The beginning of the twentieth century marked the rise of advanced medical technologies, allowing doctors to diagnose and treat diseases in new ways. Although American physicians accepted the validity of the new science of medicine, they were sometimes reluctant to trust technology over their professional judgment or intuition. Likewise, patients raised their own suspicions about the new scientific tools, sometimes resisting or contradicting the advice of their physicians. Here Christopher Crenner examines a critical period in medical history, focusing on the office practice of Boston physician Richard Cabot. Intimate epistolary exchanges between Cabot and his patients shed light on the challenges presented by the new technologies—especially their impact on the personal relationships between doctor and patient—providing insight into a time of expanding science and radical change.
Exploring the mechanisms underlying performance comparisons, Performance Comparison and Organizational Service Provision investigates how such assessments shape hospitals’ service provision and medical professionals’ work. With a focus on U.S. health care, this study outlines how medical quality was defined and compared in the hospital sector from the late 19th century to the present. Developing a novel theoretical framework to investigate performance comparisons, several different forms of internal and external performance assessments are contrasted throughout this period. The transformative effects of these comparisons on hospitals’ relationships to patients, insurers, regulators, and staff are analyzed and their ramifications for current hospital care are explored. Drawing on this analysis, the book examines the controversial nature of these measures and the struggles among hospital managers, patients, physicians, and policy makers to determine hospital quality. Affording a deeper understanding of how performance comparisons influence organizational service provision, the book will be of interest to researchers in a broad range of fields including organization studies, accountability and evaluation, health care, and policy research as well as practitioners in hospital care and management.
The beginning of the twentieth century marked the rise of advanced medical technologies, allowing doctors to diagnose and treat diseases in new ways. Although American physicians accepted the validity of the new science of medicine, they were sometimes reluctant to trust technology over their professional judgment or intuition. Likewise, patients raised their own suspicions about the new scientific tools, sometimes resisting or contradicting the advice of their physicians. Here Christopher Crenner examines a critical period in medical history, focusing on the office practice of Boston physician Richard Cabot. Intimate epistolary exchanges between Cabot and his patients shed light on the challenges presented by the new technologies—especially their impact on the personal relationships between doctor and patient—providing insight into a time of expanding science and radical change.
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