US Health Care: Historical Context
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| This era was characterized by: poor and uninformed patients, family-based society, infection, injury, epidemics, many doctors who were apprentice trained, no nurses, barter or direct fee-for-service, almshouses/poor houses | 1770 - Late colonial Period
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| This era was characterized by: uninformed patients, physicians poorly regarded, many doctors trained in proprietary schools, fee-for-service, hospitals now foudn in large cities, infectious diseases predominate, poliomyelitis epidemics and the birth of PT | 1850
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| This era was characterized by: patients learning about science base of medicine, Flexor report issued, many doctors university trained, pharmacy emerging, medical specialties and nursing emerging, FFS, no insurance, private doctor's offices | 1910
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| This era was characterized by: chronic disease emerging as a focus, surgery well developed, polio under control (vaccine), perceived doctor shortage, PA and NP professions begin, Insurance, hospitals at their zenith | 1966
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| This year was marked by: many doctors, highly informed patients with high expectations, relative shortage of primary care physicians, maldistribution of physicians, capitation as payment method, greater % paid by gov, emphasis on outpt care, LTC increase | 1995
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| Interests groups, employers driving the system, "Lifestyle" choices driving residency choices and team practice are defining of | The present time
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| This year was marked by: many doctors, highly informed patients with high expectations, relative shortage of primary care physicians, maldistribution of physicians, capitation as payment method, greater % paid by gov, emphasis on outpt care, LTC increase | 1995
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| Interests groups, employers driving the system, "Lifestyle" choices driving residency choices and team practice are defining of | The present time
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