Perkoff describes his accelerated educational experience at Washington University during World War II and his decision to accept an internship at the University of Utah. He discusses his early research in metabolic and hereditary diseases at the University of Utah, where he was on the faculty and chief of the medical service of the Veterans Administration Hospital. Perkoff relates his returning to St. Louis, his efforts at St. Louis City Hospital to establish a full-time Department of Medicine, and the founding of the Division of Health Care Research at the Washington University School of Medicine. There is an extended discussion of the establishment of a health maintenance organization at Washington University, the Medical Care Group, its structure, financial structure and goals, and its role in training physicians. Perkoff also discusses the delivery of health care in rural settings, his predictions for the development of allied health personnel programs, and the future of medical care delivery.
Perkoff, Gerald T.