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001 ocm56823174
003 OCoLC
005 20180627000332.0
008 041026s2004 nju ob 001 0 eng d
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020 $a0813533287$q(hbk. ;$qalk. paper)
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100 1 $aPerkins, Barbara Bridgman.
245 14 $aThe medical delivery business :$bhealth reform, childbirth, and the economic order /$cBarbara Bridgman Perkins.
260 $aNew Brunswick, N.J. :$bRutgers University Press,$c℗♭2004.
300 $a1 online resource (xii, 252 pages)
336 $atext$btxt$2rdacontent
337 $acomputer$bc$2rdamedia
338 $aonline resource$bcr$2rdacarrier
347 $adata file$2rda
504 $aIncludes bibliographical references (pages 169-238) and index.
505 0 $aBusiness models and medical interventions -- Medical specialism and early-twentieth-century economic organization -- Academic specialty departments and scientific management -- Dividing labor, industrializing birth -- Designing delivery systems -- The Committee on the Costs of Medical Care and corporate organization of medicine -- Regional health planning and the economic organization of the medical industry -- Perinatal regionalization and economic order -- The economic production of childbirth -- Competing for the birth market: providers, procedures, and paradigms -- Capital intensive medicine and academic practice plans -- Managing birth: managed care and active management of labor -- Re-forming medicine, reforming reform.
588 0 $aPrint version record.
520 8 $aAnnotation$bAn insightful look at how business models have shaped clinical case.
520 8 $aAnnotation$bBarbara 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.
520 8 $aAnnotation$bAmericans 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 procedures, and unnecessarily turned childbirth into an intensive care situation. Active management techniques, for example, encouraged obstetricians to use labor-accelerating treatments such as oxytocin in attempts to augment their productivity. Despite the achievements of the 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. But while Perkins is sympathetic to the goals of progressive and feminist reformers, she questions whether their methods will succeed in making medicine more equitable and effective. She argues that the medical care system itself needs to be "reformed, " and the reform process must include democracy, caring, and social justice as well as economic theory.
650 0 $aHealth services administration$xEconomic aspects$zUnited States.
650 0 $aHealth planning$xEconomic aspects$zUnited States.
650 0 $aMedical economics$zUnited States.
650 0 $aMedical policy$zUnited States$xHistory.
650 0 $aHealth care reform$zUnited States$xHistory.
650 0 $aMaternal health services$xEconomic aspects$zUnited States.
650 7 $aBUSINESS & ECONOMICS$xIndustries$xGeneral.$2bisacsh
650 7 $aHealth care reform.$2fast$0(OCoLC)fst00952850
650 7 $aHealth planning$xEconomic aspects.$2fast$0(OCoLC)fst00953164
650 7 $aHealth services administration$xEconomic aspects.$2fast$0(OCoLC)fst00953297
650 7 $aMaternal health services$xEconomic aspects.$2fast$0(OCoLC)fst01012001
650 7 $aMedical economics.$2fast$0(OCoLC)fst01014004
650 7 $aMedical policy.$2fast$0(OCoLC)fst01014505
651 7 $aUnited States.$2fast$0(OCoLC)fst01204155
650 12 $aDelivery of Health Care$xeconomics$zUnited States.
650 22 $aEconomics, Medical$xhistory$zUnited States.
650 22 $aHealth Care Reform$zUnited States.
650 22 $aMaternal Health Services$xeconomics$zUnited States.
655 4 $aElectronic books.
655 7 $aHistory.$2fast$0(OCoLC)fst01411628
655 0 $aElectronic books.
776 08 $iPrint version:$aPerkins, Barbara Bridgman.$tMedical delivery business.$dNew Brunswick, N.J. : Rutgers University Press, ℗♭2004$z0813533287$w(DLC) 2003005986$w(OCoLC)51942702
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