The working relationship between physicians and hospital administrators is unfortunately often not congruent and can even become contentious resulting in an antagonism across Healthcare Organizations (HCOs) and medical practices. The present treatise provides a broad, literature-based, descriptive overview in an evolving historical context coupled with my own observations based on extensive professional experience and highlights the root causes of this nonalignment between these two important groups. Further, and more importantly, this manuscript proposes a framework for short- and long-term solutions toward a more cohesive and collaborative team approach based on understanding the respective roles, strengths, and contributions of the two groups. Akin to hospital administrators, this monograph will also provide Medical Managers with a broad perspective on the conundrum with understanding of the physicians’ stance and the importance of a much-needed symbiotic working relationship in their medical practice(s).
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