The Metropolitan Academic Medical Center


Book Description

The Metropolitan Academic Medical Center provides a careful reexamination of developments of the past decade, offers insights for improving medical education, biomedical research, and health care services, and examines the fate of the medical academy.




Eli Ginzberg


Book Description

The world of Eli Ginzberg can readily be thought of as a triptych-a career in three parts. In his early years, Ginzberg's work was dedicated to understanding the history of economics, from Adam Smith to C. Wesley Mitchell, and placing that understanding in what might well be considered economic ethnography. His studies took him on travels from Wales in the United Kingdom to California in the United States. For example, the poignant account of Welsh miners in an era of economic depression and technological change remains a landmark work. His report of a cross country trip taken in the first year of the New Deal provides insight and evaluation that can scarcely be captured in present-day writings.The second period of his career corresponds to Ginzberg's increasing involvement in the practice of economics. He deals with issues related to manpower allocation, employment shifts, and gender and racial changes in the workforce. His writing reflects a growing concern for child welfare and education. In this period, his work increasingly focuses on federal, state and city governments, and how the public sector impacts all basic social issues. His work was sufficiently transcendent of political ideology that seven presidents sought and received his advice and participation.After receiving all due encomiums and congratulations for intellectual work and policy research well done, Ginzberg then went on to spend the next thirty years of his life carving out a place as a preeminent economist of health, welfare services, and hospital administration. It is this portion of his life that is the subject of Eli Ginzberg: The Economist as a Public Intellectual. What is apparent in Ginzberg's work of this period is his sense of the growing interaction of all the social sciences-pure and applied-to develop a sense of the whole. The contributors to this festschrift, join together to provide a portrait of a figure whose life and work have spanned the twentieth century, and yet pointed the way to changes in the twenty-first century. Eli Ginzberg from the start possessed a strong sense of social justice and economic equality grounded in a Judaic-Christian tradition. All of these aspects come together in the writings of a person who transcends all parochialism and gives substantive content to the often-cloudy phrase, public intellectual.Irving Louis Horowitz is Hanna Arendt Distinguished Professor Emeritus at Rutgers, the State University of New Jersey, where he has taught for over thirty years. He also serves as Chairman of the Board at Transaction Publishers. His writings include Radicalism and the Revolt Against Reason; Behemoth: Main Currents in the History and Theory of Political Sociology; and Taking Lives: Genocide and State Power.




Dying in the City of the Blues


Book Description

This groundbreaking book chronicles the history of sickle cell anemia in the United States, tracing its transformation from an "invisible" malady to a powerful, yet contested, cultural symbol of African American pain and suffering. Set in Memphis, home of one of the nation's first sickle cell clinics, Dying in the City of the Blues reveals how the recognition, treatment, social understanding, and symbolism of the disease evolved in the twentieth century, shaped by the politics of race, region, health care, and biomedicine. Using medical journals, patients' accounts, black newspapers, blues lyrics, and many other sources, Keith Wailoo follows the disease and its sufferers from the early days of obscurity before sickle cell's "discovery" by Western medicine; through its rise to clinical, scientific, and social prominence in the 1950s; to its politicization in the 1970s and 1980s. Looking forward, he considers the consequences of managed care on the politics of disease in the twenty-first century. A rich and multilayered narrative, Dying in the City of the Blues offers valuable new insight into the African American experience, the impact of race relations and ideologies on health care, and the politics of science, medicine, and disease.




The Medical Metropolis


Book Description

In 2008, the University of Pittsburgh Medical Centers (UPMC) hoisted its logo atop the U.S. Steel Building in downtown Pittsburgh, symbolically declaring that the era of big steel had been replaced by the era of big medicine for this once industrial city. More than 1,200 miles to the south, a similar sense of optimism pervaded the public discourse around the relationship between health care and the future of Houston's economy. While traditional Texas industries like oil and natural gas still played a critical role, the presence of the massive Texas Medical Center, billed as "the largest medical complex in the world," had helped to rebrand the city as a site for biomedical innovation and ensured its stability during the financial crisis of the mid-2000s. Taking Pittsburgh and Houston as case studies, The Medical Metropolis offers the first comparative, historical account of how big medicine transformed American cities in the postindustrial era. Andrew T. Simpson explores how the hospital-civic relationship, in which medical centers embraced a business-oriented model, remade the deindustrialized city into the "medical metropolis." From the 1940s to the present, the changing business of American health care reshaped American cities into sites for cutting-edge biomedical and clinical research, medical education, and innovative health business practices. This transformation relied on local policy and economic decisions as well as broad and homogenizing national forces, including HMOs, biotechnology programs, and hospital privatization. Today, the medical metropolis is considered by some as a triumph of innovation and revitalization and by others as a symbol of the excesses of capitalism and the inequality still pervading American society.










Confluence of Policy and Leadership in Academic Health Science Centers


Book Description

Academic Health Science Centers are complex organizations with three principal functions: the education of the next generation of health professionals; the conduct of biomedical and clinical research that leads to new treatments and approaches to disease; and the delivery of comprehensive and advanced patient care. This is the first comprehensive book that describes in detail the knowledge and skill base necessary to successfully lead these complex organizations. Written by the world's leading authorities it combines the science of leadership, organizational structure, financial and personnel management, public relations and communications, trainee and student policy, community relations, and globalization. "This volume focuses on policy considerations that provide the foundation for AHSCs to thrive. While the legislation, challenges, and strategies will change over time, the need for strong policy to influence and guide organizational and individual behavior will not. AHSCs are complex organizations that must continue to evolve to face the multifactorial nature of health care problems. How they do so will depend to a great extent not only on having appropriate policies in place but also on their success in translating these policies into effective implementation." Andrew M. Ibrahim and M. Roy Wilson, in the Foreword




Implementing Pediatric Integrative Medicine in Practice


Book Description

This Special Issue provides an overview of pediatric integrative medicine, an emerging field that blends conventional and evidence based complementary therapies with an emphasis on preventive health and wellbeing. It is one of the first publications to capture the field’s background as well as the implementation of pediatric integrative programs and therapies in both the United States and Europe. Written by expert contributors in their specialties, this work provides the reader a first-hand look at the innovative programs serving children with a wide array of conditions in both academic and community-based centers. Covering topics including program development and start-up, pediatric pain, headache, obesity management, stress, clinical hypnosis, creative arts therapies, integrative nursing, and provider self-care, the edition provides rich insight into the challenges and successes experienced by the authors and the creativity and passion driving the field with the goal of improving health care for children of all ages.







Health Care Reform in Radiology


Book Description

The first book-length treatment of the absolutely essential topic of U.S. health care reform for imaging specialists This latest volume in the Current Clinical Imaging series offers all professionals involved with imaging a cogent, concise discussion of major issues related to health care reform from the perspective of fellow imaging specialists. It provides radiologists with a solid footing in understanding where they are now and where they can expect to be in the evolution of health care reform over the next ten years. Presenting an excellent balance of clinical and health care policy issues, Health Care Reform in Radiology reinforces the central role of health promotion and preventive medicine in U.S. health care systems while offering an international perspective on the subject. Topical coverage includes evidence-based outcomes for health care delivery, the impact of the determination of imaging tests' effectiveness, patient safety, medicolegal reform, reimbursement issues, and universal healthcare benefits and challenges. Health Care Reform in Radiology presents a program to: Enhance patient safety and quality of care Anticipate new or revised standards for all imaging modalities Suggest the more appropriate use of imaging based on the latest clinical evidence Discuss the evolving regulations defining the training required to perform imaging procedures Encourage career-long learning (CME, maintenance of certification, etc.) Show fellow radiologists how to provide added value for patients and referring physicians Developed and written by two top experts in the field, this is an ideal book for all professionals involved with imaging as well as physician groups that depend on radiology.