Historical evolution - History of Health Care System...

Info icon This preview shows pages 1–2. Sign up to view the full content.

View Full Document Right Arrow Icon
History of Health Care System Historical evolution: several perspectives Doctor as independent businessman Evolution of hospital system – non governmental -government at best a distant third party Evolution of government role in traditional non-governmental sector Some early developments Medical training -the beginning: midwives -physicians trained as apprentices -19 th century growth of medical schools, many associated with hospitals -rise in scientific basis of medicine -American Medical Association forms around same time -becomes powerful in licensing of health care providers -profession became controlled by doctors (midwifery illegal) -had status, able to eliminate other health care providers -care-giver: the nurse, woman, day-today basis -underlying principle is business Private practice: ideology; laizze-faire; fee for service -government, hands off -once you begin licensing, there is some public involvement -(yet it’s self-policing since the doctors control it) By 1920’s health services organized around: Voluntary health system -originally self-supporting -charging patients for service -local government reimbursed hospital for charity patients -there were public, charity hospitals; also religious, nongovernmental, not-for-profit hospitals = voluntary sector established in 19 th century -established to care for group/congregation by religious organizations -public governmental (n-f-p), public nongovernmental (n-f-p), private nongovernmental (n-f-p), for-profit -little public involvement -early US: costal, received goods from ships, dealt with men off ships by quarantining Fee for service doctors Supplemented by hospitals By 1945: Steps to change -reframing of debate: moved past doctors making a living, responsibility of individual to take care of health -public health clinics provided immunizations (established with federal money)
Image of page 1

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full Document Right Arrow Icon
Image of page 2
This is the end of the preview. Sign up to access the rest of the document.

{[ snackBarMessage ]}

What students are saying

  • Left Quote Icon

    As a current student on this bumpy collegiate pathway, I stumbled upon Course Hero, where I can find study resources for nearly all my courses, get online help from tutors 24/7, and even share my old projects, papers, and lecture notes with other students.

    Student Picture

    Kiran Temple University Fox School of Business ‘17, Course Hero Intern

  • Left Quote Icon

    I cannot even describe how much Course Hero helped me this summer. It’s truly become something I can always rely on and help me. In the end, I was not only able to survive summer classes, but I was able to thrive thanks to Course Hero.

    Student Picture

    Dana University of Pennsylvania ‘17, Course Hero Intern

  • Left Quote Icon

    The ability to access any university’s resources through Course Hero proved invaluable in my case. I was behind on Tulane coursework and actually used UCLA’s materials to help me move forward and get everything together on time.

    Student Picture

    Jill Tulane University ‘16, Course Hero Intern