[PUBHLTH 129] - Midterm Exam Guide - Comprehensive Notes for the exam (18 pages long!)
7 Feb 2017
School
Department
Course
Professor
Document Summary
Chapter 3: historical overview of u. s. health care delivery. Objectives of chapter 3: explain how health care delivery has evolved in the u. s. since the 1800s, discuss the evolution of u. s. health care, outline current trends. Major factors that have shaped u. s. health care: cultural beliefs and values. Because these factors interact, one cannot always clearly attribute a change to any single factor. Beliefs and values have played a dominant role: the health care system has been shielded from a major overhaul because any major government intervention has been viewed skeptically by most americans. Social, political, and economic forces led to certain compromises, as seen in the creation of medicare and medicaid. Overview: medical education was not grounded in science. Medical training: based on apprenticeship rather than university education, medical schools were opened by physicians as an economic necessity, to supplement their incomes, low standards prevailed. Medical practice: a trade without prestige, medical procedures were primitive, absence of diagnostic instruments.
