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Stevens, Rosemary A.
Rosemary A. Stevens is a well-known and highly respected social medical historian. She began her career as a National Health Service (NHS) hospital administrator in Great Britain, and much of her subsequent academic work describes comparatively the orientation of healthcare in the United Kingdom and the United States. In her various scholarly works, Stevens has described how American hospitals are unique: a combination of public and private institutions that are at once charities and businesses, social welfare institutions and icons of American science, wealth, and technical achievements. This rare combination of public and private is different from hospitals in other advanced nations, especially her native United Kingdom. American hospitals have little concern with improving public health. Also, many professional healthcare organizations function largely as interest groups, jostling with others for political favors. Stevens' work is an alternative vision—one in which professionals, healthcare institutions, and government serve the public interest. She describes the American healthcare system without bitterness or anger. According to Stevens, this is how it is; it is not all bad, but it could be better.
Born in Lincolnshire, England, in 1935, Stevens attended Oxford University as an undergraduate, majoring in English literature. Later, she pursued graduate studies at Yale University, earning a master of public health degree in hospital administration and medical care in 1963 and a doctoral degree in epidemiology in 1968. After graduation, she taught at Yale University for 8 years, followed by a 2-year appointment at Tulane University. In 1979, she joined the University of Pennsylvania, where she has spent most of her career. Stevens served as chair of the department of history and sociology of science from 1980 to 1983 and again from 1986 to 1991, when she was appointed the first woman dean of the University of Pennsylvania's School of Arts and Sciences. In 2002, she moved to Cornell University. Currently, she is the DeWitt Wallace Distinguished Scholar at the Weill Cornell Medical College in New York City.
Stevens's scholarly works include Medical Practice in Modern England: The Impact of Specialization and State Medicine (1966) and American Medicine and the Public Interest (1971). In 1974, in conjunction with Robert B. Stevens, she published Welfare Medicine in America: A Case Study of Medicaid. This was followed by In Sickness and in Wealth: American Hospitals in the Twentieth Century—arguably her best-known work. Stevens organized and coedited History and Health Policy in the United States: Putting the Past Back In. Her most recent book, The Public-Private Health Care State: Essays on the History of American Health Policy, includes 17 of her essays, spanning a 40-year period, from 1961 to 2001.
Stevens has received many awards and honors. For example, she received the Robert Wood Johnson Foundation Investigator Award in Health Policy Research for the years 1998–2003. In 2003, she received the Lifetime Achievement Award from the American Association for the History of Medicine. She also has been given four honorary doctoral degrees.
Stevens has served on numerous boards and committees, including the American Board of Medical Specialties, the Educational Commission for Foreign Medical Graduates, and the Milbank Memorial Fund. She has been a member of the National Academy of Sciences, Institute of Medicine (IOM), since 1973.
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- Access to Care
- Access to Healthcare
- Access, Models of
- Critical Access Hospitals (CAHs)
- Cultural Competency
- Direct-to-Consumer Advertising (DTCA)
- E-Health
- E-Prescribing
- Ethnic and Racial Barriers to Healthcare
- Geographic Barriers to Healthcare
- Health Communication
- Health Literacy
- Health Professional Shortage Areas (HPSAs)
- Healthcare Web Sites
- Hospital Closures
- Inner-City Healthcare
- Medical Travel
- National Health Service Corps (NHSC)
- Patient Dumping
- Patient Transfers
- Rural Health
- Safety Net
- Telemedicine
- Transportation
- Accreditation, Associations, Foundations, and Research Organizations
- Accreditation
- Associations
- AARP
- AcademyHealth
- America's Health Insurance Plans (AHIP)
- American Academy of Family Physicians (AAFP)
- American Academy of Pediatrics (AAP)
- American Association of Colleges of Nursing (AACN)
- American Association of Preferred Provider Organizations (AAPPO)
- American College of Healthcare Executives (ACHE)
- American Health Care Association (AHCA)
- American Health Planning Association (AHPA)
- American Hospital Association (AHA)
- American Medical Association (AMA)
- American Nurses Association (ANA)
- American Osteopathic Association (AOA)
- American Public Health Association (APHA)
- American Society of Health Economics (ASHE)
- Association of American Medical Colleges (AAMC)
- Association of University Programs in Health Administration (AUPHA)
- Healthcare Financial Management Association (HFMA)
- Institute for Healthcare Improvement (IHI)
- International Health Economics Association (IHEA)
- National Alliance for the Mentally Ill (NAMI)
- National Association of Health Data Organizations (NAHDO)
- National Association of State Medicaid Directors (NASMD)
- National Center for Assisted Living (NCAL)
- National Citizens' Coalition for Nursing Home Reform (NCCNHR)
- National Coalition on Health Care (NCHC)
- National Commission for Quality Long-Term Care (NCQLTC)
- National Health Policy Forum (NHPF)
- National Medical Association (NMA)
- National Quality Forum (NQF)
- University HealthSystem Consortium (UHC)
- Business Coalitions
- Foundations
- Research Organizations
- Biographies of Current and Past Leaders - Current Leaders
- Current Leaders
- Aday, Lu Ann
- Aiken, Linda H.
- Altman, Drew E.
- Andersen, Ronald M.
- Arrow, Kenneth J.
- Berwick, Donald M.
- Brook, Robert H.
- Chassin, Mark R.
- Clancy, Carolyn M.
- Culyer, Anthony J.
- Davis, Karen
- Drummond, Michael
- Ellwood, Paul M.
- Enthoven, Alain C.
- Evans, Robert G.
- Feder, Judith
- Fuchs, Victor R.
- Ginsburg, Paul B.
- Grossman, Michael
- Kane, Robert L.
- Katz, Sidney
- Lee, Philip R.
- Lomas, Jonathan
- Luft, Harold S.
- Marmor, Theodore R.
- Maynard, Alan
- Mechanic, David
- Naylor, C. David
- Newhouse, Joseph P.
- O'Leary, Dennis S.
- Pauly, Mark V.
- Reinhardt, Uwe E.
- Relman, Arnold S.
- Rice, Dorothy P.
- Roos, Leslie L.
- Roos, Noralou P.
- Rosenbaum, Sara
- Sackett, David L.
- Scott, W. Richard
- Shortell, Stephen M.
- Starfield, Barbara
- Starr, Paul
- Stevens, Rosemary A.
- Tarlov, Alvin R.
- Ware, John E.
- Wennberg, John E.
- White, Kerr L.
- Wilensky, Gail R.
- Past Leaders
- Anderson, Odin W.
- Cochrane, Archibald L.
- Codman, Ernest Amory
- Cohen, Wilbur J.
- Davis, Michael M.
- Donabedian, Avedis
- Eisenberg, John M.
- Farr, William
- Flexner, Abraham
- Ginzberg, Eli
- Kimball, Justin Ford
- McNerney, Walter J.
- Nightingale, Florence
- Roemer, Milton I.
- Rorem, C. Rufus
- Shapiro, Sam
- Sheps, Cecil G.
- Thompson, John Devereaux
- Williams, Alan H.
- Current Leaders
- Cost of Care, Economics, Finance, and Payment Mechanisms
- Administrative Costs
- Capitation
- Charity Care
- Committee on the Costs of Medical Care (CCMC)
- Compensation Differentials
- Cost Containment Strategies
- Cost of Healthcare
- Cost Shifting
- Cost-Benefit and Cost-Effectiveness Analyses
- Current Procedural Terminology (CPT)
- Diagnosis Related Groups (DRGs)
- Economic Barriers to Healthcare
- Economic Recessions
- Economic Spillover
- Economies of Scale
- Fee-for-Service
- Flat-of-the-Curve Medicine
- Health Economics
- Healthcare Financial Management
- Healthcare Markets
- Inflation in Healthcare
- Long-Term Care Costs in the United States
- Market Failure
- Pay-for-Performance
- Payment Mechanisms
- Pharmacoeconomics
- Prospective Payment
- Resource-Based Relative Value Scale (RBRVS)
- Supplier-Induced Demand
- U.S. National Health Expenditures
- Uncompensated Healthcare
- Disease, Disability, Health, and Health Behavior
- Activities of Daily Living (ADL)
- Acute and Chronic Diseases
- Adverse Drug Events
- Chronic-Care Model
- Diabetes
- Disability
- Disease
- Emerging Diseases
- Genetics
- Health
- Health Indicators, Leading
- Iatrogenic Disease
- Infectious Diseases
- International Classification of Diseases (ICD)
- Life Expectancy
- Medical Sociology
- Medicalization
- Mental Health
- Morbidity
- Mortality
- Mortality, Major Causes in the United States
- Obesity
- Pain
- Prescription and Generic Drug Use
- Tobacco Use
- Government and International Healthcare Organizations
- International Organizations
- Canadian Association for Health Services and Policy Research (CAHSPR)
- Canadian Health Services Research Foundation (CHSRF)
- Canadian Institute of Health Services and Policy Research (IHSPR)
- Pan American Health Organization (PAHO)
- United Kingdom's National Health Service (NHS)
- United Kingdom's National Institute for Health and Clinical Excellence (NICE)
- World Health Organization (WHO)
- U.S. Government Organizations
- Agency for Healthcare Research and Quality (AHRQ)
- Centers for Disease Control and Prevention (CDC)
- Centers for Medicare and Medicaid Services (CMS)
- Congressional Budget Office (CBO)
- Health Resources and Services Administration (HRSA)
- Indian Health Service (IHS)
- Medicare Payment Advisory Commission (MedPAC)
- National Center for Health Statistics (NCHS)
- National Guideline Clearinghouse (NGC)
- National Information Center on Health Services Research and Health Care Technology (NICHSR)
- National Institutes of Health (NIH)
- Substance Abuse and Mental Health Services Administration (SAMHSA)
- TRICARE, Military Health System
- U.S. Department of Veterans Affairs (VA)
- U.S. Food and Drug Administration (FDA)
- U.S. Government Accountability Office (GAO)
- International Organizations
- Health Insurance
- Adverse Selection
- Blue Cross and Blue Shield
- Carve-Outs
- Coinsurance, Copays, and Deductibles
- Consumer-Directed Health Plans (CDHPs)
- Crowd-Out
- Employee Health Benefits
- Flexible Spending Accounts (FSAs)
- Health Insurance
- Health Insurance Coverage
- Health Savings Accounts (HSAs)
- Medicaid
- Medicare
- Medicare Part D Prescription Drug Benefit
- Moral Hazard
- RAND Health Insurance Experiment
- Selective Contracting
- Single-Payer System
- State Children's Health Insurance Program (SCHIP)
- State-Based Health Insurance Initiatives
- Tax Subsidy of Employer-Sponsored Health Insurance
- Health Professionals and Healthcare Organizations
- Academic Medical Centers
- Allied Health Professionals
- Ambulatory Care
- Case Management
- Chiropractors
- Community Health Centers (CHCs)
- Community Mental Health Centers (CMHCs)
- Complementary and Alternative Medicine
- Dentists and Dental Care
- Disease Management
- Diversity in Healthcare Management
- Emergency Medical Services (EMS)
- Eye Care Services
- Federally Qualified Health Centers (FQHCs)
- Free Clinics
- General Practice
- Health Maintenance Organizations (HMOs)
- Health Systems Agencies (HSAs)
- Health Workforce
- Healthcare Organization Theory
- Home Health Care
- Hospice
- Hospital Emergency Departments
- Hospitalists
- Hospitals
- Intensive-Care Units
- Intermediate-Care Facilities (ICFs)
- Long-Term Care
- Managed Care
- Medical Group Practice
- Multihospital Healthcare Systems
- Nonprofit Healthcare Organizations
- Nurse Practitioners (NPs)
- Nurses
- Nursing Homes
- Pharmaceutical Industry
- Pharmacy
- Physician Assistants
- Physician Workforce Issues
- Physicians
- Physicians, Osteopathic
- Preferred Provider Organizations (PPOs)
- Primary Care
- Primary-Care Case Management (PCCM)
- Primary-Care Physicians
- Skilled-Nursing Facilities
- Health Services Research
- Data Sources in Conducting Health Services Research
- Health Services Research at the Veterans Health Administration (VHA)
- Health Services Research in Australia
- Health Services Research in Canada
- Health Services Research in Dentistry and Oral Health
- Health Services Research in Eastern Europe
- Health Services Research in Germany
- Health Services Research in Sub-Saharan Africa
- Health Services Research in the People's Republic of China
- Health Services Research in the United Kingdom
- Health Services Research Journals
- Health Services Research, Definition
- Health Services Research, Origins
- Laws, Regulations, and Ethics
- Measurement, Data Sources and Coding, and Research Methods
- Case-Mix Adjustment
- Causal Analysis
- Clinical Decision Support
- Cohort Studies
- Community-Based Participatory Research (CBPR)
- Computers
- Cross-Sectional Studies
- Data Privacy
- Data Security
- Diagnostic and Statistical Manual of Mental Disorders (DSM)
- Electronic Clinical Records
- Evidence-Based Medicine (EBM)
- General Health Questionnaire
- Geographic Information Systems (GIS)
- Health Informatics
- Health Surveys
- Healthcare Cost and Utilization Project (HCUP)
- Healthcare Effectiveness Data and Information Set (HEDIS)
- Healthcare Informatics Research
- Measurement in Health Services Research
- Meta-Analysis
- Minimum Data Set (MDS) for Nursing Home Resident Assessment
- National Practitioner Data Bank (NPDB)
- ORYX Performance Measurement System
- Provider-Based Research Networks (PBRNs)
- Quality of Well-Being Scale (QWB)
- Randomized Controlled Trials (RCTs)
- Satisfaction Surveys
- Severity Adjustment
- Short-Form Health Surveys (SF-36, -12, -8)
- Outcomes of Care
- Policy Issues, Healthcare Reform, and International Comparisons
- Comparing Health Systems
- Competition in Healthcare
- Equity, Efficiency, and Effectiveness in Healthcare
- Focused Factories
- For-Profit Versus Not-for-Profit Healthcare
- Forces Changing Healthcare
- Health Disparities
- Healthcare Reform
- International Health Systems
- National Health Insurance
- National Healthcare Disparities Report (NHDR)
- Public Policy
- Rationing Healthcare
- Technology Assessment
- Public Health
- Quality and Safety of Care
- Accreditation
- Benchmarking
- Clinical Practice Guidelines
- Continuum of Care
- Credentialing
- Geographic Variations in Healthcare
- International Classification for Patient Safety (ICPS)
- Malpractice
- Medical Errors
- National Healthcare Quality Report (NHQR)
- National Patient Safety Goals (NPSG)
- Nursing Home Quality
- Patient Safety
- Patient-Centered Care
- Quality Enhancement Research Initiative (QUERI) of the Veterans Health Administration (VHA)
- Quality Improvement Organizations (QIOs)
- Quality Indicators
- Quality Management
- Quality of Healthcare
- Quality of Life, Health-Related (HRQOL)
- Quality-Adjusted Life Years (QALYs)
- Structure-Process-Outcome Quality Measures
- Timeliness of Healthcare
- Special and Vulnerable Groups
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