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Chronic Disease in the Twentieth Century - A History (Hardcover)
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Chronic Disease in the Twentieth Century - A History (Hardcover)
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Long and recurring illnesses have burdened sick people and their
doctors since ancient times, but until recently the concept of
"chronic disease" had limited significance. Even lingering diseases
like tuberculosis, a leading cause of mortality, did not inspire
dedicated public health activities until the later decades of the
nineteenth century, when it became understood as a treatable
infectious disease. Historian of medicine George Weisz analyzes why
the idea of chronic disease assumed critical importance in the
twentieth century and how it acquired new meaning as one of the
most serious problems facing national healthcare systems. Chronic
Disease in the Twentieth Century challenges the conventional wisdom
that the concept of chronic disease emerged because medicine's
ability to cure infectious disease led to changing patterns of
disease. Instead, it suggests, the concept was constructed and has
evolved to serve a variety of political and social purposes. How
and why the concept developed differently in the United States, the
United Kingdom, and France are central concerns of this work. In
the United States, anxiety about chronic disease spread early in
the twentieth century and was transformed in the 1950s and 1960s
into a national crisis that helped shape healthcare reform. In the
United Kingdom, the concept emerged only after World War II, was
associated almost exclusively with proper medical care for the
elderly population, and became closely linked to the development of
geriatrics as a specialty. In France, the problems of elderly and
infirm people were handled as technical and administrative matters
until the 1950s and 1960s, when medical treatment of elderly people
emerged as a subset of their wider social marginality. While an
international consensus now exists regarding a chronic disease
crisis that demands better forms of disease management, the
different paths taken by these countries during the twentieth
century continue to exert profound influence. This book seeks to
explain why, among the innumerable problems faced by societies,
some problems in some places become viewed as critical public
issues that shape health policy.
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