During the twentieth century, medicine has been radically transformed and powerfully transformative. In 1900, western medicine was important to philanthropy and public health, but it was marginal to the state, the industrial economy and the welfare of most individuals. It is now central to these aspects of life. Our prospects seem increasingly dependent on the progress of bio-medical sciences and genetic technologies which promise to reshape future generations. The editors of Medicine in the Twentieth Century have commissioned over forty authoritative essays, written by historical specialists but intended for general audiences. Some concentrate on the political economy of medicine and health as it changed from period to period and varied between countries, others focus on understandings of the body, and a third set of essays explores transformations in some of the theatres of medicine and the changing experiences of different categories of practitioners and patients.

During the twentieth century, medicine has been radically transformed and powerfully transformative. In 1900, western medicine was important to philanthropy and public health, but it was marginal to the state, the industrial economy and the welfare of most individuals. It is now central to these aspects of life. Our prospects seem increasingly depe

Although we have come to regard 'clinical' and 'romantic' as oppositional terms, romantic literature and clinical medicine were fed by the same cultural configurations. In the pre-Darwinian nineteenth century, writers and doctors developed an interpretive method that negotiated between literary and scientific knowledge of the natural world. Literary writers produced potent myths that juxtaposed the natural and the supernatural, often disturbing the conventional dualist hierarchy of spirit over flesh. Clinicians developed the two-part history and physical examination, weighing the patient's narrative against the evidence of the body. Examining fiction by Mary Shelley, Carlyle, the Brontës and George Eliot, alongside biomedical lectures, textbooks and articles, Janis McLarren Caldwell demonstrates the similar ways of reading employed by nineteenth-century doctors and imaginative writers and reveals the complexities and creative exchanges of the relationship between literature and medicine.

"Our basic philosophy of medical education must be directed not toward creating a neurosurgeon, a family practitioner, a cardiologist, or a general pediatrician but toward creating an undifferentiated 'stem cell' physician who is so well prepared that he or she is fully capable of taking any career path after medical school. Every indication is that our goal is being met. The new curriculum is preparing students for the demands and responsibilities of a new era of medicine, science, and medical arts." -- from the Foreword, by Michael M. E. Johns, M.D. The curriculum taught in many U.S. medical schools today has been altered little since 1910. Now, spurred in part by the recent sweeping changes in health care delivery, medical schools are re-evaluating their curricula. The goal is to develop a program of medical education that not only reflects the latest scientific advances but also prepares physicians in the fields and specialties society now needs. This book provides an extensive description of the process and outcome of developing a completely new curriculum at the Johns Hopkins University School of Medicine. The book is organized around the subjects and courses taught: basic sciences, physician and society, medical informatics, and clinical medicine. Chapters also consider evaluation and reform of the curriculum. The contributors, Johns Hopkins faculty members who participated in developing the components of the curriculum, discuss differences between the old and new courses and programs, reasons for the changes, and the process used to plan and implement them. Throughout, the material is presented in a way that permits easy generalization and adaptation to other medical schools. Contributors: Catherine D. De Angelis, M.D. Diane M. Becker, Sc.D. Gert H. Brieger, M.D., Ph.D. Leon Gordis, M.D. H. Franklin Herlong, M.D. K. Joseph Hurt Michael M. E. Johns, M.D. Langford Kidd, M.D., F.R.C.P. Michael J. Klag, M.D. Harold P. Lehmann, M.D., Ph.D. Nancy Ryan Lowitt, M.D., Ed.M. Lucy A. Mead, Sc.M. Thomas D. Pollard, M.D. Henry M. Seidel, M.D. John H. Shatzer Jr., Ph.D. Patricia A. Thomas, M.D., F.A.C.P. Victor Velculescu Charles M. Wiener, M.D.

This book explains why the fundamental structures of 20th century American healthcare have failed to keep up with American industry in terms of quality and cost. It describes how this has led to the introduction of industrial mass production concepts in American healthcare, such as Lean and Six Sigma, and how the resulting industrialization breaks

By examining all the prevalent varieties of therapy from self-care to religious ritual, this book explores health care practices in China, before modern times. In ancient China most people were unable to afford a doctor, even in the unlikely case that one lived near their village and was willing to treat peasants. What did they do when their children got sick? The answer is to be found in this book, which goes far beyond the history of medicine. The author uses methods of medical anthropology to explain the curative roles of popular religion, Daoism, Buddhism and the therapeutic rites performed by imperial officials. Readers will discover the steady interaction of religious healing and classical medicine in this culture. This highly readable book builds on over forty years of study and analysis of early liturgical and medical writings and a wide variety of other sources. Its focus on the eleventh century throws new light on a period of rapid transition in many aspects of therapy and it will appeal to scholars and general readers alike.

The Committee on National Statistics (CNSTAT) convened a workshop on November 4-5, 1999, to identify new directions for health statistics and the implications for health data of changes in the health arena faced by DHHS; state and local health departments; the consumers, developers, and providers of health care products and services; and other health policy makers. Changes in our understanding of health, in health care (managed care, Medicaid, Medicare), in welfare reform, in federal-state relations, in the availability of administrative data, in advanced genetic data, in information technology, in confidentiality issues, and in data integration are examples of recent developments that may play a significant role for DHHS in making future policy decisions.