ABSTRACT
This chapter discusses an impossible victory for the hospital, healthcare system, physician, and patients. Physicians are highly individual persons who value their freedom and independence, but perhaps—paradoxically—embrace a highly structured and traditional learning process. The physician feels deprived of his or her autonomy and decision-making in healthcare, and most of the time needs to practice under a pretense and in a very unstable quality base facility. As scientific knowledge exploded in the 20th century, the “healing art” of medicine came to rely less on the relationship between physician and patient and more on the drugs and diagnostic tools the physician had at his or her command. Improvements in technology have also allowed physicians to successfully treat many patients who would have died in the past. Operations which were inconceivable are commonplace, and new technologies are rapidly developing. Society and physicians individually expect “medical success” as routine and is less understanding of “medical failures”.
