Care, Whether it's Called Population- or Disease-Management, Sidney Garfield, MD, Would Like the Idea

Care, Whether it's Called Population- or Disease-Management, Sidney Garfield


Paul Wallace, MD

Spring 2005 - Volume 9 Number 2

https://doi.org/10.7812/TPP/05-017

In the 1930s, Sidney Garfield, MD, established the foundation for Permanente Medicine in the Mojave Desert while providing care for workers building the Los Angeles Aqueduct. He combined caring for the sick and injured with analysis and confrontation of the causes of his patients' acute need for care. A frequently told, perhaps apocryphal story recounts Dr Garfield taking a hammer in hand after clinic hours to go to the worksite and pound in the protruding nails that were causing puncture wounds sustained by workers that filled his clinic day. Dr Garfield systematically approached the problem, knowing that while all workers seemed at some risk of injury, he was unable to know exactly which ones would eventually suffer. So he sought and found a solution that improved the health of the entire population being served.

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