Doctors as managers.

In order that a hospital function efficiently, it is imperative that the management use its skills to best effect. On this subject, Dr Dixon discusses 'organizational bonding', a bonding which, among other things, will improve planning, budgetary control and quality control and speed up decision-making, by means of decentralization. '... the vertical divisions between different professional groups and hierarchies', she concludes, 'have to be replaced by horizontally integrated service units.'