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A surprising look at how hospitals affect and are affected by their surrounding communities. An enduring paradox of urban public health is that many communities around hospitals are economically distressed and, counterintuitively, medically underserved. In The City and the Hospital two sociologists, Jonathan R. Wynn and Berkeley Franz, and a political scientist, Daniel Skinner, track the multiple causes of this problem and offer policy solutions. Focusing on three urban hospitals—Connecticut’s Hartford Hospital, the flagship of the Hartford Healthcare system; the Cleveland Clinic, which coordinates with other providers for routine care while its main campus provides specialty care; and the University of Colorado Hospital, a rare example of an urban institution that relocated to a new community—the authors analyze the complicated relationship between a hospital and its neighborhoods. On the one hand, hospitals anchor the communities that surround them, often staying in a neighborhood for decades. Hospitals also craft strategies to engage with the surrounding community, many of those focused on buying locally and hiring staff from their surrounding area. On the other hand, hospitals will often only provide care to the neighboring community through emergency departments, reserving advanced medical care and long-term treatment for those who can pay a premium for it. In addition, the authors show, hospitals frequently buy neighborhood real estate and advocate for development programs that drive gentrification and displacement. To understand how urban healthcare institutions work with their communities, the authors address power, history, race, and urbanity as much as the workings of the medical industry. These varied initiatives and effects mean that understanding urban hospitals requires seeing them in a new light—not only as medical centers but as complicated urban forces.
The amazing tale of “County” is the story of one of America’s oldest and most unusual urban hospitals. From its inception as a “poor house” dispensing free medical care to indigents, Chicago’s Cook County Hospital has been renowned as a teaching hospital and the healthcare provider of last resort for the city’s uninsured. Ansell covers more than thirty years of its history, beginning in the late 1970s when the author began his internship, to the “Final Rounds” when the enormous iconic Victorian hospital building was replaced. Ansell writes of the hundreds of doctors who underwent rigorous training with him. He writes of politics, from contentious union strikes to battles against “patient dumping,” and public health, depicting the AIDS crisis and the Out of Printening of County’s HIV/AIDS clinic, the first in the city. And finally it is a coming-of-age story for a young doctor set against a backdrOut of Print of race, segregation, and poverty. This is a riveting account.
Northern Michigan Asylum, which opened in 1885, was known during most of its years as Traverse City State Hospital. More than 200 photographs and images are provided, including many of the features and buildings long gone. It was run during its first decades by Dr. James Decker Munson, who left his legacy in the landscaped grounds and the medical center that today bears his name. Traverse City State Hospital served the mental health needs of a large part of Michigan for 104 years until its closure in 1989, housing a population as large as 3,000 in its many buildings.This book traces the history of this great institution, from the local and mental health context in which it was founded, through its growth, development, and decline, and finally to its renovation and preservation as a vital part of the Traverse City community.
The perception of smart cities encompasses a strategy that uses different types of technologies, artificial intelligence (AI), and machine learning and in which, through the internet of things (IoT) and sensor-based data collection, the strategy extrapolates information using insights gained from that data to manage or monitor or track assets, resources, and services efficiently in an urban area. Both these models deeply affect the localities where they are applied and can create together immense possibilities for urban recovery, better quality of life, physical and mental health protection, and economic and social redevelopment. Smart Cities and Machine Learning in Urban Health promotes interdisciplinary work that develops and illustrates the concept of resilience in relation to smart city and machine learning. The book examines the ability of an area and its communities to recover quickly from difficulties; the rigidness and resistance of an area and its communities to possible crisis; the ability of an area, its communities, infrastructure, and business to spring back into shape; and the responsiveness and mitigation towards the crisis with a special look at the impact of the COVID-19 pandemic. The research's theoretical foundation rests on a wide range of non-architectural sources, primarily AI, sociology, urban studies, and technological development, but it explores everything on cases taken from real cities, thus transforming them into pieces of architectural interest. Covering topics such as carbon emissions, digital healthcare systems, and urban transformation, this book is an essential resource for graduate and post-graduate students, policymakers, researchers, university faculty, engineers, public management, hospital administration, professors, and academicians.
From a Pulitzer Prize-winning historian comes a riveting history of New York's iconic public hospital that charts the turbulent rise of American medicine. Bellevue Hospital, on New York City's East Side, occupies a colorful and horrifying place in the public imagination: a den of mangled crime victims, vicious psychopaths, assorted derelicts, lunatics, and exotic-disease sufferers. In its two and a half centuries of service, there was hardly an epidemic or social catastrophe—or groundbreaking scientific advance—that did not touch Bellevue. David Oshinsky, whose last book, Polio: An American Story, was awarded a Pulitzer Prize, chronicles the history of America's oldest hospital and in so doing also charts the rise of New York to the nation's preeminent city, the path of American medicine from butchery and quackery to a professional and scientific endeavor, and the growth of a civic institution. From its origins in 1738 as an almshouse and pesthouse, Bellevue today is a revered public hospital bringing first-class care to anyone in need. With its diverse, ailing, and unprotesting patient population, the hospital was a natural laboratory for the nation's first clinical research. It treated tens of thousands of Civil War soldiers, launched the first civilian ambulance corps and the first nursing school for women, pioneered medical photography and psychiatric treatment, and spurred New York City to establish the country's first official Board of Health. As medical technology advanced, "voluntary" hospitals began to seek out patients willing to pay for their care. For charity cases, it was left to Bellevue to fill the void. The latter decades of the twentieth century brought rampant crime, drug addiction, and homelessness to the nation's struggling cities—problems that called a public hospital's very survival into question. It took the AIDS crisis to cement Bellevue's enduring place as New York's ultimate safety net, the iconic hospital of last resort. Lively, page-turning, fascinating, Bellevue is essential American history.
George and his friend Steve eat all of the honeycomb Betsy was going to use for her report on bees, so they build a beehive to make more.
Midwife Ellen Cohen delivered 1,400 babies in New York City hospitals during a career of more than twenty years. In this compelling first-person narrative she transports you into her world at the bedside in the maternity wards where childbirth dramas take place. In the challenging environment of urban clinics and crowded labor rooms the midwife strives to bring personalized care, dignity and a sense of empowerment to every patient. Like an updated U.S. version of "Call the Midwife," the British best seller and television series, this book describes some of the most unforgettable births, the most heartwarming -- and the rare heartbreaking -- experiences of her career. Memorable patients include Mia, a mentally ill woman whose stomach ache turns out to be a baby; teenager Shaniqua who breezes through birth despite her youth; and Jeremiah, a little boy born HIV-infected who captures the love of the entire staff. Through these stories, readers will gain insight into many variations in pregnancy and birth, and learn what is special about the midwifery approach to care. You may be surprised to learn how similar Cohen's patients' childbirth experiences were to your own, and where they differed.
Describes the "inner workings" of the Labor and Delivery Department at Portland's Oregon Health Sciences University Hospital.
Rise of the Modern Hospital is a focused examination of hospital design in the United States from the 1870s through the 1940s. This understudied period witnessed profound changes in hospitals as they shifted from last charitable resorts for the sick poor to premier locations of cutting-edge medical treatment for all classes, and from low-rise decentralized facilities to high-rise centralized structures. Jeanne Kisacky reveals the changing role of the hospital within the city, the competing claims of doctors and architects for expertise in hospital design, and the influence of new medical theories and practices on established traditions. She traces the dilemma designers faced between creating an environment that could function as a therapy in and of itself and an environment that was essentially a tool for the facilitation of increasingly technologically assisted medical procedures. Heavily illustrated with floor plans, drawings, and photographs, this book considers the hospital building as both a cultural artifact, revelatory of external medical and social change, and a cultural determinant, actively shaping what could and did take place within hospitals.