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Few contemporary social problems in the U.S. affect more people daily than those within the American health care system. Social Movements and the Transformation of American Health Care is the first collection of essays to examine dynamics of change in health care institutions through the lens of contemporary theory and research on collective action. Gathering scholars from medicine, health policy, history, sociology, and political science, the book considers health-related social movements from four distinct levels, concentrating on movements seeking changes in the regulation, financing, and distribution of health resources; changes in institutions in public health, bio-ethics, and other fields; interactions between social movements and professions; and the cultural dominance of the medical model, and the difficulties for framing and legitimizing new issues in health care it poses. At a time when American health care is long overdue for major changes, this book takes an essential look at movements, policies, and institutions to identify the common constraints and opportunities for reform within the health care system.
“A monumental achievement” (New York Times) and the winner of the Pulitzer Prize and the Bancroft Prize in American History, this is a landmark history of the American health care system. Considered the definitive history of the American health care system, The Social Transformation of American Medicine examines how the roles of doctors, hospitals, health plans, and government programs have evolved over the last two and a half centuries. How did the financially insecure medical profession of the nineteenth century become a prosperous one in the twentieth? Why was national health insurance blocked? And why are corporate institutions taking over our medical system today? Beginning in 1760 and coming up to the present day, renowned sociologist Paul Starr traces the decline of professional sovereignty in medicine, the political struggles over health care, and the rise of a corporate system. Updated with a new preface and an epilogue analyzing developments since the early 1980s, The Social Transformation of American Medicine is a must-read for anyone concerned about the future of our fraught health care system.
This is a collection of essays which examine dynamics of change in health care institutions through the lens of contemporary theory and research on collective action. The book conceptualizes the American health care system as being organized around multiple institutions.
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
I have divided this history into two books to emphasize two long movements in the development of american medicine: First, the rise of professional sovereignty, and second, the transformation of medicine into an industry and the growing, though still unsettled, role of corporations and the state. Within this framework i explore a variety of specific questions, such as: Why americans, who were wary of medical authority in the early and mid-nineteenth century, became devoted to it in the twentieth; Why hospitals, medical schools, clinics, and other organizations assumed distinctive institutional forms in the united states; Why there is no national health insurance in the united states; Why the federal government in recent years shifted form policies that encouraged growth without changes in the organization of medical care to policies that encouraged reorganiza- tion to control growth; Why physicians long escaped form the control of the modern corporation, but are now witnessing and indeed taking part in the creation of corporate health care systems.
Recounts the history of health care policy in the United States, and argues that the country became entrapped through policies that satisfied enough of the public and so enriched the health-care industry as to make the system difficult to change. Reprint.
An understanding of leadership and management theory and practice is integral to the success of a new generation of health and social care professionals, and managers of services. It is equally important for educators in the field. Leading and Managing in Contemporary Health and Social Care by Elizabeth Rosser and Cate Wood supports the development of all health and social care professionals as managers and leaders in today’s rapidly evolving environment. This new title addresses pertinent topics including: integration and enhancement of health and social care services; interprofessional working; the importance of a strong organizational culture; developing individual resilience; leading innovation; and practising successful project and financial management within global and culturally sensitive contexts. With a growing mandate for health and social care professionals to understand leadership and management within their organizations, and a strong appreciation of these skills by employers, this new book is an important contribution that students and educators alike will welcome. Comprehensive and authoritative text written by experts in their field Fifteen chapters offer current thinking from a range of different perspectives Presents leadership management theory that can be applied across a wide range of workplaces Includes summary points and case studies for reflection and application Ideal reference for Master’s students and those undertaking MBA courses with a focus on health and social care
This book represents the first collection of research on health social movements. Demonstrates that health social movements are an innovative and powerful form of political action. Brings together the study of health and illness with social movement theory in order to establish a basis for the study of health social movements. Covers disease-based movements focused on diseases such as Alzheimer’s and breast cancer. Also addresses issue-based movements such as the pro-choice movement, the movement for complementary and alternative medicine, and movements around stem cell research. Illustrates the value of interdisciplinary approaches to studying health social movements.
The recent rise of “Medicare for All” in American political discourse was many years in the making. Behind this rise is a movement composed of grassroots activists and organizations that have been working for more than three decades to achieve the goal of establishing a single-payer healthcare system in the United States. In the past decade, the Single Payer Movement has grown and garnered more public and political support than ever before. This relative success cannot be attributed to any one political figure or political era. The story of how this happened, and how it is tied to a turn against establishment politics on both the left and right, as well as the rise of outsider politicians such as Senator Bernie Sanders, takes place during the Clinton, G.W. Bush, Obama, and Trump administrations. During each of these eras, activists experienced shifting opportunities that they interpreted through the telling of stories. These narratives of opportunity encouraged participation in particular forms of grassroots mobilization, which then affected the outcome of each era. This has had lasting effects on the development of healthcare policy in the United States. In this book, Hern conducts a political ethnographic analysis in which she uses historical records, interviews, and participant observation to tell the story of the Single Payer Movement, establish the lessons that can be learned from this history, and develop a framework—the Environment of Opportunity Model—that involves a holistic understanding of social movement activity through the analysis of narrative practice.