The Medical Delivery Business: Health Reform, Childbirth, and the Economic Order

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9780813533285: The Medical Delivery Business: Health Reform, Childbirth, and the Economic Order
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Americans at the end of the twentieth century worried that managed care had fundamentally transformed the character of medicine. In The Medical Delivery Business, Barbara Bridgman Perkins uses examples drawn from maternal and infant care to argue that the business approach in medicine is not a new development. Health care reformers throughout the century looked to industrial, corporate, and commercial enterprises as models for the institutions, specialties, and technological strategies that defined modern medicine.

In the case of perinatal care, the business model emphasized specialized over primary care, encouraged the use of surgical and technological procedures, and unnecessarily turned childbirth into an intensive care situation. Active management techniques, for example, encouraged obstetricians to accelerate labor with oxytocin to augment their productivity. Despite the achievements of the childbirth and women’s health movement in the 1970s, aggressive medical intervention has remained the birth experience for millions of American women (and their babies) every year.

The Medical Delivery Business challenges the conventional view that a dose of the market is good for medicine. While Perkins is sympathetic to the goals of progressive and feminist reformers, she questions whether their strategies will succeed in making medicine more equitable and effective. She argues that the medical care system itself needs to be fundamentally "re-formed," and the reforms must be based on democracy, caring, and social justice as well as economics.

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About the Author:

Barbara Bridgman Perkins is an independent scholar, health care consultant, and one of the original contributors to Our Bodies, Ourselves. Founded in 1936, Rutgers University Press is a non-profit academic publishing house operating under the auspices of Rutgers, the State University of New Jersey, and supported by its Board of Governors. The Press publishes titles in African American studies, Asian American studies, Asian studies, art, cultural studies, environmental studies, film, gay and lesbian studies, health, history, literature, medicine, New Jersey and regional studies, political science, psychology, religion, sociology, science, and women's studies. Rutgers University Press is a member of the Association of American University Presses.

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A prodigiously researched and well-written account of the influence of business thinking on the practice of medicine. Informative, lively, and insightful. (Camilla Stivers author of Bureau Men, Settlement Women: Constructing Public Administration in th)

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Book Description Rutgers University Press, United States, 2003. Hardback. Condition: New. Language: English . Brand New Book. New Brunswick, NJ - Twentieth century medical care and its reforms were not designed to meet people s health needs, according to health care consultant Barbara Bridgman Perkins. In her new book, The Medical Delivery Business: Health Reform, Childbirth, and the Economic Order (Publication date: December 2003; 256 pp., Cloth, 0-8135-3328-7), Perkins documents how U.S. medicine developed as a business and challenges the conventional view that a dose of the market is good for medicine. With examples drawn from maternal and infant care, Perkins posits that business strategies utilized in a medical environment could lead to inappropriate interventions. In the case of perinatal care, the business model encouraged the use of surgical procedures, emphasized specialized care over primary care, and unnecessarily turned childbirth into an intensive care situation. In another example, management techniques encouraged obstetricians to use labor-accelerating treatments such as oxytocin to augment their productivity. Despite the achievements of the childbirth and women s health movement in the 1970s, aggressive medical intervention - with inherent economic functions - has remained the birth experience for millions of American women (and their babies) every year. Perkins argues that the medical care system itself needs to be re-formed, and that the reform process should stress democracy, caring, and social justice over economic theory. Seller Inventory # AAC9780813533285

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Book Description Rutgers University Press, United States, 2003. Hardback. Condition: New. Language: English . Brand New Book. New Brunswick, NJ - Twentieth century medical care and its reforms were not designed to meet people s health needs, according to health care consultant Barbara Bridgman Perkins. In her new book, The Medical Delivery Business: Health Reform, Childbirth, and the Economic Order (Publication date: December 2003; 256 pp., Cloth, 0-8135-3328-7), Perkins documents how U.S. medicine developed as a business and challenges the conventional view that a dose of the market is good for medicine. With examples drawn from maternal and infant care, Perkins posits that business strategies utilized in a medical environment could lead to inappropriate interventions. In the case of perinatal care, the business model encouraged the use of surgical procedures, emphasized specialized care over primary care, and unnecessarily turned childbirth into an intensive care situation. In another example, management techniques encouraged obstetricians to use labor-accelerating treatments such as oxytocin to augment their productivity. Despite the achievements of the childbirth and women s health movement in the 1970s, aggressive medical intervention - with inherent economic functions - has remained the birth experience for millions of American women (and their babies) every year. Perkins argues that the medical care system itself needs to be re-formed, and that the reform process should stress democracy, caring, and social justice over economic theory. Seller Inventory # AAC9780813533285

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