TY - BOOK AU - Mullan,Fitzhugh TI - Big doctoring in America: profiles in primary care T2 - California/Milbank books on health and the public SN - 9780520938410 AV - R729.5.G4 M85 2002eb U1 - 362.1/0973 22 PY - 2002/// CY - Berkeley PB - University of California Press KW - Primary care (Medicine) KW - United States KW - Family medicine KW - Primary health care KW - Family Practice KW - Primary Health Care KW - Soins de santé primaires KW - États-Unis KW - Médecine familiale KW - HEALTH & FITNESS KW - Health Care Issues KW - bisacsh KW - MEDICAL KW - Public Health KW - Health Policy KW - Diseases KW - General KW - Health Care Delivery KW - fast KW - Gezondheidszorg KW - gtt N1 - Includes index; Includes bibliographical references (pages 243-246) and index; Primary care roots -- The new GPs, the family physician comes of age -- Eugene McGregor, M.D., a legacy of general practice -- Connie Adler, M.D., living rural medicine -- Neil Calman, M.D., urban warrior -- Roots rediscovered, the internist and the pediatrician as generalists -- Beach Conger, M.D., caretaker and contrartian -- Linda Headrick, M.D., seeking a common language in primary care -- Selma Deitch, M.D., M.P.H., children first -- The new clinicians, nurse practitioners and physician assistants -- Therese Hidalgo, R.N., F.N.P., proud to be a nurse -- Carl Toney, P.A., building a new profession -- Holly Gerlaugh, F.N.P./P.A.-C., a one woman merger -- The system doctors, managed care and primary care -- Sam Ho, M.D., idealist, innovator, entrepreneur -- Sallyann Bowman, M.D., a Philadelphia story -- Gwen Wagstrom Halaas, M.D., M.B.A., evidence based doctoring -- The quixote factor, generalists doing special battle -- William Kapla, M.D., life and death in San Francisco -- Barbara Ross-Lee, D.O., ground breaker -- Janelle Goetcheus, M.D., doctor succor -- Building a better future, the case for primary care N2 - The general practitioner was once America's doctor. The GP delivered babies, removed gallbladders, and sat by the bedsides of the dying. But as the twentieth century progressed, the pattern of medical care in the United States changed dramatically. By the 1960s, the GP was almost extinct. The later part of the twentieth century, however, saw a rebirth of the idea of the GP in the form of primary care practitioners. In this engrossing collection of oral histories and provocative essays about the past and future of generalism in health care, Fitzhugh Mullan--a pediatrician, writer, and historian--argues that primary care is a fascinating, important, and still endangered calling. In conveying the personal voices of primary care practitioners, Mullan sheds light on the political and economic contradictions that confront American medicine.Mullan interviewed dozens of primary care practitioners--family physicians, internists, pediatricians, nurse practitioners, and physician assistants--asking them about their lives and their work. He explains how, during the last forty years, the primary care movement has emerged built on the principles of "big doctoring"--coordinated, comprehensive care over time. This book is essential reading for understanding core issues of the current health care dilemma. As our country struggles with managed care, market reforms, and cost containment strategies in medicine, Big Doctoring in America provides an engrossing and illuminating look at those in the trenches of the profession UR - https://search.ebscohost.com/login.aspx?direct=true&scope=site&db=nlebk&db=nlabk&AN=108512 ER -