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AIMS Public Health

2019, Volume 6, Issue 4: 437-446. doi: 10.3934/publichealth.2019.4.437
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Research article

Review of medical professional organizations in developed countries: problems of decentralized membership registers

  • 1.
    Medical council of Las Palmas, Spain and University of Las Palmas de Gran Canaria, Las Palmas de Gran Canaria, Spain
  • 2.
    Dept. Quantitative Methods for Economics and Management University of Las Palmas de Gran Canaria, Las Palmas de Gran Canaria, Spain
  • Received: 17 July 2019 Accepted: 14 October 2019 Published: 22 October 2019

  • This article provides a critical review of international experiences regarding the professional organization of physicians and the registration of doctors in developed countries. The problems faced by professional medical organizations in the EU-15 countries, Japan, the United States and Canada, are examined. Medical professional groups differ in several dimensions, including obligatory registration versus voluntary membership or types of registration (centralized, indirect, or delegated). The centralization-decentralization axis is a key aspect for the analysis. While decentralized systems are better able to adapt to the idiosyncrasy of a particular region, decentralization is identified as a source of potential problems in the organization of medical doctors. Some of these problems (discrepancies in positions on health matters, problems with the reliability of statistical information on medical demography at national level, deficient mechanisms for the control of doctors who have lost their licenses) might have consequences for the quality of the health care system.

    Citation: M Carmen Bautista, Beatriz G Lopez-Valcarcel. Review of medical professional organizations in developed countries: problems of decentralized membership registers[J]. AIMS Public Health, 2019, 6(4): 437-446. doi: 10.3934/publichealth.2019.4.437

    Related Papers:

  • This article provides a critical review of international experiences regarding the professional organization of physicians and the registration of doctors in developed countries. The problems faced by professional medical organizations in the EU-15 countries, Japan, the United States and Canada, are examined. Medical professional groups differ in several dimensions, including obligatory registration versus voluntary membership or types of registration (centralized, indirect, or delegated). The centralization-decentralization axis is a key aspect for the analysis. While decentralized systems are better able to adapt to the idiosyncrasy of a particular region, decentralization is identified as a source of potential problems in the organization of medical doctors. Some of these problems (discrepancies in positions on health matters, problems with the reliability of statistical information on medical demography at national level, deficient mechanisms for the control of doctors who have lost their licenses) might have consequences for the quality of the health care system.


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    Conflict of interest


    The authors certify that they have NO affiliations with or involvement in any organization or entity with any financial interest (such as honoraria; educational grants; participation in speakers' bureaus; membership, employment, consultancies, stock ownership, or other equity interest; and expert testimony or patent-licensing arrangements), or non-financial interest (such as personal or professional relationships, affiliations, knowledge or beliefs) in the subject matter or materials discussed in this manuscript.

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  • © 2019 the Author(s), licensee AIMS Press. This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0)
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