This well researched book provides an interesting study of the development of fever hospitals and fever nursing, mainly in nineteenth and twentieth century Britain. It provides new insights into the development of nursing roles and nurse education and looks at the lives of key figures at that time. The text examines how this once important branch of the nursing profession emerged in the nineteenth century, only to be discarded in the second half of the following century. Drawing on the work of Goffman and Foucault, the study shows how, aided by medical advances, fever nurses transformed their custodial duties into a therapeutic role and how training schemes were implemented to improve the recruitment and retention of nurses. As standards of living improved and patient’s chances of recovery increased, many fever hospitals became redundant and fever nurses were no longer required. The wisdom of creating fever hospitals and then disbanding them is questioned in the light of changing disease patterns, international travel and the threat posed by biological warfare.
Bethlem Hospital, popularly known as "Bedlam", is a unique institution. Now seven hundred and fifty years old, it has been continuously involved in the care of the mentally ill in London since at least the 1400s. As such it has a strong claim to be the oldest foundation in Europe with an unbroken history of sheltering and treating the mentally disturbed. During this time, Bethlem has transcended locality to become not only a national and international institution, but in many ways, a cultural and literary myth. The History of Bethlem is a scholarly history of this key establishment by distinguished authors, including Asa Briggs and Roy Porter. Based upon extensive research of the hospital's archives, the book looks at Bethlem's role within the caring institutions of London and Britain, and provides a long overdue re-evaluation of its place in the history of psychiatry.
Florence Nightingale is famous as the “lady with the lamp” in the Crimean War, 1854—56. There is a massive amount of literature on this work, but, as editor Lynn McDonald shows, it is often erroneous, and films and press reporting on it have been even less accurate. The Crimean War reports on Nightingale’s correspondence from the war hospitals and on the staggering amount of work she did post-war to ensure that the appalling death rate from disease (higher than that from bullets) did not recur. This volume contains much on Nightingale’s efforts to achieve real reforms. Her well-known, and relatively “sanitized”, evidence to the royal commission on the war is compared with her confidential, much franker, and very thorough Notes on the Health of the British Army, where the full horrors of disease and neglect are laid out, with the names of those responsible.
"Hospital superbugs are nothing new. For centuries patients were more likely to die from an infection picked up in hospital than from their original disease. Indeed, hospitals used to be called 'gateways of death'. Massaging league tables by concentrating on minor operations? Not a recent innovation, either. At one time, hospitals refused to admit patients likely to die, and never attempted major surgery." "Barry and Lesley Carruthers provide many such startling parallels in their fascinating look at the development of Britain's hospitals, from a Roman field hospital to the keyhole surgery of today. There are also wonderful stories of individual dedication, such as the GP who found a girl dying in a London street and took her to three hospitals - all of which refused to admit her as she did not have the necessary governor's letter - so he founded what become know as the 'Free Hospital'." "Divided into chapters on such vital topics as mental hospitals, nursing, and the National Health Service, this history celebrates not only medical and logistical advances, but also the individual contributions of the men and women who worked to provide an accessible hospital service for all."--BOOK JACKET.
The modern hospital is at once the site of healing, the locus of medical learning and a cornerstone of the welfare state. Its technological and infrastructural costs have transformed health services into one of today's fastest growing sectors, absorbing substantial proportions of national income in both developed and emerging economies. The aim of this book is to examine this growth in different countries, with a main focus on the twentieth century, and also with a backward glance to earlier shaping forces. It will explore the hospital's economic history, the relationship between public and private forms of provision, and the political context in which health systems were constructed. The collection advances the historical world map of different hospital models, ranging across Spain, Brazil, Germany, East and Central Europe, Britain, the United States and China. Collectively, these comparative cases illuminate the complexities involved in each country and bring new historical evidence to current debates on health care organisation, financing and reform.
Bethlem Hospital is the oldest mental institution in the world, to many famously known as ' Bedlam': a chaotic madhouse that brutalised its patients. Paul Chambers explores the 800-year history of Bethlem and reveals fascinating details of its ambivalent relationship with London and its inhabitants, the life and times of the hospital's more famous patients, and the rise of a powerful reform movement to tackle the institution's notorious policies. Here the whole story of Bethlem Hospital is laid bare to a new audience, charting its well-intended beginnings to its final disgrace and reform.
"The Nation has lost sight of its public health goals and has allowed the system of public health to fall into 'disarray'," from The Future of Public Health. This startling book contains proposals for ensuring that public health service programs are efficient and effective enough to deal not only with the topics of today, but also with those of tomorrow. In addition, the authors make recommendations for core functions in public health assessment, policy development, and service assurances, and identify the level of government--federal, state, and local--at which these functions would best be handled.
Using an innovative approach to evidence for the medieval hospital and medical practice, this collection of essays presents new research by leading international scholars in creating a holistic look at the hospital as an environment within a social and intellectual context. The research presented creates insights into practice, medicines, administration, foundation, regulation, patronage, theory, and spirituality. Looking at differing models of hospital administration between 13th century France and Spain, social context is explored. Seen from the perspective of the history of Knights of the Order of Saint Lazarus, and Order of the Temple, hospital and practice have a different emphasis. Extant medieval hospitals at Tonnerre and Winchester become the basis for exploring form and function in relation to health theory (spiritual and non-spiritual) as well as the influence of patronage and social context. In the case of the Ospedale Maggiore in Milan, this line of argument is taken further to demonstrate aspects of the building based on a concept of epidemiology. Evidence for the practice of medicine presented in these essays comes from a variety of sources and approaches such as remedy books, medical texts, recorded practice, and by making parallels with folk medicine. Archaeological evidence indicates both religious and non religious medical intervention while skeletal remains reveal both pathology and evidence of treatment.
Professional education forms a key element in the transmission of medical learning and skills, in occupational solidarity and in creating and recreating the very image of the practitioner. Yet the history of British medical education has hitherto been surprisingly neglected. Building upon papers contributed to two conferences on the history of medical education in the early 1990s, this volume presents new research and original synthesis on key aspects of medical instruction, theoretical and practical, from early medieval times into the present century. Academic and practical aspects are equally examined, and balanced attention is given to different sites of instruction, be it the university or the hospital. The crucial role of education in medical qualifications and professional licensing is also examined as is the part it has played in the regulation of the entry of women to the profession. Contributors are Juanita Burnby, W.F. Bynum, Laurence M. Geary, Faye Getz, Johanna Geyer-Kordesch, S.W.F. Holloway, Stephen Jacyna, Peter Murray Jones, Helen King, Susan C. Lawrence, Irvine Loudon, Margaret Pelling, Godelieve Van Heteren, and John Harley Warner.