Abstract
The purpose of this article is presentation of the changes in the perception of the roles of medical managers (mainly doctors and nurses), which are the result of the economization and managerialism in health care. The analysis is based on desk research and results of the research carried out among medical staff working in wards in three public hospitals in Poland. Studies have confirmed the duality of the role of head doctors and the differences in perception of these problems between physicians and nurses. Nurses expect that the head doctor, combining medical and management functions, will be primarily an efficient manager. The physicians want to be led by a medical master, although they have no doubt that the head doctor must take into account economic conditions, which is reflected in their professional work. Because of qualitative nature of the research, the results are not representative but they indicate the problem of assessing the effects of increasing the role of management and economics in medicine.
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