Nursing, Physician Control, and the Medical Monopoly Book

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Nursing, Physician Control, and the Medical Monopoly

By Thetis M. Group,Joan I. Roberts
  • ISBN Code: : 9780253108616
  • Publisher : Indiana University Press
  • Pages : 568
  • Category : Medical
  • Reads : 835
  • Book Compatibility : Pdf, ePub, Mobi, Kindle
  • Pdf : nursing-physician-control-and-the-medical-monopoly.pdf

Book Excerpt :

Nursing, Physician Control, and the Medical Monopoly Historical Perspectives on Gendered Inequality in Roles, Rights, and Range of Practice Thetis M. Group and Joan I. Roberts A history of physicians' efforts to dominate the healthcare system. Nursing, Physician Control, and the Medical Monopoly traces the efforts by physicians over time to achieve a monopoly in healthcare, often by subordinating nurses -- their only genuine competitors. Attempts by nurses to reform many aspects of healthcare have been repeatedly opposed by physicians whose primary interest has been to achieve total control of the healthcare "system," often to the detriment of patients' health and safety. Thetis M. Group and Joan I. Roberts first review the activities of early women healers and nurses and examine nurse-physician relations from the early 1900s on. The sexist domination of nursing by medicine was neither haphazard nor accidental, but a structured and institutionalized phenomenon. Efforts by nurses to achieve greater autonomy were often blocked by hospital administrators and organized medicine. The consolidation of the medical monopoly during the 1920s and 1930s, along with the waning of feminism, led to the concretization of stereotyped gender roles in nursing and medicine. The growing unease in nurse-physician relations escalated from the 1940s to the 1960s; the growth and complexity of the healthcare industry, expanding scientific knowledge, and increasing specialization by physicians all created heavy demands on nurses. Conflict between organized medicine and nursing entered a public, open phase in the late 1960s and 1970s, when medicine unilaterally created the physician's assistant, countered by nursing's development of the advanced nurse practitioner. But gender stereotypes remained central to nurse-physician relations in the 1980s and into the 1990s. Finally, Group and Roberts examine the results of the medical monopoly, from the impact on patients' health and safety, to the development of HMOs and the current overpriced, poorly coordinated, and fragmented healthcare system. Thetis M. Group is Professor Emerita at Syracuse University, where she was Dean of the College of Nursing for 10 years, and an adjunct faculty member at the University of Utah College of Nursing. She is co-author of Feminism and Nursing and has published numerous articles in professional nursing journals. Joan I. Roberts, social psychologist, is Professor Emerita at Syracuse University. A pioneer in women's studies in higher education, she is co-author of Feminism and Nursing and author of numerous books and articles on gender issues and racial and sex discrimination. June 2001 352 pages, 6 1/8 x 9 1/4, index, append. cloth 0-253-33926-X $29.95 s / £22.95

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This 25th Anniversary edition completely updates the powerful insights and policy recommendations of Not What the Doctor Ordered, first published in 1993 by renowned healthcare futurist and medical economist the author. It presents specific solutions to serious problems of cost, quality, access, and outcomes by allowing all Americans to purchase services directly from caregivers who provide an expanding array of medical services at least as well as physicians—at lower cost. Focusing on new realities of the 21st century, the authorshows not only why giving consumers the right to choose advanced practitioners is the top priority for improving our overpriced, underperforming medical care delivery system, but also how to make the necessary changes. As he clearly and concisely explains from medical and economic perspectives, the key is eliminating physicians’ monopoly powers over advanced practice nurses, clinical pharmacists, physical therapists, clinical psychologists, and other advanced practice (AP) health professionals who now rival physicians in scientific knowledge and caregiving skills within well-defined scopes of practice regulated by state governments.

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  • Pdf File: enduring-issues-in-american-nursing.pdf

Book Short Summary:

Named an Outstanding Academic Title for 2001 by Choice! "Why turn to the past when attempting to build nursing's future?...To make good decisions in planning nursing's future in the context of our complex health care system, nurses must know the history of the actions being considered, the identities and points of view of the major players, and all the stakes that are at risk. These are the lessons of history." -- from the Introduction This book presents nursing history in the context of problems and issues that persist to this day. Issues such as professional autonomy, working conditions, relationships with other health professionals, appropriate knowledge for education and licensure, gender, class, and race are traced through the stories told in this volume. Each chapter provides a piece of the puzzle that is nursing. The editors, all noted nurse historians and educators, have carefully made selections from the best that has been published in the nursing and health care literature.

History of Professional Nursing in the United States

By Arlene W. Keeling, PhD, RN, FAAN,John C. Kirchgessner, PhD, RN, PNP,Michelle C. Hehman, PhD, RN
  • File : Pdf, ePub, Mobi, Kindle
  • Publisher : Springer Publishing Company
  • Book Code : 0826133134
  • Total of Pages : 416
  • Category : Medical
  • Members : 763
  • Pdf File: history-of-professional-nursing-in-the-united-states.pdf

Book Short Summary:

"The authors demonstrate how U. S. nurses have worked throughout their history to restore patients to health, teach health promotion, and participate in disease preventing activities. Recounting those experiences in the nurses' own words, the authors bring that history to life, capturing nurses' thoughts and feelings during times of war, epidemics, and disasters as well as during their everyday work. The book fills a gap in the secondary literature on...the history of nursing that can be useful in these times of great social change. It is a “must read” for every nurse in the United States!" --Barbra Mann Wall, PhD, RN, FAAN; Director of the Eleanor Crowder Bjoring Center for Nursing Historical Inquiry; University of Virginia; From the Foreword For over four hundred years, a diverse array of nurses, nurses' aides, midwives, and public-minded citizens across the United States have attended to the healthcare of America’s equally diverse populations. Beginning in 1607 when the first Englishmen landed in Virginia, and concluding in 2016 when Flint, Michigan, was declared to be in a state of emergency, this expansive nursing history text for undergraduate and graduate nursing programs examines the history of the nursing profession to better understand how nursing became what it is today. Grounded in the premise that health care can and should be promoted in partnership with communities to provide quality care for all, this history analyzes the resilience and innovation of nurses who provided care for the most underprivileged populations, such as slaves on Southern plantations, immigrants in tenements in Manhattan's Lower East Side, and isolated populations in rural Kentucky. It takes into account issues of race, class, and gender and the influence of these factors on nurses and patients. Featuring nearly 300 photos, oral histories, and case examples from varied settings in the United States and beyond, the narrative discusses major medical advances, prominent leaders and grassroots movements in nursing, and ethical dilemmas that nurses faced with each change in the profession. Chapters include discussion questions for class sessions as well as a list of suggested readings. Key Features: Examines the history of nursing during the last four centuries Links challenges for nurses in the past to those of present-day nurses Includes oral histories, case examples, boxed highlights, call-outs, discussion questions, archival sites, and references Covers drugs, technological innovations, and scientific discovery in each era Demonstrates progression toward “A Culture of Health” as described by the Robert Wood Johnson Foundation.

Financial Management for Nurse Managers and Executives - E-Book

By Cheryl Jones,Steven A. Finkler,Christine T. Kovner,Jason Mose
  • File : Pdf, ePub, Mobi, Kindle
  • Publisher : Elsevier Health Sciences
  • Book Code : 0323415113
  • Total of Pages : 432
  • Category : Medical
  • Members : 239
  • Pdf File: financial-management-for-nurse-managers-and-executives-e-book.pdf

Book Short Summary:

Learn how financial management fits into the healthcare organization. Financial Management for Nurse Managers and Executives, 5th Edition covers the latest accounting and financial management practices distinctly from the nurse manager’s point of view. Topics include how financial management fits into the health care organization, financial accounting, cost analysis, planning and control management of the organization’s financial resources, various management tools, and the future of financial management with respect to healthcare reform and international accounting standards. This new edition includes updated information on the Affordable Care Act, Accountable Care Organizations, Value Based Payment, and Team and Population Based Care. Nursing-focused content thoroughly describes healthcare finance and accounting from the nurse manager’s point of view. Numerous worksheets and tables including healthcare spreadsheets, budgets, and calculations provide you with specific examples of how to apply financial management principles to nursing practice. NEW! Information about the Affordable Care Act details how changes and developments affects coverage for millions of Americans. NEW! Value-Based Payment reimbursement information details what nurse executives need to know in order to use this new system NEW! Coverage of Accountable Care Organizations provides current information on one of the emerging forms of managed care and how it works within the financial system of healthcare. NEW! Team-and Population-Based care information covers how to work with healthcare professionals outside of nursing.

Birth Chairs, Midwives, and Medicine

By Amanda Carson Banks
  • File : Pdf, ePub, Mobi, Kindle
  • Publisher : Univ. Press of Mississippi
  • Book Code : 1628467525
  • Total of Pages : 184
  • Category : Health & Fitness
  • Members : 260
  • Pdf File: birth-chairs-midwives-and-medicine.pdf

Book Short Summary:

There was a time when birth was treated as a natural process rather than a medical condition. Before 1800, women gave birth seated in birth chairs or on stools and were helped along by midwives. Then societal changes in attitudes toward women and the practice of medicine made birthing a province of the male-dominated medical profession. In Birth Chairs, Midwives, and Medicine, Amanda Carson Banks examines the history of the birth chair and tells how this birthing device changed over time. Through photographs, artists' renditions of births, interviews, and texts from midwives and early obstetricians, she creates an evolutionary picture of birthing practices and highlights the radical redefinition of birth that has occurred in the last two centuries. During the 1800s the change from a natural philosophy of birth to a medical one was partly a result of heightened understandings of anatomy and physiology. The medical profession was growing, and with it grew the awareness of the economic rewards of making delivery a specialized practice. In the background of the medical profession's rise was the prevailing perception of women as fragile invalids. Gradually, midwives and birth chairs were relegated to rural and isolated settings. The popularity of birth chairs has seen a revival in the late twentieth century as the struggle between medical obstetrics and the alternative birth movement has grown. As Banks shows through her careful examination of the chairs themselves, these questions have been answered and reconsidered many times in human history. Using the artifacts from the home and medical office, Banks traces sweeping societal changes in the philosophy of how to bring life into the world.

Guide to U.S. Health and Health Care Policy

By Thomas R. Oliver
  • File : Pdf, ePub, Mobi, Kindle
  • Publisher : CQ Press
  • Book Code : 1483370453
  • Total of Pages : 504
  • Category : Political Science
  • Members : 669
  • Pdf File: guide-to-u-s-health-and-health-care-policy.pdf

Book Short Summary:

Guide to U.S. Health and Health Care Policy provides the analytical connections showing students how issues and actions are translated into public policies and institutions for resolving or managing health care issues and crises, such as the recent attempt to reform the national health care system. The Guide highlights the decision-making cycle that requires the cooperation of government, business, and an informed citizenry in order to achieve a comprehensive approach to advancing the nation’s health care policies. Through 30 topical, operational, and relational essays, the book addresses the development of the U.S. health care system and policies, the federal agencies and public and private organizations that frame and administer those policies, and the challenges of balancing the nation’s health care needs with the rising costs of medical research, cost-effective treatment, and adequate health insurance. Key Features: The 30 topical essays investigate the fundamental political, social, economic, and procedural initiatives that drive health and health care policy decisions affecting Americans at the local, regional, and national levels Essential themes traced throughout the chapters include providing access to health care, national and international intervention, nutrition and health, human and financial resource allocation, freedom of religion versus public policy, discrimination and health care policy, universal health care coverage, private health care versus publicly funded health care, and the immediate and long-term costs associated with disease prevention, treatment, and health maintenance A Glossary of Key Health Care Policy Terms and Events, a selected Master Bibliography, and a thorough Index are included. This must-have reference for political science and public policy students who seek to understand the issues affecting health care policy in the U.S. is suitable for academic, public, high school, government, and professional libraries.

Synergy

By Martha A. Q. Curley,Sigma Theta Tau International
  • File : Pdf, ePub, Mobi, Kindle
  • Publisher : Sigma Theta Tau
  • Book Code : 1930538510
  • Total of Pages : 290
  • Category : Medical
  • Members : 360
  • Pdf File: synergy.pdf

Book Short Summary:

Offers a practical and intuitive framework that resonates with nurses from varying subspecialties, levels of expertise, and roles.

Beyond Management

By M. Addleson
  • File : Pdf, ePub, Mobi, Kindle
  • Publisher : Springer
  • Book Code : 0230343414
  • Total of Pages : 276
  • Category : Business & Economics
  • Members : 500
  • Pdf File: beyond-management.pdf

Book Short Summary:

Traditional management structures, systems,and tools, intended to make the first factories of the industrial ageefficient, are now obsolete. Applying them to knowledge-work has exactly the opposite effect, causing all kinds of breakdowns. This book explains why knowledge workers have to manage themselves and tells them how to do it.

Nursing and Clinical Informatics: Socio-Technical Approaches

By Staudinger, Bettina,HӇ, Victoria,Ostermann, Herwig
  • File : Pdf, ePub, Mobi, Kindle
  • Publisher : IGI Global
  • Book Code : 1605662356
  • Total of Pages : 340
  • Category : Computers
  • Members : 558
  • Pdf File: nursing-and-clinical-informatics.pdf

Book Short Summary:

"This book gives a general overview of the current state of nursing informatics giving particular attention to social, socio-technical, and political basic conditions"--Provided by publisher.

Routledge Library Editions: Social and Cultural Anthropology

By Various
  • File : Pdf, ePub, Mobi, Kindle
  • Publisher : Routledge
  • Book Code : 1317397118
  • Total of Pages : 2192
  • Category : Social Science
  • Members : 341
  • Pdf File: routledge-library-editions.pdf

Book Short Summary:

RLE Social and Cultural Anthropology brings together a collection of key titles from a range of historic imprints. From Anthropology and Nursing to Everyday Life, from The Gift Economy to Two-Dimensional Man, they form an essential reference source from a selection of acclaimed international authors.

Prescribed

By Jeremy A. Greene,Elizabeth Siegel Watkins
  • File : Pdf, ePub, Mobi, Kindle
  • Publisher : Johns Hopkins University Press+ORM
  • Book Code : 1421405377
  • Total of Pages : 477
  • Category : Medical
  • Members : 168
  • Pdf File: prescribed.pdf

Book Short Summary:

“Both the health care professional and the consumer will benefit greatly from this topical book . . . Highly recommended.” —Choice The prescription is more than a piece of paper—or just as likely these days, a piece of digital data. It is uniquely illustrative of the complex relations among the producers, providers, and consumers of medicine in modern America. The tale of the prescription is one of constant struggles over—and changes in—medical and therapeutic authority. Stakeholders across the biomedical enterprise have alternately upheld and resisted, supported and critiqued, and subverted and transformed the power of the prescription. Who prescribes? What do they prescribe? How do they decide what to prescribe? These questions set a society-wide agenda that changes with the times and profoundly shifts the medical landscape. Examining drugs individually, as classes, and as part of the social geography of health care, contributors to this volume explore the history of prescribing, including over-the-counter contraceptives, the patient’s experience of filling opioid prescriptions, restraints on physician autonomy in prescribing antibiotics, the patient package insert, and other regulatory issues in medicine during postwar America. The first authoritative look at the history of the prescription itself, Prescribed is a groundbreaking book that subtly explores the politics of therapeutic authority and the relations between knowledge and practice in modern medicine.

Medical Law in Austria

By Aline Leischner-Lenzhofer,Claudia Zeinhofer
  • File : Pdf, ePub, Mobi, Kindle
  • Publisher : Kluwer Law International B.V.
  • Book Code : 9041195351
  • Total of Pages : 230
  • Category : Law
  • Members : 524
  • Pdf File: medical-law-in-austria.pdf

Book Short Summary:

Derived from the renowned multi-volume International Encyclopaedia of Laws, this convenient volume provides comprehensive analysis of the law affecting the physician-patient relationship in Austria. Cutting across the traditional compartments with which lawyers are familiar, medical law is concerned with issues arising from this relationship, and not with the many wider juridical relations involved in the broader field of health care law. After a general introduction, the book systematically describes law related to the medical profession, proceeding from training, licensing, and other aspects of access to the profession, through disciplinary and professional liability and medical ethics considerations and quality assurance, to such aspects of the physician-patient relationship as rights and duties of physicians and patients, consent, privacy, and access to medical records. Also covered are specific issues such as organ transplants, human medical research, abortion, and euthanasia, as well as matters dealing with the physician in relation to other health care providers, health care insurance, and the health care system. Succinct and practical, this book will prove to be of great value to professional organizations of physicians, nurses, hospitals, and relevant government agencies. Lawyers representing parties with interests in Austria will welcome this very useful guide, and academics and researchers will appreciate its comparative value as a contribution to the study of medical law in the international context.

The History of Public Health and the Modern State

By Dorothy Porter
  • File : Pdf, ePub, Mobi, Kindle
  • Publisher : Rodopi
  • Book Code : 9789051836219
  • Total of Pages : 452
  • Category : Medical
  • Members : 751
  • Pdf File: the-history-of-public-health-and-the-modern-state.pdf

Book Short Summary:

Since George Rosen's comprehensive History of Public Health, first published in 1956, there has been no internationally comparative survey of the subject. Over the past three decades or so, however, research in this field has expanded rapidly, especially with regard to the history of disease and social order and public health politics and the state. Most of these studies have been highly scholarly and specialised and often dealing with only one aspect of public health in any one national context. The essays here examine the road history of public health in different national contexts in order to provide a work of comparative reference that could be used as a teaching aid. The book focuses on whether the construction of a public health system is an inherent characteristic of the managerial function of modern political systems. Thus, each essay traces the steps leading to the growth of health government in various nations, examining the specific conflicts and contradictions which each incurred. As a result the volume highlights the need for further comparative analysis of public health systems as a highly fruitful topic for future study.

World Health Systems

By Xiaoming Sun
  • File : Pdf, ePub, Mobi, Kindle
  • Publisher : John Wiley & Sons
  • Book Code : 1119508908
  • Total of Pages : 1168
  • Category : Social Science
  • Members : 357
  • Pdf File: world-health-systems.pdf

Book Short Summary:

Your all-in-one companion for health personnel World Health Systems details different health systems, including their related health insurance and drug supply systems, in various parts of the world with both macro- and micro- perspectives. The book is arranged in five parts: the first part presents, from multidisciplinary perspectives, outlines of various health systems throughout the world, as well as current trends in the development and reform of world health systems. The second and third parts expound on the health systems in developed countries, discussing the government's role in the health service market and basic policies on medication administration and expenses, before analyzing the health systems of Britain, Canada, Australia, Sweden, Germany, France, Japan, Poland, USA, Singapore, Hongkong (China), and Taiwan (China). The fourth and fifth parts discuss health systems in less developed countries and areas, typically the BRICS and other countries in Asia (Thailand, Vietnam, the Philippines, Armenia, and Kyrghyzstan), Africa (Egypt, Morocco), Europe (Hungary, Czech Republic, and Bulgaria) and South America (Cuba, Chile, and Mexico), summarizing their past experiences, while making assessments of their current efforts to shed light on future developments. Details a variety of health systems throughout the world Compares their fundamental features and characteristics Discusses their respective strengths and shortcomings Provides insight from an author who holds multiple impressive titles in the health sector Public health professionals and academics alike will want to add World Health Systems to their library.