medical care he has the right to expect. There should beno difference in the aims of the three partners, though there may well be legitimate differences of opinion concerning the methods to be used in achieving those aims.The lay board is

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