A Study of the Relationship between a US Military Base and Kin Town, Okinawa, Japan. Kensuke Sumii, Applied Anthropology. Rosenberger major professor. I conducted ethnographic study throughout 1996, and interviewed six PCPs and four EMPs. Technocrats have developed scientific measurements to monitor physicians' performances, quantifiably or scientifically.
Technocrats conceptualize ideal treatment as a cost effective care.
They guide PCPs to supervise ideal treatment of the managed care delivery networks, provided care without referring patients to specialists and administrating to hospitals. Consequently, PCPs power to pursue the newly conceptualized ideal treatment influences other arenas of specialty, such as EMPs. On the other hand, EMPs develop preferred treatment which is formulated through their medical school education and clinical experiences. The preferred treatment is associated with time because EMPs have to treat acute conditions of their patients within a limited amount of time. However, EMPs sometimes cannot complete their preferred treatment because they have to send their patient back to the patient's contracted PCPs in order to save health care expenditure.