Local and Cosmopolitan Physicians


  • *Presented to the luncheon roundtable discussions, 64th Annual Meeting, American Sociological Association, San Francisco, 2 September 1969. The investigation was supported by Public Health Service Research Grant no. CH00102 from the Division of Community Health Services, Bureau of State Services. Computing assistance was obtained from the Health Sciences Computing Facility, ucla, sponsored by nih Grant fr-3. The paper has benefitted from comments of Carl E. Hopkins, Monroe Epstein, and Milton I. Roemer of the School of Public Health, UCLA.


La theorie du localisme-cosmopolitanisme est appliquee a l'identification des types de medecin. L'analyse factorielle, le coefficient de concordance de Kendall ainsi que les gamma et chi-carres sont utilises selon diverses combinaisons pour identifier des constellations de variables. On identifie deux types de medecins qui sont statistiquement bien differencies: le professionnel de la medecine (cosmopolitain) et le politicien de la medecine (local). Une demonstration empirique s'ensuit laquelle etablit que les cosmopolitains ont une attitude plus liberate que les locaux vis-a-vis les problemes sociaux et medicaux et une attitude plus critique vis-a-vis les regimes d'assurance maladie.

The theory of localism-cosmopolitanism is applied to the identification of physician-types. Factor analysis, Kendall's coefficient of concordance, gamma and chi-square are used in combination to identify variable clusters. Two statistically distinct types were found, the professional (cosmopolitan) and the medical politician (local). Empirical evidence is presented which indicates that cosmopolitans tend to be more liberal than locals in attitudes toward certain medical-social issues, and more critical of health insurance plans.