Thesis ID: CBB001561043

Managing Care: The History of Diabetes Management in Twentieth Century America (2010)


Mauck, Aaron Pascal (Author)

Harvard University
Rosenberg, Charles E.

Publication Date: 2010
Edition Details: Advisor: Rosenberg, Charles
Physical Details: 405 pp.
Language: English

During the twentieth century, diabetes mellitus emerged from clinical obscurity to become a pressing public health problem. While this transformation reflects demographic changes in nutrition and lifestyle, it is also a product of evolving methods of medical surveillance emphasizing early detection and continuous oversight of disease. These methods are a centerpiece of disease management--a term often used to refer to the integrated system of practices surrounding risk assessment, treatment, and follow-up associated with many chronic diseases. This dissertation explores the evolution of diabetes management in the last century, charting efforts to align clinical, epidemiological, and political approaches to the disease in order to construct a coherent system of care. The persistent failure to achieve this alignment has resulted from the different perceptions of diabetes and its risks held by those interested in its growing place as part of the disease burden--particularly epidemiologists, insurers, researchers, clinicians, and patients. While alignment failures resulted in serious disagreements among experts, they also encouraged the growth of the complex multidisciplinary strategies of disease management that often define modem healthcare. Using a range of historical materials, including clinical archives, patient letters, congressional testimony, and clinical literature, I examine the dynamic relationships between changing medical practices, changing institutions, and the definition of diabetes itself. Such relationships have informed cultural appraisals of diabetes and the particular challenges that it poses for American healthcare.


Description Cited in Diss. Abstr. Int. A 71/07 (2011). Pub. no. AAT 3414855.

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Authors & Contributors
Hoffman, Beatrix Rebecca
Patterson, Thomas
Takeshita, Chikako
Weiner, Diane
Jones, Jeff
O'Brien, Warren G
Studies in History and Philosophy of Science Part C: Studies in History and Philosophy of Biological and Biomedical Sciences
Canadian Bulletin of Medical History/Bulletin Canadienne d'Histoire de la Medecine
Medical History
História, Ciências, Saúde---Manguinhos
Bulletin of the History of Medicine
American Heritage of Invention and Technology
University of North Carolina Press
Yale University Press
University of Chicago Press
Rutgers University Press
University of Wisconsin Press
MIT Press
Public health
Disease and diseases
Health care
Medicine and politics
Jamot, Eugene
Free, Helen M.
Time Periods
20th century
21st century
20th century, late
19th century
20th century, early
United States
Great Britain
American Red Cross

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