Title The medical delivery business : health reform, childbirth, and the economic order / Barbara Bridgman Perkins

Published New Brunswick, N.J. : Rutgers University Press, ©2004

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Description 1 online resource (xii, 252 pages) Contents Business models and medical interventions -- Medical specialism and early-twentieth-century economic organization -- Academic specialty departments and scientific management -- Dividing labor, industrializing birth -- Designing delivery systems -- The Committee on the Costs of Medical Care and corporate organization of medicine -- Regional health planning and the economic organization of the medical industry -- Perinatal regionalization and economic order -- The economic production of childbirth -- Competing for the birth market: providers, procedures, and paradigms -- Capital intensive medicine and academic practice plans -- Managing birth: managed care and active management of labor -- Re-forming medicine, reforming reform Summary Annotation An insightful look at how business models have shaped clinical case Annotation Barbara Bridgman Perkins uses examples drawn from maternal and infant care to argue that the business approach in medicine is not a new development. Health care reformers throughout the century looked to industrial, corporate, and commercial enterprises as models for the institutions, specialties, and technological strategies that defined modern medicine Annotation Americans at the end of the twentieth century worried that managed care had fundamentally transformed the character of medicine. In The Medical Delivery Business, Barbara Bridgman Perkins uses examples drawn from maternal and infant care to argue that the business approach in medicine is not a new development. Health care reformers throughout the century looked to industrial, corporate, and commercial enterprises as models for the institutions, specialties, and technological strategies that defined modern medicine. In the case of perinatal care, the business model emphasized specialized over primary care, encouraged the use of surgical procedures, and unnecessarily turned childbirth into an intensive care situation. Active management techniques, for example, encouraged obstetricians to use labor-accelerating treatments such as oxytocin in attempts to augment their productivity. Despite the achievements of the women's health movement in the 1970s, aggressive medical intervention has remained the birth experience for millions of American women (and their babies) every year. The Medical Delivery Business challenges the conventional view that a dose of the market is good for medicine. But while Perkins is sympathetic to the goals of progressive and feminist reformers, she questions whether their methods will succeed in making medicine more equitable and effective. She argues that the medical care system itself needs to be "reformed, " and the reform process must include democracy, caring, and social justice as well as economic theory Bibliography Includes bibliographical references (pages 169-238) and index Notes English Print version record Subject Health services administration -- Economic aspects -- United States Health planning -- Economic aspects -- United States Medical economics -- United States Medical policy -- United States -- History Health care reform -- United States -- History Maternal health services -- Economic aspects -- United States Health care reform. Delivery of Health Care -- economics Economics, Medical -- history Health Care Reform Maternal Health Services -- economics BUSINESS & ECONOMICS -- Industries -- General. Health care reform Health planning -- Economic aspects Health services administration -- Economic aspects Maternal health services -- Economic aspects Medical economics Medical policy SUBJECT United States https://id.nlm.nih.gov/mesh/D014481 Subject United States Genre/Form History Form Electronic book ISBN 0813536367 9780813536361 0813533287 9780813533285 0813559472 9780813559476

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