Abstract
Technological advances in medicine have greatly enhanced the ability of physicians to treat disease and disability but at the same time changes in the organization and management of health care services are taking place. Challenging the prevailing model of professional dominance the concepts of deprofessionalization and proletarianization emphasize the effects of recent social and economic developments on the changing status of the medical profession and other related fields. There is evidence however that what the proponents of these concepts perceive as the professions response to external forces are in fact the unanticipated consequences of the professions campaign for autonomy. The challenge that faces medicine is a kind of re-organization that will change necessarily the profession as we know it today but this change will not affect the professional autonomy or any other of its essential characteristics but bring in more people from various other sectors into the medical field. This review article outlines the concept of deprofessionalisation professional autonomy and its types professional dominance rationalization of this approach the future and challenges of deprofessionalization.nbsp
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