eased through honest discussion of the match between doctors' expectations and organisational and societal needs.It is also worth remembering that many doctors are happy and it will be important to ensure that they are fully engaged in helping to develop solutions.More discussion and research are required to understand this problem and its possible solutions in more detail.In the meantime there is a key role for leaders in the medical profession nationally and in hospitals and primary care to work together with NHS managers to develop a new compact that improves care for patients, improves the effectiveness of the healthcare organisation, and helps create a happier workforce.
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Christopher Ham (2002) studied this question.