LEADER 04288nam 2200721 450 001 9910815725403321 005 20230803220644.0 010 $a0-8135-6176-0 024 7 $a10.36019/9780813561769 035 $a(CKB)2550000001168954 035 $a(EBL)1576556 035 $a(SSID)ssj0001060680 035 $a(PQKBManifestationID)11550866 035 $a(PQKBTitleCode)TC0001060680 035 $a(PQKBWorkID)11088301 035 $a(PQKB)10970203 035 $a(MiAaPQ)EBC1576556 035 $a(OCoLC)865156392 035 $a(MdBmJHUP)muse27685 035 $a(DE-B1597)526384 035 $a(DE-B1597)9780813561769 035 $a(Au-PeEL)EBL1576556 035 $a(CaPaEBR)ebr10815242 035 $a(CaONFJC)MIL550240 035 $a(EXLCZ)992550000001168954 100 $a20131218d2014 uy 0 101 0 $aeng 135 $aur|n|---||||| 181 $ctxt 182 $cc 183 $acr 200 14$aThe business of private medical practice $edoctors, specialization, and urban change in Philadelphia, 1900-1940 /$fJames A. Schafer Jr 210 1$aNew Brunswick, New Jersey ;$aLondon :$cRutgers University Press,$d2014. 210 4$dİ2014 215 $a1 online resource (276 p.) 225 0 $aCritical Issues in Health and Medicine 225 0$aCritical issues in health and medicine 300 $aDescription based upon print version of record. 311 $a0-8135-6175-2 311 $a1-306-18989-6 320 $aIncludes bibliographical references and index. 327 $tFrontmatter -- $tContents -- $tFigures -- $tMaps -- $tTables -- $tAcknowledgments -- $tAbbreviations -- $tIntroduction -- $tPart I. 1900-1920 -- $tPart II. 1920-1940 -- $tConclusion -- $tAppendix: Notes on Sources and Methods -- $tNotes -- $tIndex -- $tAbout the Author 330 $aUnevenly distributed resources and rising costs have become enduring problems in the American health care system. Health care is more expensive in the United States than in other wealthy nations, and access varies significantly across space and social classes. James A. Schafer Jr. shows that these problems are not inevitable features of modern medicine, but instead reflect the informal organization of health care in a free market system in which profit and demand, rather than social welfare and public health needs, direct the distribution and cost of crucial resources. The Business of Private Medical Practice is a case study of how market forces influenced the office locations and career paths of doctors in one early twentieth-century city, Philadelphia, the birthplace of American medicine. Without financial incentives to locate in poor neighborhoods, Philadelphia doctors instead clustered in central business districts and wealthy suburbs. In order to differentiate their services in a competitive marketplace, they also began to limit their practices to particular specialties, thereby further restricting access to primary care. Such trends worsened with ongoing urbanization. Illustrated with numerous maps of the Philadelphia neighborhoods he studies, Schafer's work helps underscore the role of economic self-interest in shaping the geography of private medical practice and the growth of medical specialization in the United States. 410 0$aCritical issues in health and medicine. 606 $aMedicine$xPractice$zPennsylvania$zPhiladelphia$xHistory$y20th century 606 $aMedicine$xSpecialties and specialists$zPennsylvania$zPhiladelphia$xHistory$y20th century 606 $aPhysicians (General practice)$zPennsylvania$zPhiladelphia$xHistory$y20th century 606 $aUrban health$zPennsylvania$zPhiladelphia$xHistory$y20th century 607 $aPhiladelphia (Pa.)$xHistory$y20th century 610 $ahealth care in a free market system in. 615 0$aMedicine$xPractice$xHistory 615 0$aMedicine$xSpecialties and specialists$xHistory 615 0$aPhysicians (General practice)$xHistory 615 0$aUrban health$xHistory 676 $a610.68 700 $aSchafer$b James A.$cJr.,$f1974-$01613057 801 0$bMiAaPQ 801 1$bMiAaPQ 801 2$bMiAaPQ 906 $aBOOK 912 $a9910815725403321 996 $aThe business of private medical practice$93942167 997 $aUNINA