Managing Care: The History of Diabetes Management in Twentieth Century America (2010)
Mauck, Aaron Pascal (Author)
Harvard University
Rosenberg, Charles E.
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.
...MoreDescription Cited in Diss. Abstr. Int. A 71/07 (2011). Pub. no. AAT 3414855.
Similar Citations
Thesis
Foy, Marjorie Elvin;
(2013)
“Our Objective Wasn't to Belittle People's Behavior”: The History of Gestational Diabetes, 1921--1991
(/isis/citation/CBB001567536/)
Thesis
McGuire, Laurette Ann;
(2012)
Native Americans and Type 2 Diabetes: The Discourse of Predisposition and Its Politics
(/isis/citation/CBB001567390/)
Article
Joanna Radin;
(2017)
“Digital Natives”: How Medical and Indigenous Histories Matter for Big Data
(/isis/citation/CBB871104705/)
Book
Hoffman, Beatrix Rebecca;
(2012)
Health Care for Some: Rights and Rationing in the United States since 1930
(/isis/citation/CBB001214588/)
Book
Bob H. Reinhardt;
(2015)
The End of a Global Pox: America and the Eradication of Smallpox in the Cold War Era
(/isis/citation/CBB147233173/)
Book
Coombs, Jan Gregoire;
(2005)
The Rise and Fall of HMOs: An American Health Care Revolution
(/isis/citation/CBB000720455/)
Book
Hoffman, Beatrix Rebecca;
(2001)
The Wages of Sickness: The Politics of Health Insurance in Progressive America
(/isis/citation/CBB000320366/)
Article
Bernabeu-Mestre, Josep;
Galiana-Sánchez, María Eugenia;
Monerris, Angela Cremades;
(2013)
Environment and Health with Respect to a Poverty-Related Disease: The Epidemiology of Trachoma in Spain, 1925--1941
(/isis/citation/CBB001420686/)
Article
Beatrix Hoffman;
(2019)
"¡Viva La Clinica!": The United Farm Workers' Fight for Medical Care
(/isis/citation/CBB294413696/)
Article
Suzuki, Akihito;
(2011)
Smallpox and the Epidemiological Heritage of Modern Japan: Towards a Total History
(/isis/citation/CBB001230163/)
Book
Tuchman, Arleen Marcia;
(2020)
Diabetes: A History of Race and Disease
(/isis/citation/CBB285911296/)
Article
Lachenal, Guillaume;
(2013)
Médecine, comparaisons et échanges inter-impériaux dans le mandat camerounais: une histoire croisée franco-allemande de la mission Jamot
(/isis/citation/CBB001213543/)
Book
Richard Andrew McKay;
(2017)
Patient Zero and the Making of the Aids Epidemic
(/isis/citation/CBB093085222/)
Book
English, Peter C.;
(1999)
Rheumatic fever in America and Britain: A biological, epidemiological, and medical history
(/isis/citation/CBB000111147/)
Article
Quinn, Jim;
(Winter 2020)
Helen Free, Diabetes Testing
(/isis/citation/CBB357762280/)
Essay Review
Kosso, Peter;
(2001)
The epidemiology of science
(/isis/citation/CBB000100769/)
Book
Huneman, Philippe;
Lambert, Gérard;
Silberstein, Marc;
(2015)
Classification, Disease, and Evidence: New Essays in the Philosophy of Medicine
(/isis/citation/CBB001510440/)
Book
Parthasarathy, Shobita;
(2007)
Building Genetic Medicine: Breast Cancer, Technology, and the Comparative Politics of Health Care
(/isis/citation/CBB000953852/)
Book
Starr, Paul;
(2011)
Remedy and Reaction: The Peculiar American Struggle over Health Care Reform
(/isis/citation/CBB001214284/)
Book
Irwin, Julia;
(2013)
Making the World Safe: The American Red Cross and a Nation's Humanitarian Awakening
(/isis/citation/CBB001212965/)
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
Be the first to comment!