Permanente in the Northwest

SKU: 978-0-9770463-3-1 $24.95

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Book Preview The history of this Northwest physician group parallels that of Dr Sidney Garfield’s physicians in California; two groups with separate beginnings shared a template and later became affiliated as geographic Regions in a national Kaiser Permanente.

Kaiser’s emphasis on productivity became even more critical in World War II, when he was assigned important projects in the Pacific Northwest. At his shipyards in Portland, Oregon and Vancouver, Washington, Kaiser sought to replicate his previous arrangement with Garfield to assure medical service to workers. The collaboration between the two led to the hiring, in 1945, of internist Ernest Saward, who became Chief of Medicine.

Permanente in the Northwest relates through small stories how a change in financing medical care, implemented 60 years ago, created a rationale, and drove physicians to collaborate to deliver care to a population that included both the sick and the well. In telling this story, Dr MacMillan has made the book relevant not only to past and present physicians who will find their names in the text, but also to the current national discussion on health care reform.
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