University of South Carolina, Norman J. Arnold School of Public Health,
Dept. of Health Services Policy and Management

HSPM 710: HISTORY of PUBLIC HEALTH

Course Syllabus,  Spring  2009

Time: Wednesday, 9:30 A.M. – 12:00 A.M. Place: Rm 116   Wardlow

Instructor: James F. McTigue, Ph.D.

Office: HSPM 122  Office Hours: Monday 12:00 A.M. - 3:00 P.M. & Wednesday 12:00 A.M. - 3:00 P.M.

Telephone: 803-777-7417 Fax: 777-1836 E-mail: mctigue "at" gwm "dot" sc "dot" edu

John Snow, pioneer epidemiologist

John Snow

                      

Course Content

The purpose of this course is to provide the student of public health a clear understanding of health history as a key component of the environment in which the health care professional must function. The course content will begin in prehistory and have a worldwide perspective through the 1700s. It will then shift to the history of the United States. In the historical, social, economic, and political context that the US health care system evolved are lessons and understandings that are necessary for this generation of health administrators and health policy makers to advance health for all. The course will provide an understanding of the development of the health care system in the United States.

The first part of the course will examine the impact of disease on world history through the 18th century. The second and third parts of the course will present, from a historical perspective, the evolution of the modern health care system in the United States.

Course Objectives

Upon successful completion of the course the student will:

(1) Understand the impact of disease on the historical, social, economic, and political history of the world through the 20th century.

(2) Understand the historical, social, economic, and political context that the United States health care system has evolved into today.

(3) Understand the social history of medicine in the United States and other countries and how it has shaped the current health care systems.

(4) Be able to apply the deductive methods of history to contemporary health care issues.

(5) Be able to apply the deductive methods of history to administrative decision in health administration.

(6) Understand the major issues in the Global Health Care Systems.

Texts

McNeil, William H., Plagues and Peoples, Anchor Books,  Anchor Press/Doubleday, Garden City, NY, 1998.

Paul Starr, The Social Transformation of American Medicine, Basic Books, Inc., NY, NY, 1962.

Selected Journal Articles.  Compiled, bound and sold by Universal Copies, 1120 College Street  254-8931

Course Conduct

The course will be conducted as a seminar with lectures provided by the instructor. Lectures and discussion will be based on the assigned readings. Student achievement of the course learning objectives will be demonstrated by: student presentations that analyze assigned readings on a particular health topic, a mid-term examination, and major paper or annotated bibliography. Each student will present assigned readings in class. Presentations should be brief and cover the most important issues in the article in order to facilitate class discussion and group learning. 

Every student brings unique experiences and valuable knowledge to the class.  Sharing these unique attributes by vocalizing various ideas and getting pro and con reactions from other students and the instructors are important to the learning process, to the use of knowledge and to developing critical thinking skills.

 The mid-term examination will be in essay form (2-3 questions) covering lectures and reading assignments. It will be handed out at the end of class on Wednesday, March 4, 2009 and is to be handed in prior to class on Wednesday March 18, 2009

 The topic for the major paper should be handed in to the instructor prior to class on February 25, 2009.

A major paper is required for the course and is to be turned into the instructor by 9:30 AM on April 29,  2009.

Course Requirements include:

- Completing all reading assignments

- Classroom participation including discussion leadership, particular emphasis will be on active   participation in discussion with guest lecturers.

- Student presentation on assigned readings.

- A mid-term examination (take home)

- A major history research paper. There is no page requirement on the research paper (average = 12-15 pages). Grade based on quality research of a narrow history topic. It is expected to reference necessary, quality source articles.  ONLY  STUDENTS ORIGINAL WORK ACCEPTED.  ALL PAPERS WILL BE SCREENED BY SITE ASSIGNMENT SOFTWARE. 

Grades

Grades will be computed as follows:

Classroom participation, oral presentations, and attendance

30%

Mid-term examination

35%

Paper or bibliography

35%

 

 

Total

100%

Class Schedule

DATE:

TOPIC:

 

January  14

Introduction to HADM 710-Health History, Policy, and Issues

Class Objectives: Student will understand the course objectives.

January 21

Disease and Environment - Pre-History

Class Objectives: Student will understand the impact of disease on the historical, social, economic, and political history of the world through 500 B.C.

Readings:

McNeil, William H., Plagues and Peoples, Anchor Books, Anchor Press/Doubleday, Garden City, NY, 1998, pp. 19-93 (Introduction, I. Man the Hunter, II. Breakthrough to History).

Stevens, Rosemary, "History as Part of Management Education", The Journal of Health Administration Education, 4:3, Summer, 1986, pp. 447-452.

Penfield, Wilder, "Ur of the Chaldes and the Influence of Abraham on the History of Medicine", Bulletin of the History of Medicine, Vol. XIX, No. 2, February, 1946, pp. 133-147.

Lee, T'ao, "Medical Ethics in Ancient China", Bulletin of the History of Medicine, Vol. XI, No. 5, May, 1942, pp. 268-277.

January 28

Civilization and Disease - 500 B.C. to 1500 A.D.

Class Objectives: Student will understand the impact of disease on the historical, social, economic, and political history of the world through 1500 A.D.

Readings:

McNeil, William H., Plagues and Peoples, Anchor Books, Anchor Press/Doubleday, Garden City, NY, 1998, pp. 94-207 (III. Confluence of Civilized Disease Pools of Eurasia: 500 B.C. to A.D. 1200, IV. The Impact of the Mongol Empire on Shifting Disease Balances, 1200-1500).

Hanson, Ann Ellis, Hippocrates: The “Greek Miracle” in Medicine, Ancient Medicine, [www.ea.pvt.k12.pa.us/medant/hippint], downloaded  2/12/2004

Allan, Nigel, “The Physician in Ancient Israel: His Status and Function”, Medical History, 2001, 45: 377-394.

Mattern, Suzan, "Physicians and the Roman Imperial Aristocracy: The Patronage of Therapeutics", Bulletin of the History of Medicine, Spring, 1999, 73(1): 1-18.

February 4

The New World-1500 AD to the Present

Class Objectives: Student will understand the impact of disease on the historical, social, economic, and political history of the world from 1500 A.D. to the present.

Readings:

McNeil, William H., Plagues and Peoples, Anchor Books, Anchor Press/Doubleday, Garden City, NY, 1998, pp. 208-257. (V. Transoceanic Exchanges, 1500-1700, VI. The Ecological Impact of Medical Science and Organization Since 1700)

University of Dayton,”Galen of Pergamum”, [www.udayton.edu/~hume/Galen/galen.htm], downloaded 1/8/05

Carmichael, Ann G., "Plague Legislation in the Italian Renaissance", Bulletin of the History of Medicine, 1981, pp. 508-525.

Deutsh, Albert "Historical Inter-Relationships Between Medicine and Social Welfare", Bulletin of the History of Medicine, Vol. XI, No. 5, May, 1942, pp. 485-502.

February 11

Medicine and Culture 1760 - 1850

Class Objectives: Student will understand the social history of medicine from 1760 to 1850 in the United States and how it has shaped the current health care system.

Readings:

Starr, The Social Transformation of American Medicine, pp. 3 - 59

Preston, Richard, “Crisis in the Hot Zone”, The New Yorker, October 26, 1992. Pp. 58-81.

Gland, Toby "The Origins of a Modern Concept of Medical Specialization: John Morgan's Discourse of 1765", Bulletin of the History of Medicine, Vol. 50, 1976, pp. 511-535.

Schindler, Harold , Frontier Medicine: Toughing It Out A Way Of Life In The Old West, The Salt Lake Tribune, March 6, 1994. [ http://historytogo.utah.gov/frontier.] downloaded 1/8/2005
 

February 18

Rise of Professionalism 1850 - 1930

Class Objectives: Student will understand the social history of medicine from 1850 to 1930 in the United States and how it has shaped the current health care system.

Readings:

Starr, The Social Transformation of American Medicine, pp. 60 - 144.

Adams, George W., “Caring for the Men”, in The Image of War:1861-1865, IV. [www.civilwarhome.com/medicinehistory] downloaded 5/9/2003.

Levitz, Norman The DO’s: Osteopathic Medicine in America, The Johns Hopkins University Press, Baltimore, and pp. 1-34.

The topic for the major paper should be handed in to the instructor prior to class on February 20, 2007.

February 25

Reconstruction of the Hospital

Class Objectives: Student will understand the social history of the hospital in the United States and how it has shaped the current health care system.

Readings:

Starr, The Social Transformation of American Medicine, pp. 145 - 179.

Ransom, John E. "The Beginnings of Hospitals in the United States" Bulletin of the History of Medicine, Vol. 13, 1943, pp. 514-539.

Terris, Milton "An Early System of Compulsory Health Insurance in the United States", Bulletin of the History of Medicine, Vol. XV, No. 5, May, 1944, pp. 433-444.

McCandles, Peter, "A Female Malady? Women at the South Carolina Lunatic Asylum, 1828-1915", Journal of the History of Medicine, Vol. 54, October, 1999, pp. 543-571.

March 4

Public Health

Class Objectives: Student will understand the social history of public health in the United States and how it has shaped the current health care system.

Readings:

Starr, The Social Transformation of American Medicine, pp. 198 - 234.

Rosenkrantz, Barbara G. "Cart before Horse: Theory, Practice and Professional Image in American Public Health, 1870-1920", Journal of the History of Medicine, January, 1974, pp. 55-73.

Wolf, Jacqueline H., "Don't Kill Your Baby: Feeding Infants in Chicago, 1903-1924", Journal of the History of Medicine, Vol. 53, July, 1998, pp. 219-253.

Preston, Richard, “The Demon in the Freezer”, The New Yorker, July 12, 1999, pp. 44-61.

Coker, Richard, “Civil Liberties and Public Good: Detention of Tuberculous Patients and the Public Health Act 1984, Medical History, 2001, 45: 341-358.

Take-home mid-term examination distributed. Due prior to class, March 26th.

March 11

Spring Break (No Classes)

 

March 18

Reform and Accommodation 1915 - 1945

Take-home mid-term examination due - Prior to May 18th Class.

Class Objectives: Student will understand the social history of medicine from 1915 to 1945 in the United States and how it has shaped the current health care system.

Readings:

Starr, The Social Transformation of American Medicine, pp. 235 - 334.

Shortell, Stephen M. "A Model for State Health Care Reform", Health Affairs, Vol. 11, No. 1, Spring 1992, pp. 108-127.

Mc Farland, Deborah R., Meier, Kenneth J. "Restructuring Federalism: The Impact of Reagan Policies on the Family Planning Program", Journal of Health Politics, Policy, and Law, Vol. 18, No. 4, Winter 1993, pp. 821-850.

March 25

The Liberal Era 1945 - 1969

Class Objectives: Student will understand the social history of medicine from 1945 to 1969 in the United States and how it has shaped the current health care system.

Readings:

Starr, The Social Transformation of American Medicine, pp. 335 - 378.

Drew, Elizabeth Brenner, The Health Syndicate/Washington’s Noble Conspirators, Atlantic Monthly 220:75-82 (1967).

Fan, David P., Norem, Lois "The Media and the Fate of the Medicare Catastrophic Act", Journal of Health Politics, Policy, and Law, Vol. 17, No. 1, Spring 1992, pp. 39-70.

April 1

End of the Mandate 1970 – 1980 and

Review of Mid-Term Examination

Class Objectives: Student will understand the social history of medicine from 1970 to 1980 in the United States and how it has shaped the current health care system.

Readings:

Starr, The Social Transformation of American Medicine, pp. 379 - 449.

Carraccio, Carol, et al, Shifting Paradigms: From Flexner to Competencies, Academic Medicine; 77  (5) May 2002.

Wilensky, Harold L., “Social Science and the Public Agenda: Reflections on the Relation of Knowledge to Policy in the United States and Abroad”, Journal of Health Politics, Policy, and Law, Vol. 22, No. 5, October, 1997, pp. 1241-1265.

April 8

HIV / AIDS Policy  (Guest Lecture)

Class Objectives: Student will understand the historical evolution of HIV infection in the United States and associated issues and how policy has been developed and shaped to accommodate it within the current health care system.

 

April 15

 

 

 

 Influence of Special Interests  (Guest Lecture)

 

                                                                                                                                                                                                

Class Objectives :  Students will learn how special interests, usually driven by profit motives, have  influenced health policy and legislation.

 

Reading:

 

Bartlett, Donald & Steele, James, “Why We Pay So Much For Drugs”, Time, Feb. 2, 2004.

 

April 22

Public Health in South Carolina    (Guest Lecture)

Class Objectives: Student will understand the issues associated with the development of public health in South Carolina and how it has shaped the current state public health system.

 April 29

 Next Era and

 Major Papers due in professional format, as well as summarized in an oral presentation

 

 May 6

Continue  oral presentations, if needed


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The views and opinions expressed in this page are strictly those of the page author. The contents of this page have not been reviewed or approved by the University of South Carolina.
E-mail: mctigue "at" gwm "dot" sc "dot" edu