How did use of medical technology such as urinalyses, blood tests, and x-ray machines change patient care in early-twentieth-century American hospitals? To what extent was the use of new machines influenced by the ideas of scientific medicine and to what extent by the availability of newly structured facilities and trained personnel? Drawing on the medical treatment of more than 2,000 patients in Pennsylvania and New York hospitals, Howell traces the ways in which medical technology was used, not merely how it was talked about. He utilizes a wide range of sources-including medical texts, popular literature, and the visual arts-to explore how technology came to be such a central feature of medical care. Howell also shows how changes in medical practice raised issues of gender, culture, and economics. Howell's analysis is especially timely in light of the ongoing debate over U.S. health care reform, a debate in which a central topic is the use and expense of medical technology. In a concluding chapter he applies the book's historical insights to medical practice today-asking why, for example, modern diagnostic tests have not been used to give doctors more time to spend with patients.

About the Author
Joel D. Howell is a faculty member in the Departments of Internal Medicine, History, and Health Services Management and Policy at the University of Michigan, where he is also co-director of the Robert Wood Johnson Clinical Scholars Program.

Reviews
[Howell's] early twentieth-century portrait is fresh and important, as an analysis of medical practice just coming to grips with the technological world. Nature I recommend this delightful book to anyone interested in the history of medicine. -- Seymour Perry New England Journal of Medicine



Book Information
ISBN 9780801855016
Author Joel D. Howell
Format Paperback
Page Count 360
Imprint Johns Hopkins University Press
Publisher Johns Hopkins University Press
Weight(grams) 499g