front cover of Factors Affecting Physician Professional Satisfaction and Their Implications for Patient Care, Health Systems, and Health Policy
Factors Affecting Physician Professional Satisfaction and Their Implications for Patient Care, Health Systems, and Health Policy
Mark W. Friedberg
RAND Corporation, 2013
The American Medical Association asked RAND Health to characterize the factors that affect physician professional satisfaction. RAND researchers sought to identify high-priority determinants of professional satisfaction by gathering data from 30 physician practices in six states, using a combination of surveys and semistructured interviews. This report presents the results of the subsequent analysis.
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Faith In The Future
Healthcare, Aging and the Role of Religion
Harold Koenig
Templeton Press, 2012

After an interview in Newsweek about his book Spirituality in Patient Care and his research in religion and health, Dr. Harold Koenig became the international voice on spirituality, health, and aging. In this book, Faith in the Future, he is joined by two other experts on aging and human development. They present a compelling look at one of the most severe issues in today’s society: health care in America. 

How will we provide quality healthcare to older adults needing it during the next thirty to fifty years? Who will provide this care? How will it be funded? How can we establish systems of care now to be in place as demographic and health-related economic pressures mount?

Alongside the sobering reality of our country’s challenges, there are reasons for optimism. Innovative programs created and maintained by volunteers and religious congregations are emerging as pivotal factors in meeting healthcare needs. Summarizing decades of scientific research and providing numerous inspirational examples and role models, the authors present practical steps that individuals and institutions may emulate for putting faith into action.

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A Family Practice
The Russell Doctors and the Evolving Business of Medicine, 1799-1989
William D. Lindsey
University of Arkansas Press, 2020
A Family Practice is the sweeping saga of four generations of doctors, Russell men seeking innovative ways to sustain themselves as medical practitioners in the American South from the early nineteenth to the latter half of the twentieth century. The thread that binds the stories in this saga is one of blood, of medical vocations passed from fathers to sons and nephews. This study of four generations of Russell doctors is an historical study with a biographical thread running through it.
 
The authors take a wide-ranging look at the meaning of intergenerational vocations and the role of family, the economy, and social issues on the evolution of medical education and practice in the United States.
 
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Feminism in Twentieth-Century Science, Technology, and Medicine
Edited by Angela N. H. Creager, Elizabeth Lunbeck, and Londa Schiebinger
University of Chicago Press, 2001
What useful changes has feminism brought to science? Feminists have enjoyed success in their efforts to open many fields to women as participants. But the effects of feminism have not been restricted to altering employment and professional opportunities for women. The essays in this volume explore how feminist theory has had a direct impact on research in the biological and social sciences, in medicine, and in technology, often providing the impetus for fundamentally changing the theoretical underpinnings and practices of such research. In archaeology, evidence of women's hunting activities suggested by spears found in women's graves is no longer dismissed; computer scientists have used feminist epistemologies for rethinking the human-interface problems of our growing reliance on computers. Attention to women's movements often tends to reinforce a presumption that feminism changes institutions through critique-from-without. This volume reveals the potent but not always visible transformations feminism has brought to science, technology, and medicine from within.

Contributors:
Ruth Schwartz Cowan
Linda Marie Fedigan
Scott Gilbert
Evelynn M. Hammonds
Evelyn Fox Keller
Pamela E. Mack
Michael S. Mahoney
Emily Martin
Ruth Oldenziel
Nelly Oudshoorn
Carroll Pursell
Karen Rader
Alison Wylie
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Fighting for Health
Medicine in Cold War Southeast Asia
Edited by C. Michele Thompson, Kathryn Sweet, and Michitake Aso
National University of Singapore Press, 2024
An overlooked history of Southeast Asia’s varied healthcare regimes during the Cold War.

For far too long, Southeast Asia has been treated as a static backdrop for the exploits and discoveries of Western biomedical doctors. Yet, Southeast Asians have been vital to the significant developments in the prevention and treatment of diseases that have taken place in the region and beyond. Many of the institutions and people that shaped subsequent responses to outbreaks, epidemics, and pandemics first began their work in Southeast Asia during the Cold War. The diversity of approaches to health and medicine during that era also reminds us of the possibilities, and limits, of human intervention in the face of political, social, economic, and microbial realities. The people and places of Southeast Asia have provided clinical trials for different health regimes. Fighting for Health highlights new perspectives and methods that have evolved from research presented at regional conferences, including the History of Medicine in Southeast Asia (HOMSEA) series. These insights serve to challenge dominant models of the medical humanities.
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Folk Practices in North Mexico
Birth Customs, Folk Medicine, and Spiritualism in the Laguna Zone
By Isabel Kelly
University of Texas Press, 1965

The Mexican folkways described in this monograph, of scientific interest to anthropologists, will fascinate laypeople as well. Isabel Kelly collected these notes in the 1950s, as a diversion when official field work was not feasible, in the vicinity of Torreón and particularly in the nearby village of El Cuije, in northern Mexico. She recounts folk customs and habits, focusing on beliefs and practices related to health and healing and on notions concerning magic. These form, Kelly believes, a core of folk culture which has survived tenaciously in the rural areas and on the outskirts of the cities, among mestizo families of scant education and limited economic resources.

 These people are well acquainted with simple, matter-of-fact illnesses which result from natural causes and which respond to treatment by herbal and other home remedies or by modern medicines. But they also recognize the evil eye and the emotional upset known as “fright.” They are thoroughly familiar with the ever-present danger of ailments which are not “natural” and God-sent, but which are deliberately inflicted by an enemy, through the artifice of a sorcerer or a spiritualist. Such “instigated” illnesses may take any form, from a cold in the head to a false pregnancy. If a person suspects that poor health results from such malevolence, he or she spurns Western medicine and looks instead to the witch or to the spiritualist as the only hope of a cure.

 El Cuije pays an annual quota from community funds to make available modern health services provided by the government. But community funds are similarly drawn upon to provide “medical” attention for those who repair to the sorcerers. Once a week the village truck takes all presumed witchcraft victims to a nearby town, where they receive clinical treatment from professional sorcerers.

 Kelly sees little that is genuinely indigenous in the beliefs and practices described; many of them demonstrably result from infiltration from the Old World in the years following the Spanish Conquest. She considers spiritualistic curing—important in northern Mexico and many other parts of Latin America—in some detail, but the specific outlines of its history in northern Mexico still awaited clarification at the time of her research.

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For All of Humanity
Mesoamerican and Colonial Medicine in Enlightenment Guatemala
Martha Few
University of Arizona Press, 2015
Smallpox, measles, and typhus. The scourges of lethal disease—as threatening in colonial Mesoamerica as in other parts of the world—called for widespread efforts and enlightened attitudes to battle the centuries-old killers of children and adults. Even before edicts from Spain crossed the Atlantic, colonial elites oftentimes embraced medical experimentation and reform in the name of the public good, believing it was their moral responsibility to apply medical innovations to cure and prevent disease. Their efforts included the first inoculations and vaccinations against smallpox, new strategies to protect families and communities from typhus and measles, and medical interventions into pregnancy and childbirth.

For All of Humanity examines the first public health campaigns in Guatemala, southern Mexico, and Central America in the eighteenth and early nineteenth centuries. Martha Few pays close attention to Indigenous Mesoamerican medical cultures, which not only influenced the shape and scope of those regional campaigns but also affected the broader New World medical cultures. The author reconstructs a rich and complex picture of the ways colonial doctors, surgeons, Indigenous healers, midwives, priests, government officials, and ordinary people engaged in efforts to prevent and control epidemic disease.

Few’s analysis weaves medical history and ethnohistory with social, cultural, and intellectual history. She uses prescriptive texts, medical correspondence, and legal documents to provide rich ethnographic descriptions of Mesoamerican medical cultures, their practitioners, and regional pharmacopeia that came into contact with colonial medicine, at times violently, during public health campaigns.
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Forbidden Knowledge
Medicine, Science, and Censorship in Early Modern Italy
Hannah Marcus
University of Chicago Press, 2020
An exploration of the censorship of medical books from their proliferation in print through the prohibitions placed on them during the Counter-Reformation.

Forbidden Knowledge explores the censorship of medical books from their proliferation in print through the prohibitions placed on them during the Counter-Reformation. How and why did books banned in Italy in the sixteenth century end up back on library shelves in the seventeenth? Historian Hannah Marcus uncovers how early modern physicians evaluated the utility of banned books and facilitated their continued circulation in conversation with Catholic authorities.
 
Through extensive archival research, Marcus highlights how talk of scientific utility, once thought to have begun during the Scientific Revolution, in fact, began earlier, emerging from ecclesiastical censorship and the desire to continue to use banned medical books. What’s more, this censorship in medicine, which preceded the Copernican debate in astronomy by sixty years, has had a lasting impact on how we talk about new and controversial developments in scientific knowledge. Beautiful illustrations accompany this masterful, timely book about the interplay between efforts at intellectual control and the utility of knowledge.
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Forgotten Healers
Women and the Pursuit of Health in Late Renaissance Italy
Sharon T. Strocchia
Harvard University Press, 2019

Winner of the Margaret W. Rossiter History of Women in Science Prize

A new history uncovers the crucial role women played in the great transformations of medical science and health care that accompanied the Italian Renaissance.

In Renaissance Italy women played a more central role in providing health care than historians have thus far acknowledged. Women from all walks of life—from household caregivers and nurses to nuns working as apothecaries—drove the Italian medical economy. In convent pharmacies, pox hospitals, girls’ shelters, and homes, women were practitioners and purveyors of knowledge about health and healing, making significant contributions to early modern medicine.

Sharon Strocchia offers a wealth of new evidence about how illness was diagnosed and treated, whether by noblewomen living at court or poor nurses living in hospitals. She finds that women expanded on their roles as health care providers by participating in empirical work and the development of scientific knowledge. Nuns, in particular, were among the most prominent manufacturers and vendors of pharmaceutical products. Their experiments with materials and techniques added greatly to the era’s understanding of medical care. Thanks to their excellence in medicine urban Italian women had greater access to commerce than perhaps any other women in Europe.

Forgotten Healers provides a more accurate picture of the pursuit of health in Renaissance Italy. More broadly, by emphasizing that the frontlines of medical care are often found in the household and other spaces thought of as female, Strocchia encourages us to rethink the history of medicine.

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Framing Disease
Studies in Cultural History
Rosenberg, Charles E
Rutgers University Press, 1992

"In some ways disease does not exist until we have agreed that it does, by perceiving, naming, and responding to it, " writes Charles E. Rosenberg in his introduction to this stimulating set of essays. Disease is both a biological event and a social phenomenon. Patient, doctor, family, and social institutions—including employers, government, and insurance companies—all find ways to frame the biological event in terms that make sense to them and serve their own ends.

Many diseases discussed here—endstage renal disease, rheumatic fever, parasitic infectious diseases, coronary thrombosis—came to be defined, redefined, and renamed over the course of several centuries. As these essays show, the concept of disease has also been used to frame culturally resonant behaviors: suicide, homosexuality, anorexia nervosa, chronic fatigue syndrome. Disease is also framed by public policy, as the cases of industrial disability and of forensic psychiatry demonstrate. Medical institutions, as managers of people with disease, come to have vested interests in diagnoses, as the histories of facilities to treat tuberculosis or epilepsy reveal. Ultimately, the existence and conquest of disease serves to frame a society's sense of its own "healthiness" and to give direction to social reforms.   

The contributors include Steven J. Peitzman, Peter C. English, John Farley, Christopher Lawrence, Michael MacDonald, Bert Hansen, Joan Jacobs Brumberg, Robert A. Aronowitz, Gerald Markowitz, David Rosner, Janet A. Tighe, Barbara Bates, Ellen Dwyer, John M. Eyler, and Elizabeth Fee. For any student of disease and society, this book is essential, compelling reading.

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Frederick Novy and the Development of Bacteriology in Medicine
Kazanjian, Powel H
Rutgers University Press, 2017
At the turn of the twentieth century, Frederick Novy was the leader among a new breed of full-time bacteriologists at American medical schools. Although historians have examined bacteriologic work done in American health department laboratories, there has been little examination of similar work completed within U.S. medical schools during this period.
 
In Frederick Novy and the Development of Bacteriology in Medicine, medical historian, medical researcher, and clinician Powel H. Kazanjian uses Novy’s archived letters, laboratory notebooks, lecture notes, and published works to examine medical research and educational activities at the University of Michigan and other key medical schools during a formative period in modern medical science.
 
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front cover of From Doctor to Healer
From Doctor to Healer
The Transformative Journey
St. John, Gloria
Rutgers University Press, 1998

Why would a successful physician who has undergone seven years of rigorous medical training take the trouble to seek out and learn to practice alternative methods of healing such as homeopathy and Chinese medicine? From Doctor to Healer answers this question as it traces the transformational journeys of physicians who move across the philosophical spectrum of American medicine from doctor to healer. Robbie Davis-Floyd and Gloria St. John conducted extensive interviews to discover how and why physicians make the move to alternative medicine, what sparks this shift, and what beliefs they abandon or embrace in the process.

After outlining the basic models of American health care-the technocratic, humanistic, and holistic-the authors follow the thoughts and experiences of forty physicians as they expand their horizons in order to offer effective patient care. The book focuses on the radical shift from one end of the spectrum to the other-from the technocratic approach to holism-made by most of the interviewees. Because many American physicians find such a drastic change too threatening, the authors also address the less radical transition to humanism-a movement toward compassionate care arising from within the medical system.
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From Humors to Medical Science
A HISTORY OF AMERICAN MEDICINE
John Duffy
University of Illinois Press, 1993
 
 
      John Duffy's classic history, formerly titled The Healers, has
        been thoroughly revised and updated for this second edition, which includes
        new chapters on women and minorities in medicine and on the challenges
        currently facing the health care field.
      "This remains the only comprehensive history of American medicine.
        The treatment of the emergence of modern medicine and the flowering of
        surgery is especially fresh and well done. As one of the respected scholars
        in our profession, John Duffy has again demonstrated his wide knowledge
        of the subject."
        -- Thomas N. Brunner, author of To the Ends of the Earth: Women's
        Search for Education in Medicine
 
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From Midwives to Medicine
The Birth of American Gynecology
McGregor, Deborah K
Rutgers University Press, 1998
From Midwives to Medicine examines the development of modern medical treatment of women and the related history of women's health in the mid-1800s. McGregor looks not only at the medical figures who devised and practiced the innovative therapist, but also at the history of the patient experience in the development and the professionalization of a medical specialty. In exploring the controversial career of J. Marion Sims, "the father of gynecology," and the history of the Woman's Hospital of the State of New York, McGregor chronicles the emergence of a practice involving previously untried medical techniques and the use of experimentation on patients according to a social hierarchy based on race and sex.

Using patient records and archival material from the female governors and administrators at the hospital, From Midwives to Medicine shows how a new medical practice developed out of the changing patterns and historical experiences of childbirth, as well as out of the context of the social relations f the sexes. Sim's patients were slave women in the antebellum South, poor Irish immigrants in the industrial North, and upper-class white. Protestant, Manhattan socialites who sought help for their "hysterical" symptoms. During his career, which began in the South and flourished at the Women's Hospital in New York. Sims performed and perfected his technique to "cure" vesico-vaginal fistulas, the tears of childbirth, from which so many women suffered. But Sims achieved these successes on the operating table only after years of practicing his "silver suture" technique on unanesthetized slave women, who he believed "by the nature of their race... had a specific physiological tolerance for pain unknown to whites."
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From Popular Medicine to Medical Populism
Doctors, Healers, and Public Power in Costa Rica, 1800–1940
Steven Palmer
Duke University Press, 2003
From Popular Medicine to Medical Populism presents the history of medical practice in Costa Rica from the late colonial era—when none of the fifty thousand inhabitants had access to a titled physician, pharmacist, or midwife—to the 1940s, when the figure of the qualified medical doctor was part of everyday life for many of Costa Rica’s nearly one million citizens. It is the first book to chronicle the history of all healers, both professional and popular, in a Latin American country during the national period.
Steven Palmer breaks with the view of popular and professional medicine as polar opposites—where popular medicine is seen as representative of the authentic local community and as synonymous with oral tradition and religious and magical beliefs and professional medicine as advancing neocolonial interests through the work of secular, trained academicians. Arguing that there was significant and formative overlap between these two forms of medicine, Palmer shows that the relationship between practitioners of each was marked by coexistence, complementarity, and dialogue as often as it was by rivalry. Palmer explains that while the professionalization of medical practice was intricately connected to the nation-building process, the Costa Rican state never consistently displayed an interest in suppressing the practice of popular medicine. In fact, it persistently found both tacit and explicit ways to allow untitled healers to practice. Using empirical and archival research to bring people (such as the famous healer or curandero Professor Carlos Carbell), events, and institutions (including the Rockefeller Foundation) to life, From Popular Medicine to Medical Populism demonstrates that it was through everyday acts of negotiation among agents of the state, medical professionals, and popular practitioners that the contours of Costa Rica’s modern, heterogeneous health care system were established.
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