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Home > Medical > Medical General & Other > Big Doctoring in America: Profiles in Primary Care-eBook
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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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Title of ebook: Big Doctoring in America: Profiles in Primary Care
ISBN: 9780520900837
Publisher: University of California Press
Internet download file size: 1162 kb
Released online for download: 11-08-2002
Author of eBook: Mullan, Fitzhugh
P: Moses, John
Foreword by: Fox, Daniel M.


Big Doctoring in America

Profiles in Primary Care

Chapter One

Primary Care Roots

Big Doctoring is about a way of medical life, an approach to health care and healing, a skill set, and a mind set that is called primary care. It is about doctoring that is humanist, comprehensive, efficient, and flexible, doctoring that builds on the legacy of the past and the rich tradition of care in medicine and nursing. To that it adds the science and technology of the contemporary world, applied in a measured, evidenced-based, and coordinated fashion. In our current culture of medical care-noteworthy for its sophistication of technology, its inexorable cost increases, the absence of uniform access to its benefits, a high rate of medical errors, and the uncertainty of many outcomes-primary care provides a foundation for health care that blends good science with good judgment.

Yet pri ... read full excerpt from Big Doctoring in America: Profiles in Primary Care ebook





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