The Social Transformation of American Medicine

The Social Transformation of American Medicine PDF Author: Paul Starr
Publisher:
ISBN: 9780465079353
Category : History
Languages : en
Pages : 532

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Book Description
Winner of the 1983 Pulitzer Prize and the Bancroft Prize in American History, this is a landmark history of how the entire American health care system of doctors, hospitals, health plans, and government programs has evolved over the last two centuries. "The definitive social history of the medical profession in America....A monumental achievement."—H. Jack Geiger, M.D., New York Times Book Review

The Social Transformation of American Medicine

The Social Transformation of American Medicine PDF Author: Paul Starr
Publisher:
ISBN: 9780465079353
Category : History
Languages : en
Pages : 532

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Book Description
Winner of the 1983 Pulitzer Prize and the Bancroft Prize in American History, this is a landmark history of how the entire American health care system of doctors, hospitals, health plans, and government programs has evolved over the last two centuries. "The definitive social history of the medical profession in America....A monumental achievement."—H. Jack Geiger, M.D., New York Times Book Review

For-Profit Enterprise in Health Care

For-Profit Enterprise in Health Care PDF Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309036437
Category : Medical
Languages : en
Pages : 580

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Book Description
"[This book is] the most authoritative assessment of the advantages and disadvantages of recent trends toward the commercialization of health care," says Robert Pear of The New York Times. This major study by the Institute of Medicine examines virtually all aspects of for-profit health care in the United States, including the quality and availability of health care, the cost of medical care, access to financial capital, implications for education and research, and the fiduciary role of the physician. In addition to the report, the book contains 15 papers by experts in the field of for-profit health care covering a broad range of topicsâ€"from trends in the growth of major investor-owned hospital companies to the ethical issues in for-profit health care. "The report makes a lasting contribution to the health policy literature." â€"Journal of Health Politics, Policy and Law.

Medicine, Risk, Discourse and Power

Medicine, Risk, Discourse and Power PDF Author: John Martyn Chamberlain
Publisher: Routledge
ISBN: 1317331966
Category : Social Science
Languages : en
Pages : 350

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Book Description
This book critically explores from a comparative international perspective the role medicine plays in constructing and managing natural and social risks, including those belonging to modern medical technology and expertise. Drawing together chapters written by professional practitioners and social scientists from the UK, South America, Australia and Europe, the book offers readers an insightful and thought-provoking analysis of how modern medicine has transformed our understanding of both ourselves and the world around us, but in so doing has arguably failed to fully recognize and account for, its unintended and negative effects. This is an essential read for social scientists, practitioners and policymakers who want to better understand how they can develop new ways of thinking about how modern medicine can promote social goods and enhance public health.

Trusting Doctors

Trusting Doctors PDF Author: Jonathan B. Imber
Publisher: Princeton University Press
ISBN: 0691168148
Category : Medical
Languages : en
Pages : 296

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Book Description
For more than a century, the American medical profession insisted that doctors be rigorously trained in medical science and dedicated to professional ethics. Patients revered their doctors as representatives of a sacred vocation. Do we still trust doctors with the same conviction? In Trusting Doctors, Jonathan Imber attributes the development of patients' faith in doctors to the inspiration and influence of Protestant and Catholic clergymen during the nineteenth and early twentieth centuries. He explains that as the influence of clergymen waned, and as reliance on medical technology increased, patients' trust in doctors steadily declined. Trusting Doctors discusses the emphasis that Protestant clergymen placed on the physician's vocation; the focus that Catholic moralists put on specific dilemmas faced in daily medical practice; and the loss of unchallenged authority experienced by doctors after World War II, when practitioners became valued for their technical competence rather than their personal integrity. Imber shows how the clergy gradually lost their impact in defining the physician's moral character, and how vocal critics of medicine contributed to a decline in patient confidence. The author argues that as modern medicine becomes defined by specialization, rapid medical advance, profit-driven industry, and ever more anxious patients, the future for a renewed trust in doctors will be confronted by even greater challenges. Trusting Doctors provides valuable insights into the religious underpinnings of the doctor-patient relationship and raises critical questions about the ultimate place of the medical profession in American life and culture.

Best Care at Lower Cost

Best Care at Lower Cost PDF Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309282810
Category : Medical
Languages : en
Pages : 437

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Book Description
America's health care system has become too complex and costly to continue business as usual. Best Care at Lower Cost explains that inefficiencies, an overwhelming amount of data, and other economic and quality barriers hinder progress in improving health and threaten the nation's economic stability and global competitiveness. According to this report, the knowledge and tools exist to put the health system on the right course to achieve continuous improvement and better quality care at a lower cost. The costs of the system's current inefficiency underscore the urgent need for a systemwide transformation. About 30 percent of health spending in 2009-roughly $750 billion-was wasted on unnecessary services, excessive administrative costs, fraud, and other problems. Moreover, inefficiencies cause needless suffering. By one estimate, roughly 75,000 deaths might have been averted in 2005 if every state had delivered care at the quality level of the best performing state. This report states that the way health care providers currently train, practice, and learn new information cannot keep pace with the flood of research discoveries and technological advances. About 75 million Americans have more than one chronic condition, requiring coordination among multiple specialists and therapies, which can increase the potential for miscommunication, misdiagnosis, potentially conflicting interventions, and dangerous drug interactions. Best Care at Lower Cost emphasizes that a better use of data is a critical element of a continuously improving health system, such as mobile technologies and electronic health records that offer significant potential to capture and share health data better. In order for this to occur, the National Coordinator for Health Information Technology, IT developers, and standard-setting organizations should ensure that these systems are robust and interoperable. Clinicians and care organizations should fully adopt these technologies, and patients should be encouraged to use tools, such as personal health information portals, to actively engage in their care. This book is a call to action that will guide health care providers; administrators; caregivers; policy makers; health professionals; federal, state, and local government agencies; private and public health organizations; and educational institutions.

Health Care Under the Knife

Health Care Under the Knife PDF Author: Howard Waitzkin
Publisher: NYU Press
ISBN: 1583676759
Category : Medical
Languages : en
Pages : 336

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Book Description
Disobedience : doctor workers unite! / Howard Waitzkin -- Becoming employees : the deprofessionalization and emerging social class position of health professionals / Matt Anderson -- The degradation of medical labor and the meaning of quality in health care / Gordon Schiff and Sarah Winch -- The political economy of health reform / David Himmelstein and Steffie Woolhandler -- The transformation of the medical industrial complex : financialization, the corporate sector, and monopoly capital / Matt Anderson and Robb Burlage -- The pharmaceutical industry in the context of contemporary capitalism / Joel Lexchin -- Obamacare : the neoliberal model comes home to roost in the United States, if we let it / Howard Waitzkin and Ida Hellander -- Austerity and health / Adam Gaffney and Carles Muntaner -- Imperialism's health component / Howard Waitzkin and Rebeca Jasso-Aguilar -- U.S. philanthrocapitalism and the global health agenda : the Rockefeller and Gates foundations, past and present / Anne-Emanuelle Birn and Judith Richter -- Resisting the imperial order and building an alternative future in medicine and public health / Rebeca Jasso-Aguilar and Howard Waitzkin -- The failure of Obamacare and a revision of the single payer proposal after a quarter century of struggle / Adam Gaffney, David Himmelstein, and Steffie Woolhandler -- Overcoming pathological normalcy : mental health challenges in the coming transformation / Carl Ratner -- Confronting the social and environmental determinants of health / Carles Muntaner and Rob Wallace -- Conclusion : moving beyond capitalism for our health / Adam Gaffney and Howard Waitzkin

Health Professions Education

Health Professions Education PDF Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 030913319X
Category : Medical
Languages : en
Pages : 191

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Book Description
The Institute of Medicine study Crossing the Quality Chasm (2001) recommended that an interdisciplinary summit be held to further reform of health professions education in order to enhance quality and patient safety. Health Professions Education: A Bridge to Quality is the follow up to that summit, held in June 2002, where 150 participants across disciplines and occupations developed ideas about how to integrate a core set of competencies into health professions education. These core competencies include patient-centered care, interdisciplinary teams, evidence-based practice, quality improvement, and informatics. This book recommends a mix of approaches to health education improvement, including those related to oversight processes, the training environment, research, public reporting, and leadership. Educators, administrators, and health professionals can use this book to help achieve an approach to education that better prepares clinicians to meet both the needs of patients and the requirements of a changing health care system.

The Sociology of the Health Service

The Sociology of the Health Service PDF Author: Michael Bury
Publisher: Routledge
ISBN: 1134969392
Category : Social Science
Languages : en
Pages : 431

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Book Description
The Sociology of the Health Service responds directly to the need to develop a sociological analysis of current health policy. Topics covered vary from privatisation and health service management to health education and the politics of professional power. Also included is an histroical review of sociology's contributions to health policy and proposals for an agenda for sociological health policy research in the 1990s.

Continuing Professional Development in Medicine and Health Care

Continuing Professional Development in Medicine and Health Care PDF Author: William Rayburn
Publisher: LWW
ISBN: 9781496356345
Category : Clinical competence
Languages : en
Pages : 0

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Book Description
Publisher's Note: Products purchased from 3rd Party sellers are not guaranteed by the Publisher for quality, authenticity, or access to any online entitlements included with the product. Improve clinical competence and performance, deliver better health care, and enhance patient outcomes. Continuing Professional Development in Medicine and Health Care helps you design, deliver, and evaluate evidence-based continuing education and professional development programs with the goal of keeping practitioners' knowledge, skills, attitudes, competencies, and performance current and patient centered. Authored by key thought leaders in the field, including members of the Society of Academic Continuing Medical Education (SACME), the book presents today's most advanced thinking on how to empower clinicians to continuously improve their performance throughout their professional careers. Organized under five critical themes and 28 essential topics, the book's chapters start with cases describing real-world dilemmas; continue with evidence-based theories, solutions, and/or resources; and close with "future directions" and contemporary reference lists. Use continuing education to transform the delivery of care - with multidisciplinary guidance that draws on theoretical frameworks and evolving evidence from engineering, neuroscience, education, organization management, sociology, and psychology. Master techniques for maximizing educational benefits (learning, administrative, and otherwise) - from the evolution of core competencies to advances in simulation. Access evidence-informed techniques for providing realistic, personal needs assessments to improve health outcomes. Accommodate needs for education that are more flexible, efficient, effective, and accessible, with less need to travel. Promote evolving new competencies in clinician-patient communication and clinician cultural awareness. Explore methods for conducting research to measure the degree of effectiveness in professional education. In an era of rapidly changing health systems, anyone responsible for improving health professionals' continuing professional development is strongly encouraged to take advantage of the guidance within Continuing Professional Development in Medicine and Health Care.

American Medicine

American Medicine PDF Author: Mary-Jo DelVecchio Good
Publisher: Univ of California Press
ISBN: 0520216539
Category : Family & Relationships
Languages : en
Pages : 287

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Book Description
American Medicine: The Quest for Competence, the first book to explore in depth the meaning and politics of competence in modern American medicine, examines questions that lie at the heart of the contemporary debate about medical care. Based on Mary-Jo DelVecchio Good's recent ethnographic studies of three distinct medical communities - physicians in rural California, academics and students involved in Harvard Medical School's innovative "New Pathway" curriculum, and oncologists working on breast cancer treatment - the book demonstrates the centrality of the issue of competence throughout the medical world. The theme of competence, Good shows, provides common ground for discussing the power struggles between rural general practitioners and specialists, organizational changes within the halls of academia, and the clinical narratives of high-technology oncologists. A timely, provocative study that addresses one of the fundamental issues in contemporary medicine, American Medicine: The Quest for Competence is essential reading for medical professionals, educators, and students; medical anthropologists and sociologists; and health-care policymakers.