TY - BOOK ID - 8283928 TI - Big doctoring in America PY - 2002 SN - 159734494X 0520938410 0520243315 0520226704 9780520938410 0520900839 9780520900837 9781597344944 9780520226708 141750837X 9781417508372 PB - Berkeley University of California Press DB - UniCat KW - Electronic books. -- local. KW - Family medicine -- United States. KW - Primary care (Medicine) -- United States. KW - General Practice KW - Comprehensive Health Care KW - Medicine KW - Patient Care Management KW - Health Occupations KW - Health Services Administration KW - Disciplines and Occupations KW - Health Care KW - Primary Health Care KW - Family Practice KW - Primary care (Medicine) KW - Family medicine KW - Family practice (Medicine) KW - General practice (Medicine) KW - Primary medical care KW - Physicians (General practice) KW - Medical care KW - 20th century. KW - america. KW - big doctoring. KW - discussion books. KW - essay collection. KW - family physicians. KW - general health care. KW - general practitioners. KW - health care system. KW - internists. KW - managed care. KW - medical care. KW - medical historians. KW - medical professionals. KW - medicine. KW - nonfiction. KW - nurse practitioners. KW - oral histories. KW - pediatricians. KW - physician assistants. KW - primary care physicians. KW - primary care practitioners. KW - primary care. KW - united states. KW - western medicine. UR - https://www.unicat.be/uniCat?func=search&query=sysid:8283928 AB - 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 1960's, 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. ER -