These ideas have grown out of work for and in a summer seminar co-taught with SpeerJames B.Dr.Jr., to teachers of health care delivery under the sponsorship of the National Endowment for the Humanities (grant #FP-00033-79-1380). I feel a debt of gratitude to everyone involved in the seminar, but most especially to SepulvedaHenryMr.Jr., Research Assistant. 1 have also profited from discussions with EngelhardtH.T.Jr., Ph.D., M.D.
2.
DuncanisA.J.GolinA.K., The Interdisciplinary Health Care Team (Aspen Systems Corp., Germantown, Md.) (1979) at 119.
3.
BradleyB., Life on the Run (Quadrangle, New York) (1976).
4.
Regarding patients, the priestly model bestows supreme power and insight on physicians both as scientists and as sources of paternalistic moral expertise. If this model is adopted for interprofessional relationships, then perhaps nurses are best thought of as hand-maidens and assistants to the fatherly practice of medicine. The contractual model of the doctor-patient relationship is based on consumerism: the doctor exchanges information honestly and fully with the patient and the patient decides what to do. If this model is applied to interprofessional relationships, the doctor and the nurse will negotiate a contract of what each can expect from and demand from the other. These negotiations will be hammered out from the professional and personal values of the contracting parties.
5.
HullR.T., Models of Nurse/Patient/Physician Relations, Kansas Nurse55(9):19–24, 22 (October 1980).
6.
HarraganB.L., Games Mother Never Taught You (Warner Books, New York) (1977) at 117.
7.
PennockJ.R.ChapmanJ. W., Particiration in Politics (Lieber-Atherton, New York) (1975).
8.
Hull, supra note 5.
9.
LewisC.E., The Physician as a Care Team Leader, Group Practice17:20–24 (1968).
10.
LondeyD., On the Action of Teams, Inquiry21:213–18 (1978).
11.
FlathmanR., The Practice of Rights (Cambridge University Press, New York) (1976).
12.
AnnasG., The Hospital: A Human Rights Wasteland, Civil Liberties Review 1:15–35 (1974).
13.
RogersD.E.BlendonR.J., The Academic Medical Center: A Stressed American Institution, New England Journal of Medicine298(17): 940–50 (April 27, 1978).
14.
MillmanM., The Unkindest Cut (William Morrow, New York) (1977).
15.
BellD., The Coming of Post-Industrial Society, quoted from EwinoD.W., Freedom Inside the Organization (E.P. Dutton, New York) (1977) at 45.
16.
GrahamS., States Move to Catch Incompetent Doctors, But Progress is Uneven, Wall Street Journal (May 1, 1981) at 1.
