During recent years, management has brought tighter controls into all areas of clinical practice, responding mainly to financial shortages coupled with increasing public demand for quality and safety of care. Management is not simply expanding and creating new roles for non-clinical managers, but doctors, too, are charged with managerial responsibilities. Consequently, the boundaries between medicine and management are no longer sustainable and this, in turn, may have complex implications for control and leadership in clinical practice.
Kuhlmann, E., Burau, V., Larsen, C., Lewandowski, R., Lionis, C., & Repullo, J. (2011). Medicine and management in European healthcare systems: how do they matter in the control of clinical practice? International Journal of Clinical Practice, 65(7), 722-724. https://doi.org/10.1111/j.1742-1241.2011.02665.x