Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

International perspectives: USA/Hawaii

J J McNamara1

  • 1Department of Surgery, University of Hawaii, Honolulu 96813, USA.

The Annals of Thoracic Surgery
|November 1, 1995
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Effects of gastrojejunostomy on pancreatic and gastric carcinoma, pancreatitis, gastric ulcer and other disease states of the gastro-intestinal tract.

Minerva gastroenterologica e dietologica·2006
Same author

Scanning electron microscopic changes in the morphology of rabbit pulmonary tissue biopsied following ischemia and reperfusion: a window of opportunity?

Journal of electron microscopy·2000
Same author

Incidence of postinfarction aneurysm within one month of infarct. Experiences with sixteen patients in Hawaii.

The Journal of cardiovascular surgery·1999
Same author

Surgical resection of gastric cancer in the octogenarian population.

Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract·1999
Same author

Aggregation and distribution of strains in microparasites.

Philosophical transactions of the Royal Society of London. Series B, Biological sciences·1999
Same author

Effects of gastrojejunostomy on pancreatic and gastric carcinoma, pancreatitis, gastric ulcer and other disease states of the gastro-intestinal tract.

Panminerva medica·1999
Same journal

A Health Tracking Application Leads to An Avid Cyclist Being Diagnosed with ALCAPA at 52 years old, Warranting a Takeuchi Repair.

The Annals of thoracic surgery·2026
Same journal

Impact of preoperative and postoperative modern guideline-directed medical therapy on survival following coronary artery bypass grafting.

The Annals of thoracic surgery·2026
Same journal

Does prior percutaneous coronary revascularization negatively affect the outcomes of subsequent coronary artery bypass grafting?

The Annals of thoracic surgery·2026
Same journal

Lymph Node Dissection and Chylothorax - Balancing Oncologic Benefit Against Morbidity.

The Annals of thoracic surgery·2026
Same journal

Preserved Antegrade Pulmonary Blood Flow in Bidirectional Glenn: Outcomes and Considerations for Staged Palliation.

The Annals of thoracic surgery·2026
Same journal

Domo Arigato, Mr. Roboto.

The Annals of thoracic surgery·2026
See all related articles

Hawaii's healthcare system evolved from historical practices, featuring group practice, employer responsibility, and outpatient focus. Its success is rooted in this long-standing, evolutionary approach to healthcare reform.

Area of Science:

  • Healthcare Systems Analysis
  • Public Health History
  • Medical Sociology

Background:

  • Hawaii's current healthcare system largely established by 1950.
  • Key features developed between 8th century AD and 1893 revolution.
  • Traditional kahunas provided healing services to all citizens.

Purpose of the Study:

  • To analyze the historical origins of Hawaii's healthcare system.
  • To understand the factors contributing to its unique structure and success.
  • To examine healthcare reform as an evolutionary process in Hawaii.

Main Methods:

  • Historical analysis of healthcare practices in Hawaii.
  • Review of societal and cultural influences on healthcare delivery.
  • Examination of the legacy of traditional healing and early governance.

Related Experiment Videos

Main Results:

  • Early chiefs ensured universal access to care via specialized healers (kahunas).
  • Historical factors fostered group/salaried physician practices, employer healthcare responsibility, capitated payments, outpatient focus, and short hospital stays.
  • Hawaii's system demonstrates a long-standing, integrated approach to healthcare.

Conclusions:

  • Hawaii's healthcare system's success is deeply rooted in its historical evolution.
  • Healthcare reform in Hawaii is an ongoing, evolutionary phenomenon, not a recent paradigm shift.
  • The adaptability and historical foundation of Hawaii's system offer unique insights into healthcare delivery.