HPEX 300 Chapter Notes - Chapter 3: Global Exchange, Socialized Medicine, Yellow Fever
16 Nov 2016
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5 main factors why medical profession remained largely an insignificant trade in preindustrial america: medical practice was in disarray, medical procedures were primitive, an institutional core was missing, demand was unstable, medical education was substandard. Almshouse: poor house, was common ancestor of both hospitals and nursing homes, first in 1660 boston, served, primarily, general welfare functions by providing food and shelter to destitute of society. Pesthouse: operated by local gov. to quarantine people who had contracted contagious disease. Dispensary: established as outpatient clinics, indepent of hospitals, to provide free care to those who couldn"t afford to pay. Fee for service: practice of billing separately for each individual type of service performed. 7 key factors contributed to transformation from weak, insecure, and isolated trade into a profession of power and authority: urbanization, science and technology, institutionalization, dependency, autonomy and organization, licensing, educational reform.
