ABSTRACT
Large-scale organization of activities is wide-spread in many societies, not only in industry and commerce, but also in government, education, politics, religion, and sport. The modern large-scale, or, as it is often called, bureaucratic type of organization can be found in most spheres of life and it has not left medicine untouched, influencing the relationships between doctors and patients, between doctors and members of auxiliary professions like social workers or nurses, and finally between the medical services and the community as a whole (Titmuss, 1958).
