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Traces the structural development and social and political experiences of one urban community of black medical providers during a period of unprecedented change in health care, race relations, and politics. This work also reveals the origins and influence of black medical professionals and allied health workers in Philadelphia.
In this bold interpretation of U.S. history, Lisa Levenstein reframes highly charged debates over the origins of chronic African American poverty and the social policies and political struggles that led to the postwar urban crisis. A Movement Withou
McBride (history and Afro-American studies, SUNY, Binghamton) describes the nature and sociomedical perceptions of the diseases that most gravely affected America's black population from the beginning of the century to the late 1980s. Annotation copyrighted by Book News, Inc., Portland, OR
Medical centers are widely recognized as vital components of the healthcare system. However, academic medical centers are differentiated from their community counterparts by their mission, which typically focuses on clinical care, education, and research. Nonetheless, community clinics/hospitals fill a critical need and play a complementary role serving as the primary sites for health care in most communities. Furthermore, it is now increasingly recognized that in addition to physicians, physician-scientists, and other healthcare-related professionals, basic research scientists also contribute significantly to the emerging inter- and cross-disciplinary, team-oriented culture of translational science. Therefore, approaches that combine the knowledge, skills, experience, expertise, and visions of clinicians in academic medical centers and their affiliated community centers and hospitals, together with basic research scientists, are critical in shaping the emerging culture of translational research so that patients from the urban as well as suburban settings can avail the benefits of the latest developments in science and medicine. ‘Integrating Clinical and Translational Research Networks—Building Team Medicine’ is an embodiment of this ethos at the City of Hope National Medical Center in Duarte, California. It includes a series of papers authored by teams of leading clinicians, basic research scientists, and translational researchers. The authors discuss how engaging and collaborating with community-based practices, where the majority of older patients with cancer receive their care, can ensure that these patients receive the highest-quality, evidence-based care. Based on our collective experience at City of Hope, we would like to stress that the success of academic-community collaborative programs not only depends on the goodwill and vision of the participants but also on the medical administration, academic leadership, and policymakers who define the principles and rules by which cooperation within the health care industry occurs. We trust that our experience embodied in this singular compendium will serve as a ‘Rosetta Stone’ for other institutions and practitioners.
Unevenly distributed resources and rising costs have become enduring problems in the American health care system. Health care is more expensive in the United States than in other wealthy nations, and access varies significantly across space and social classes. James A. Schafer Jr. shows that these problems are not inevitable features of modern medicine, but instead reflect the informal organization of health care in a free market system in which profit and demand, rather than social welfare and public health needs, direct the distribution and cost of crucial resources. The Business of Private Medical Practice is a case study of how market forces influenced the office locations and career paths of doctors in one early twentieth-century city, Philadelphia, the birthplace of American medicine. Without financial incentives to locate in poor neighborhoods, Philadelphia doctors instead clustered in central business districts and wealthy suburbs. In order to differentiate their services in a competitive marketplace, they also began to limit their practices to particular specialties, thereby further restricting access to primary care. Such trends worsened with ongoing urbanization. Illustrated with numerous maps of the Philadelphia neighborhoods he studies, Schafer’s work helps underscore the role of economic self-interest in shaping the geography of private medical practice and the growth of medical specialization in the United States.
In the United States, broad study in an array of different disciplines â€"arts, humanities, science, mathematics, engineeringâ€" as well as an in-depth study within a special area of interest, have been defining characteristics of a higher education. But over time, in-depth study in a major discipline has come to dominate the curricula at many institutions. This evolution of the curriculum has been driven, in part, by increasing specialization in the academic disciplines. There is little doubt that disciplinary specialization has helped produce many of the achievement of the past century. Researchers in all academic disciplines have been able to delve more deeply into their areas of expertise, grappling with ever more specialized and fundamental problems. Yet today, many leaders, scholars, parents, and students are asking whether higher education has moved too far from its integrative tradition towards an approach heavily rooted in disciplinary "silos". These "silos" represent what many see as an artificial separation of academic disciplines. This study reflects a growing concern that the approach to higher education that favors disciplinary specialization is poorly calibrated to the challenges and opportunities of our time. The Integration of the Humanities and Arts with Sciences, Engineering, and Medicine in Higher Education examines the evidence behind the assertion that educational programs that mutually integrate learning experiences in the humanities and arts with science, technology, engineering, mathematics, and medicine (STEMM) lead to improved educational and career outcomes for undergraduate and graduate students. It explores evidence regarding the value of integrating more STEMM curricula and labs into the academic programs of students majoring in the humanities and arts and evidence regarding the value of integrating curricula and experiences in the arts and humanities into college and university STEMM education programs.
Decades before the 1960s, social reformers began planting the seeds for the Modern Civil Rights era. During the period spanning World Wars I and II, St. Louis, Missouri, was home to a dynamic group of African American social welfare reformers. The city’s history and culture were shaped both by those who would construct it as a southern city and by the heirs of New England abolitionism. Allying with white liberals to promote the era’s new emphasis on “the common good,” black reformers confronted racial segregation and its consequences of inequality and, in doing so, helped to determine the gradual change in public policy that led to a more inclusive social order. In Groping toward Democracy: African American Social Welfare Reform in St. Louis, 1910–1949, historian Priscilla A. Dowden-White presents an on-the-ground view of local institution building and community organizing campaigns initiated by African American social welfare reformers. Through extensive research, the author places African American social welfare reform efforts within the vanguard of interwar community and neighborhood organization, reaching beyond the “racial uplift” and “behavior” models of the studies preceding hers. She explores one of the era’s chief organizing principles, the “community as a whole” idea, and deliberates on its relationship to segregation and the St. Louis black community’s methods of reform. Groping toward Democracy depicts the dilemmas organizers faced in this segregated time, explaining how they pursued the goal of full, uncontested black citizenship while still seeking to maximize the benefits available to African Americans in segregated institutions. The book’s nuanced mapping of the terrain of social welfare offers an unparalleled view of the progress brought forth by the early-twentieth-century crusade for democracy and equality. By delving into interrelated developments in health care, education, labor, and city planning, Dowden-White deftly examines St. Louis’s African American interwar history. Her in-depth archival research fills a void in the scholarship of St. Louis’s social development, and her compelling arguments will be of great interest to scholars and teachers of American urban studies and social welfare history.
This book focuses on the era during which the cause of tuberculosis had been identified, and public health officials were seeking to prevent it, but scientists had not yet found a cure. By examining tuberculosis comparatively in two Atlantic port cities, Buenos Aires and Philadelphia, it explores the medical, political and economic settings in which patients, physicians and urban officials lived and worked. Reber discusses the causes of tuberculosis, treatments and public health efforts to stop contagion, and how factors such as gender, age, class, nationality, beliefs and previous experiences shaped patient responses, and often defined the type of treatment.