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Antagonism and accommodation: Interpreting the relationship between public health and medicine in the United States during the 20th century

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  • Brandt, A.M.
  • Gardner, M.

Abstract

Throughout the course of the 20th century, many observers have noted important tensions and antiphaties between public health and medicine. At the same time, reformers have often called for better engagement and collaboration between the 2 fields. This article examines the history of the relationship between medicine and public health to examine how they developed as separated and often conflicting professions. The historical character of this relationship can be understood only in the context of institutional development in professional education, the rise of the biomedical model of disease, and the epidemiologic transition from infectious disease to the predominance of systemic chronic diseases. Many problems in the contemporary burden of diseases pose opportunity for effective collaborations between population-based and clinical interventions. A stronger alliance between public health and medicine through accommodation to a reductionist biomedicine, however, threatens to subvert public health's historical commitment to understanding and addressing the social roots of disease.

Suggested Citation

  • Brandt, A.M. & Gardner, M., 2000. "Antagonism and accommodation: Interpreting the relationship between public health and medicine in the United States during the 20th century," American Journal of Public Health, American Public Health Association, vol. 90(5), pages 707-715.
  • Handle: RePEc:aph:ajpbhl:2000:90:5:707-715_7
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    Cited by:

    1. Heidi Gullett, 2021. "Equity for Older Adults and Those in Congregate Sites: Lessons from the First Year of a Local Public Health COVID‐19 Response," Journal of Elder Policy, John Wiley & Sons, vol. 1(3), pages 29-64, September.
    2. Senier, Laura & Smollin, Leandra & Lee, Rachael & Nicoll, Lauren & Shields, Michael & Tan, Catherine, 2018. "Navigating the evidentiary turn in public health: Sensemaking strategies to integrate genomics into state-level chronic disease prevention programs," Social Science & Medicine, Elsevier, vol. 211(C), pages 207-215.

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