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April 11, 1977

Organizing Organized Medicine Through a Planning and Development Framework (PADFRAME)

Author Affiliations

From the Department of Planning, University of Colorado Medical Center, 4200 E Ninth Ave, Denver.

JAMA. 1977;237(15):1589-1593. doi:10.1001/jama.1977.03270420057017

PHYSICIANS must substantially expand their societal role beyond self-regulation. Some physicians and other persons have long recognized this need and have urged organized medicine to action.

In his 1970 Shattuck Lecture, Dr C. Rollins Hanlon1 suggested that the difficult priority decisions that must be made concerning the development of health resources should be made by competent professionals in medicine. He argued that expanded roles for organized medicine and inspired leadership in it not only would enhance public respect for organized medicine, but also would be the essential responses to the new political coalitions forming in the health field.

In 1971, Dr George Himler2 underscored the need for effective participation of organized medicine in the formative phase of a system of health care and identified the need for organized medicine to develop flexibility and toughness in promoting the enlightened self-interest of medicine. However, frustrated with the ability of organized