The Business of Private Medical Practice: Doctors, Specialization, and Urban Change in Philadelphia, 1900-1940
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 p...
Gespeichert in:
| Beteilige Person: | |
|---|---|
| Format: | Elektronisch E-Book |
| Sprache: | Englisch |
| Veröffentlicht: |
New Brunswick, NJ
Rutgers University Press
[2013]
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| Schriftenreihe: | Critical Issues in Health and Medicine
|
| Schlagwörter: | |
| Links: | https://www.degruyter.com/isbn/9780813561769 https://www.degruyter.com/isbn/9780813561769 https://www.degruyter.com/isbn/9780813561769 https://www.degruyter.com/isbn/9780813561769 https://www.degruyter.com/isbn/9780813561769 https://www.degruyter.com/isbn/9780813561769 https://www.degruyter.com/isbn/9780813561769 |
| Zusammenfassung: | 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 |
| Beschreibung: | Description based on online resource; title from PDF title page (publisher's Web site, viewed 25. Sep 2019) |
| Umfang: | 1 online resource 13 graphs, 11 maps, 20 tables |
| ISBN: | 9780813561769 |
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| 520 | |a 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 | ||
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Datensatz im Suchindex
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| author | Schafer, James A. |
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| discipline | Medizin |
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| spelling | Schafer, James A. Verfasser aut The Business of Private Medical Practice Doctors, Specialization, and Urban Change in Philadelphia, 1900-1940 James A. Schafer New Brunswick, NJ Rutgers University Press [2013] © 2013 1 online resource 13 graphs, 11 maps, 20 tables txt rdacontent c rdamedia cr rdacarrier Critical Issues in Health and Medicine Description based on online resource; title from PDF title page (publisher's Web site, viewed 25. Sep 2019) 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 English Geschichte 1900-1940 gnd rswk-swf MEDICAL / General bisacsh Medicine Practice Pennsylvania Philadelphia History 20th century Medicine Specialties and specialists Pennsylvania Philadelphia History 20th century Physicians (General practice) Pennsylvania Philadelphia History 20th century Urban health Pennsylvania Philadelphia History 20th century Privatwirtschaft (DE-588)4123981-7 gnd rswk-swf Medizinische Versorgung (DE-588)4038270-9 gnd rswk-swf Philadelphia, Pa. (DE-588)4103331-0 gnd rswk-swf Philadelphia, Pa. (DE-588)4103331-0 g Medizinische Versorgung (DE-588)4038270-9 s Privatwirtschaft (DE-588)4123981-7 s Geschichte 1900-1940 z 1\p DE-604 https://www.degruyter.com/isbn/9780813561769 Verlag URL des Erstveröffentlichers Volltext 1\p cgwrk 20201028 DE-101 https://d-nb.info/provenance/plan#cgwrk |
| spellingShingle | Schafer, James A. The Business of Private Medical Practice Doctors, Specialization, and Urban Change in Philadelphia, 1900-1940 MEDICAL / General bisacsh Medicine Practice Pennsylvania Philadelphia History 20th century Medicine Specialties and specialists Pennsylvania Philadelphia History 20th century Physicians (General practice) Pennsylvania Philadelphia History 20th century Urban health Pennsylvania Philadelphia History 20th century Privatwirtschaft (DE-588)4123981-7 gnd Medizinische Versorgung (DE-588)4038270-9 gnd |
| subject_GND | (DE-588)4123981-7 (DE-588)4038270-9 (DE-588)4103331-0 |
| title | The Business of Private Medical Practice Doctors, Specialization, and Urban Change in Philadelphia, 1900-1940 |
| title_auth | The Business of Private Medical Practice Doctors, Specialization, and Urban Change in Philadelphia, 1900-1940 |
| title_exact_search | The Business of Private Medical Practice Doctors, Specialization, and Urban Change in Philadelphia, 1900-1940 |
| title_full | The Business of Private Medical Practice Doctors, Specialization, and Urban Change in Philadelphia, 1900-1940 James A. Schafer |
| title_fullStr | The Business of Private Medical Practice Doctors, Specialization, and Urban Change in Philadelphia, 1900-1940 James A. Schafer |
| title_full_unstemmed | The Business of Private Medical Practice Doctors, Specialization, and Urban Change in Philadelphia, 1900-1940 James A. Schafer |
| title_short | The Business of Private Medical Practice |
| title_sort | the business of private medical practice doctors specialization and urban change in philadelphia 1900 1940 |
| title_sub | Doctors, Specialization, and Urban Change in Philadelphia, 1900-1940 |
| topic | MEDICAL / General bisacsh Medicine Practice Pennsylvania Philadelphia History 20th century Medicine Specialties and specialists Pennsylvania Philadelphia History 20th century Physicians (General practice) Pennsylvania Philadelphia History 20th century Urban health Pennsylvania Philadelphia History 20th century Privatwirtschaft (DE-588)4123981-7 gnd Medizinische Versorgung (DE-588)4038270-9 gnd |
| topic_facet | MEDICAL / General Medicine Practice Pennsylvania Philadelphia History 20th century Medicine Specialties and specialists Pennsylvania Philadelphia History 20th century Physicians (General practice) Pennsylvania Philadelphia History 20th century Urban health Pennsylvania Philadelphia History 20th century Privatwirtschaft Medizinische Versorgung Philadelphia, Pa. |
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