Physician responsible only for individual patient | Physician responsible for individual patient and populations of patients |
Individual clinical responsibility for patient | Team or group, and patient, responsibility |
Credibility and trust largely based on professional mystique and prestige | Credibility and trust based on data and documented evidence of effective practice |
Profession determines performance and accountability criteria | Profession and others (governments, purchasers, public, community groups, etc) determine performance and accountability criteria |
Physician accountable to patients and the profession | Physician also accountable to health care organisation and external groups> |
Organisations exist to serve individual physician's interests | Organisations exist to serve patient, community and physician interests |