Intended for healthcare professionals

Education And Debate

Doctors and managers: mind the gap

BMJ 2003; 326 doi: (Published 22 March 2003) Cite this as: BMJ 2003;326:652
  1. David B Nash, director (
  1. Office of Health Policy and Clinical Outcomes, Jefferson Medical College, 1015 Walnut Street, Suite 115 Curtis, Philadelphia, PA 19107
  1. Correspondence to: D B Nash

    The US healthcare system is characterised by uneven quality, very high cost relative to health outcome, and patchy access, particularly for those lacking adequate health insurance coverage. These performance gaps in the system were described as a “chasm” in a recent report from the Institute of Medicine's committee on quality of health care.1 Many observers (including doctors and managers) agree that little research has been done on the impact of management on improved performance of healthcare delivery systems. I propose here a seven point plan to seek common ground between doctors and managers.

    Firstly, we should foster interdisciplinary education for managers and physicians at the earliest possible stage in professional education. Managers could do clinical rounds and clinicians could attend …

    View Full Text

    Log in

    Log in through your institution


    * For online subscription