University of South Carolina, Norman J. Arnold School of Public Health, Dept. of Health Administration

HADM 710: HISTORY of PUBLIC HEALTH

Course Syllabus, Spring 2003

Time: Wednesday, 8:30 - 11:00 A.M. Place: 218A HESC

Instructor: James F. McTigue, Ph.D.

Office: 116 HESC Office Hours: Monday 11:00 A.M. - 2:00 P.M. & Wednesday 11:00 A.M. - 2:00 P.M.

Telephone: 803-777-7417 Fax: 777-1836 E-mail: mctigue@gwm.sc.edu

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 18th century.

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

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

(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 US. Health Care System.

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.

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.

The mid-term examination will be in essay form (3-5 questions) covering lectures and reading assignments. It will be handed out at the end of class on Wednesday, March 5, 2002 and is to be handed in prior to class on Wednesday March 19, 2002.

A major paper is required for the course and is to be turned into the instructor by 10:00 AM on May, 2002. The topic for the major paper should be handed in to the instructor prior to class on February 19, 2002.

Course Requirements include

- Completing all reading assignments

- Classroom participation including discussion leadership

- Student presentation on assigned readings.

- A mid-term examination (take home)

- A major research paper or annotated bibliography.

There is no page requirement on the research paper (average = 30 pages). The emphasis will be on quality research of narrow scope drawing on large numbers of source articles.

Grades

Grades will be computed as follows:

Class Schedule

Class Objectives: Student will understand the course objectives.

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.

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).

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.

Pangas, Julio César, "Dental Pathology in Ancient Mesopotamia", Bulletin of the History of Medicine, Summer, 1999, 73(2): 197-207.

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.

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)

Rutherfurd, Edward, Sarum: The Novel of England, Ivy Books, and pp. 578-583.

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.

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.

Barlow, William and Powell, David O. "To Find a Stand: New England Physicians on the Western and Southern Frontier 1790-1840", Bulletin of the History of Medicine, Vol. 54, 1980, pp. 386-401.

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.

Loudon, Irvine, “Doctors and Their Transport, 1750-1914, Medical History, 2001, 45: 185-206.

Baker, Samuel L. "A Strange Case: The Physician Licenser Campaign in Massachusetts in 1880", Journal of the History of Medicine and Allied Sciences, Vol. 40, No. 3, July, 1985, pp. 286-308.

Levitz, Norman The Doe’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 19.

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.

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.

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.

Take-home mid-term examination due - Prior to Class.

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.

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.

Schorr, Lisbeth B. "Successful Health Programs for the Poor and Underserved", Journal of Health Care for the Poor and Underserved, Vol. 1, No. 3, Winter 1990, pp. 271-277.

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.

Stoskopf, Carleen H., Samuels, Michael E., Ciesla, James R., "Findings From a Demonstration Outreach Project at a Community Health Center", Journal of Health Care for the Poor and Underserved, Vol. 4, No. 1, 1993, pp .51-64.

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.

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.

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.