The Care of Strangers


Book Description

A history of the American hospital system, from the time of Jefferson's administration when they were largely charitable institutions working for the poor, through to the 20th century when hospitals became centres of learning and the primary care site for most citizens.




The Care of Strangers: The Rise of America’s Hospital System


Book Description

Finalist for the 1988 Pulitzer Prize in History. “[A] splendid history of the hospital in America... What makes this an important book is that Mr. Rosenberg has managed to tell the story of the hospital as a microcosm of American society... It is remarkable that an institution so central to our society, and to our medical system as the hospital has been for the last 100 years, has had to wait so long for a general historical analysis. It is Mr. Rosenberg’s accomplishment that the wait has been well worth it... Very well written and rich with interpretation, it deserves a wide audience not only among those concerned with medicine but also those with an interest in cities, social welfare and the professions.” — The New York Times “Charles E. Rosenberg’s long-awaited The Care of Strangers marks a milestone in our understanding of the hospital as a social institution... It should be read by anyone who wants a sophisticated analysis of the forces that have shaped the modern hospital system.” — Washington Post Book World “Rosenberg, a prize-winning historian, has written a detailed account of what has brought about the spectacular changes through which the hospital became accepted as the repository of medical knowledge and skills... Rosenberg interestingly deals with the main factors that elevated the hospital to its present eminence: medical-technological advances, especially in surgery, differential diagnosis, and drugs; demographic changes, with cities far outpacing rural areas in population; the assertiveness of doctors in promoting the hospital as a source of professional status and education; the widespread emergence of patient private payment and health insurance; the big expansion of federal subsidies for research and patient care... the book... is well-written and convincing... fascinatingly informative.” — The Los Angeles Times “A splendid contribution to medical history, one that should have a wide appeal to physicians, social scientists, and laypersons.” — Journal of the American Medical Association “The Care of Strangers unravels an intricate and multifaceted story; it is one worthy of Rosenberg’s unparalleled skills as a historian of medicine... In this book, as in much of Rosenberg’s mature scholarship, an enormous command of the sources matches his powerful integrative vision... This brilliant and ambitious book is the history of American medicine; it defines the field and is likely to organize the efforts of our subdiscipline for the next generation.” — Bulletin of the History of Medicine “Sociologists, economists, philanthropists, the members of the several health professions — even historians — tend to view hospitals from their own parochial perspectives. All would learn from Charles Rosenberg’s comprehensive view of authority, class relations, technology, and administration in the American hospital from 1800 to modern times. This superb book shows how that unique institution has always been a microcosm of American society.” — Journal of the History of Medicine and Allied Sciences “Rosenberg’s masterful synthesis of the history of the American hospital... offers readers, not simply the story of the development of a central institution of modern life, but an account that is also in many ways a history of the emergence of modern medicine... elegantly written and eminently readable.” — Reviews in American History “Rosenberg’s study makes a major contribution to the historiography of hospitals in America... This study is an elegantly written book that broadens the history of hospitals and places it squarely within the larger field of American social history... a major contribution not only to the history of medicine but also to the history of institutions and to American social history in general.” — American Historical Review




Hearts of Wisdom


Book Description

The image of the female caregiver holding a midnight vigil at the bedside of a sick relative is so firmly rooted in our collective imagination we might assume that such caregiving would have attracted the scrutiny of numerous historians. As Emily Abel demonstrates in this groundbreaking study of caregiving in America across class and ethnic divides and over the course of ninety years, this has hardly been the case. While caring for sick and disabled family members was commonplace for women in nineteenth- and early-twentieth-century America, that caregiving, the caregivers' experience of it, and the medical profession's reaction to it took diverse and sometimes unexpected forms. A complex series of historical changes, Abel shows, has profoundly altered the content and cultural meaning of care. Hearts of Wisdom is an immersion into that "world of care." Drawing on antebellum slave narratives, white farm women's diaries, and public health records, Abel puts together a multifaceted picture of what caregiving meant to American women--and what it cost them--from the pre-Civil War years to the brink of America's entry into the Second World War. She shows that caregiving offered women an arena in which experience could be parlayed into expertise, while at the same time the revolution in bacteriology and the transformation of the formal health care system were weakening women's claim to that expertise. Table of Contents: Acknowledgments Introduction Part One: 1850-1890 1. "Hot Flannels, Hot Teas, and a Great Deal of Care": Emily Hawley Gillespie and Sarah Gillespie, 1858-1888 2. An Overview of Nineteenth-Century Caregiving 3. "Tried at the Quilting Bees": Con'icts between "Old Ladies" and Aspiring Professionals Part Two: 1890-1940 4. A "Terrible and Exhausting" Struggle: Martha Shaw Farnsworth, 1890-1924 5. "Just as You Direct": Caregiver Translations of Medical Authority 6. Negotiating Public Health Directives: Poor New Yorkers at the Turn of the Century Reviews of this book: This excellent historical review of female caregiving within families as a transformative experience identifies conditions that make this form of human connectedness rewarding and meaningful. --J.E. Thompson, Choice This is a breathtaking work in terms of its depth and its breadth. Emily Abel's research is impressive in its time frame, wide range of topics, and wonderful source material. What she has given us, for the first time, is a full-length study of the female support network, not only for childbirth but for a whole range of health issues. With her pleasing writing style and clear, readable prose, she gives us much more than mere glimpses of anonymous people--she provides the reader with a sense of the texture of human lives. --Susan L. Smith, University of Alberta The reader of Hearts of Wisdom is surprised by the topic and content, but is left with the sense that the most central story of human possibility has been left out of all other history books. The work offers a substantive contribution to history, feminist scholarship, caregiving professions, and informal caregivers. --Patricia Benner, R.N., Ph.D, University of California, San Francisco




Explaining Epidemics


Book Description

Collection of author's essays previously published individually




The American Health Care Paradox


Book Description

Foreword by Harvey V. Fineberg, President of the Institute of Medicine For decades, experts have puzzled over why the US spends more on health care but suffers poorer outcomes than other industrialized nations. Now Elizabeth H. Bradley and Lauren A. Taylor marshal extensive research, including a comparative study of health care data from thirty countries, and get to the root of this paradox: We've left out of our tally the most impactful expenditures countries make to improve the health of their populations-investments in social services. In The American Health Care Paradox, Bradley and Taylor illuminate how narrow definitions of "health care," archaic divisions in the distribution of health and social services, and our allergy to government programs combine to create needless suffering in individual lives, even as health care spending continues to soar. They show us how and why the US health care "system" developed as it did; examine the constraints on, and possibilities for, reform; and profile inspiring new initiatives from around the world. Offering a unique and clarifying perspective on the problems the Affordable Care Act won't solve, this book also points a new way forward.




Blood and Guts: A Short History of Medicine


Book Description

"Ideas tumble out of Porter like wonders from some scholarly horn of plenty." —Sherwin B. Nuland, The New Republic An eminently readable, entertaining romp through the history of our vain and valiant efforts to heal ourselves. Mankind's battle to stay alive and healthy for as long as possible is our oldest, most universal struggle. With his characteristic wit and vastly informed historical scope, Roy Porter examines the war fought between disease and doctors on the battleground of the flesh from ancient times to the present. He explores the many ingenious ways in which we have attempted to overcome disease through the ages: the changing role of doctors, from ancient healers, apothecaries, and blood-letters to today's professionals; the array of drugs, from Ayurvedic remedies to the launch of Viagra; the advances in surgery, from amputations performed by barbers without anesthetic to today's sophisticated transplants; and the transformation of hospitals from Christian places of convalescence to modern medical powerhouses. Cleverly illustrated with historic line drawings, the chronic ailments of humanity provide vivid anecdotes for Porter's enlightening story of medicine's efforts to prevail over a formidable and ever-changing adversary.




Through the Healing Glass


Book Description

In the mid-1920s a physiologist, a glass chemist, and a zoo embarked on a project which promised to turn buildings into medical instruments. The advanced chemistry of "Vita" Glass mobilised theories of light and medicine, health practices and glassmaking technology to compress an entire epoch’s hopes for a healthy life into a glass sheet – yet it did so invisibly. To communicate its advantage, Pilkington Bros. spared no expense as they launched the most costly and sophisticated marketing campaign in their history. Engineering need for "Vita" Glass employed leading-edge market research, evocative photography and vanguard techniques of advertising psychology, accompanied by the claim: "Let in the Health Rays of Daylight Permanently through "Vita" Glass Windows." This is the story of how, despite the best efforts of two glass companies, the leading marketing firm of the day, and the opinions of leading medical minds, "Vita" Glass failed. However, it epitomised an age of lightness and airiness, sleeping porches, flat roofs and ribbon windows. Moreover, through its remarkable print advertising, it strove to shape the ideal relationship between our buildings and our bodies.




Sickness and Health in America


Book Description

Adds 21 new essays and drops some that appeared in the 1984 edition (first in 1978) to reflect recent scholarship and changes in orientation by historians. Adds entirely new clusters on sickness and health, early American medicine, therapeutics, the art of medicine, and public health and personal hygiene. Other discussions are updated to reflect such phenomena as the growing mortality from HIV, homicide, and suicide. No index. Annotation copyrighted by Book News, Inc., Portland, OR




Physician Assistants


Book Description

Explore the past, present, and future of PA practice. The authors, noted educators, researchers, and practitioners, draw on extensive research to trace the evolution of the PA’s roles and responsibilities in the delivery of health care services. Their presentation of historical content balanced with discussions of the ethical, educational, legislative, and economic forces that are shaping that the profession makes this a contemporary classroom tool for PA’s learning their field and their roles.




American Babies


Book Description

The focus of this book is the journey babies have made over the past century. The rise of the middle class in America dictated major changes in the ways babies were fed, cared for, and raised. Social programs focused on improving water and sanitation programs for all, which led directly to decreased infection among infants and improved morbidity and mortality rates. Other programs also focused attention on babies. Advances in medicine allowed infants to be immunized against once-deadly and disabling diseases and to survive congenital defects, premature birth, and infectious disease. Physicians helped infertile couples conceive and carry a baby to term. Prenatal care helped mothers give birth to a healthy baby. Early intervention services gave infants an advantage as they faced growing up in the modern era. Today, most American babies are better off than they were in 1901. Overall they are bigger, healthier, and much more likely to survive the first year. But challenges remain. By reviewing the events of the past century, Reedy hopes we can make even more of a difference in the lives of American babies in the century to come. In 1900, most babies were born at home. Infant mortality was high and most families could expect to lose one or more of their babies within the first year of life. A family was expected to have babies, and they were certainly wanted in most situations, however, they did not generally receive the attention they do today. In the early years of the 21st century, the birth of a baby is a time of joy for most parents and extended families. Birth occurs most often in a hospital delivery room with the father and sometimes other family members present. While the infant mortality rate in the United States still lags behind many other developed countries, it has significantly improved over the past century, and infant death is not a family expectation. The main focus of this book is the journey babies have made over the past century. The rise of the middle class in America dictated major changes in the ways babies were fed, cared for, and raised. No longer a financial necessity as in an agrarian society, babies became a symbol of middle class prosperity and parents basked in the reflected glow. Social programs, authorized and regulated by federal and state government, became a reality. Progressive Era reformers focused on improving water and sanitation programs for all, which led directly to decreased infection among infants and improved the dismal morbidity and mortality rates prevalent among all social classes. Other programs, such as the Shepard-Towner Act, the Social Security Act, and Lyndon Johnson's Great Society initiatives also focused attention on babies. Advances in medicine allowed infants to be immunized against once-deadly and disabling diseases and to survive congenital defects, premature birth, and infectious disease. Physicians discovered the means to help infertile couples conceive and carry a baby to term. Prenatal care helped mothers prepare for the birth of a healthy baby. Early intervention services by educators, social workers, and others gave infants an advantage as they faced growing up in the modern era. At the beginning of the 21st century, most American babies are better off than they were in 1901. Overall they are bigger, healthier, and much more likely to survive the first year. But challenges remain. By reviewing the events of the past century, Reedy hopes we can make even more of a difference in the lives of American babies in the century to come.