HLTH-2030 Lecture Notes - Lecture 3: Industrial Revolution, Germ Theory Of Disease, Managed Care
2 May 2019
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Historical factors that have shaped the us health care delivery system: Chapter 3: the evolution of health services in the united states. Health care"s evolution has followed four distinct time periods: Us health care is mainly a private industry but receives a large amount of government financing. Government finances health care mostly for the poor (medicaid) and the elderly (medicare) The middle class must depend on private insurance. Medical training, medical practice, and medical institutions. Until about 1870, medical training was largely received through an individual apprenticeship with a practicing physician rather than through a university. It was a 2-year doctor of medicine degree. There were only about 42 such schools in 1850. To train a larger number of students than was possible through apprenticeship, mainly out of economic necessity, american physicians began opening medical schools. Medicine was a trade without today"s prestige. It did not require a rigorous course of study, clinical practice, licensing, etc.
