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Big Doctoring in America

Profiles in Primary Care

fitzhugh Mullan

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University of California Press img Link Publisher

Naturwissenschaften, Medizin, Informatik, Technik / Medizin

Beschreibung

The general practitioner was once America's doctor. The GP delivered babies, removed gallbladders, and sat by the bedsides of the dying. But as the twentieth century progressed, the pattern of medical care in the United States changed dramatically. By the 1960s, the GP was almost extinct. The later part of the twentieth century, however, saw a rebirth of the idea of the GP in the form of primary care practitioners. In this engrossing collection of oral histories and provocative essays about the past and future of generalism in health care, Fitzhugh Mullan—a pediatrician, writer, and historian—argues that primary care is a fascinating, important, and still endangered calling. In conveying the personal voices of primary care practitioners, Mullan sheds light on the political and economic contradictions that confront American medicine.

Mullan interviewed dozens of primary care practitioners—family physicians, internists, pediatricians, nurse practitioners, and physician assistants—asking them about their lives and their work. He explains how, during the last forty years, the primary care movement has emerged built on the principles of "big doctoring"--coordinated, comprehensive care over time. This book is essential reading for understanding core issues of the current health care dilemma. As our country struggles with managed care, market reforms, and cost containment strategies in medicine, Big Doctoring in America provides an engrossing and illuminating look at those in the trenches of the profession.

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america, family physicians, medical historians, oral histories, health care system, managed care, general practitioners, united states, internists, physician assistants, pediatricians, primary care, big doctoring, essay collection, medical care, medical professionals, nurse practitioners, nonfiction, general health care, western medicine, 20th century, primary care physicians, primary care practitioners, discussion books, medicine