Medical Delivery Business

Health Reform, Childbirth, and the Economic Order

Inbunden, Engelska, 2003

759 kr

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Americans at the end of the twentieth century worried that managed care had fundamentally transformed the character of medicine. In The Medical Delivery Business, Barbara Bridgman Perkins uses examples drawn from maternal and infant care to argue that the business approach in medicine is not a new development. Health care reformers throughout the century looked to industrial, corporate, and commercial enterprises as models for the institutions, specialties, and technological strategies that defined modern medicine. In the case of perinatal care, the business model emphasized specialized over primary care, encouraged the use of surgical and technological procedures, and unnecessarily turned childbirth into an intensive care situation. Active management techniques, for example, encouraged obstetricians to accelerate labor with oxytocin to augment their productivity. Despite the achievements of the childbirth and women’s health movement in the 1970s, aggressive medical intervention has remained the birth experience for millions of American women (and their babies) every year. The Medical Delivery Business challenges the conventional view that a dose of the market is good for medicine. While Perkins is sympathetic to the goals of progressive and feminist reformers, she questions whether their strategies will succeed in making medicine more equitable and effective. She argues that the medical care system itself needs to be fundamentally "re-formed," and the reforms must be based on democracy, caring, and social justice as well as economics.

Produktinformation

Utgivningsdatum2003-12-24
Mått152 x 229 x 25 mm
Vikt482 g
FormatInbunden
SpråkEngelska
Antal sidor272
FörlagRutgers University Press
ISBN9780813533285

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Barbara Bridgman Perkins has published articles, book chapters, and op-eds on historical, economic, and political aspects of public health policy, medical institutions, specialization, health care reform, medical ethics, malpractice, women’s health, perinatal care, sexuality, and aging, among other topics. Her first book was The Medical Delivery Business: Health Reform, Childbirth, and the Economic Order.

Preface and AcknowledgmentsAbbreviationsOne Introduction: Business Models and Medical InterventionsPart I Medical Specialism and Early-Twentieth-Century Economic OrganizationTwo Academic Specialty Departments and Scientific ManagementThree Dividing Labor, Industrializing BirthPart II Designing Delivery SystemsFour The Committee on the Costs of Medical Care and Corporate Organization of MedicineFive Regional Health Planning and Economic Organization of the Medical IndustrySix Perinatal Regionalization and Economic OrderPart III The Economic Production of ChildbirthSeven Competing for the Birth Market: Providers, Procedures, and ParadigmsEight Capital Intensive Medicine and Academic Practice PlansNine Managing Birth: Managed Care and Active Management of LaborTen Conclusion: Re-forming Medicine, Reforming ReformNotesIndex

A prodigiously researched and well-written account of the influence of business thinking on the practice of medicine. Informative, lively, and insightful. - Camilla Stivers (author of Bureau Men, Settlement Women: Constructing Public Administration in th) A prodigiously researched and well-written account of the influence of business thinking on the practice of medicine. Informative, lively, and insightful. - Camilla Stivers (author of Bureau Men, Settlement Women: Constructing Public Administration in th) A prodigiously researched and well-written account of the influence of business thinking on the practice of medicine. Informative, lively, and insightful. - Camilla Stivers (author of Bureau Men, Settlement Women: Constructing Public Administration in th) This book provides a well-documented counter-analysis to the prevailing models that market and economic considerations did not really begin to shape the structure of health care delivery until after World War II. A fine work of contemporary medical history. - Janet Bronstein (professor, University of Alabama at Birmingham School of Public Health) This book provides a well-documented counter-analysis to the prevailing models that market and economic considerations did not really begin to shape the structure of health care delivery until after World War II. A fine work of contemporary medical history. - Janet Bronstein (professor, University of Alabama at Birmingham School of Public Health) This is the analysis we've all been waiting forÙPerkins has put it all together, showing us the historic roots and contemporary consequences of the economic and industrial approach to childbirth. No matter how much you have read in the childbirth literature, you won't fully understand what is happening until you have read this! (Barbara Katz Rothman,) This is the analysis we've all been waiting forÙPerkins has put it all together, showing us the historic roots and contemporary consequences of the economic and industrial approach to childbirth. No matter how much you have read in the childbirth literature, you won't fully understand what is happening until you have read this! (Barbara Katz Rothman,)