04288nam 2200721 450 991079083120332120230803220644.00-8135-6176-010.36019/9780813561769(CKB)2550000001168954(EBL)1576556(SSID)ssj0001060680(PQKBManifestationID)11550866(PQKBTitleCode)TC0001060680(PQKBWorkID)11088301(PQKB)10970203(MiAaPQ)EBC1576556(OCoLC)865156392(MdBmJHUP)muse27685(DE-B1597)526384(DE-B1597)9780813561769(Au-PeEL)EBL1576556(CaPaEBR)ebr10815242(CaONFJC)MIL550240(EXLCZ)99255000000116895420131218d2014 uy 0engur|n|---|||||txtccrThe business of private medical practice doctors, specialization, and urban change in Philadelphia, 1900-1940 /James A. Schafer JrNew Brunswick, New Jersey ;London :Rutgers University Press,2014.©20141 online resource (276 p.)Critical Issues in Health and MedicineCritical issues in health and medicineDescription based upon print version of record.0-8135-6175-2 1-306-18989-6 Includes bibliographical references and index.Frontmatter -- Contents -- Figures -- Maps -- Tables -- Acknowledgments -- Abbreviations -- Introduction -- Part I. 1900-1920 -- Part II. 1920-1940 -- Conclusion -- Appendix: Notes on Sources and Methods -- Notes -- Index -- About the AuthorUnevenly distributed resources and rising costs have become enduring problems in the American health care system. Health care is more expensive in the United States than in other wealthy nations, and access varies significantly across space and social classes. James A. Schafer Jr. shows that these problems are not inevitable features of modern medicine, but instead reflect the informal organization of health care in a free market system in which profit and demand, rather than social welfare and public health needs, direct the distribution and cost of crucial resources. The Business of Private Medical Practice is a case study of how market forces influenced the office locations and career paths of doctors in one early twentieth-century city, Philadelphia, the birthplace of American medicine. Without financial incentives to locate in poor neighborhoods, Philadelphia doctors instead clustered in central business districts and wealthy suburbs. In order to differentiate their services in a competitive marketplace, they also began to limit their practices to particular specialties, thereby further restricting access to primary care. Such trends worsened with ongoing urbanization. Illustrated with numerous maps of the Philadelphia neighborhoods he studies, Schafer's work helps underscore the role of economic self-interest in shaping the geography of private medical practice and the growth of medical specialization in the United States.Critical issues in health and medicine.MedicinePracticePennsylvaniaPhiladelphiaHistory20th centuryMedicineSpecialties and specialistsPennsylvaniaPhiladelphiaHistory20th centuryPhysicians (General practice)PennsylvaniaPhiladelphiaHistory20th centuryUrban healthPennsylvaniaPhiladelphiaHistory20th centuryPhiladelphia (Pa.)History20th centuryhealth care in a free market system in.MedicinePracticeHistoryMedicineSpecialties and specialistsHistoryPhysicians (General practice)HistoryUrban healthHistory610.68Schafer James A.Jr.,1974-1567181MiAaPQMiAaPQMiAaPQBOOK9910790831203321The business of private medical practice3838391UNINA