The Impact of Hospitals, 300-2000


Book Description

The first wide-ranging collection of articles on the history of hospitals in the Mediterranean, northern Europe, and the Americas for over 17 years. The contributions present a nuanced approach to the impact of hospitals on society over a very long time period and an exceptional geographical range.




Rise of the Modern Hospital


Book Description

Rise of the Modern Hospital is a focused examination of hospital design in the United States from the 1870s through the 1940s. This understudied period witnessed profound changes in hospitals as they shifted from last charitable resorts for the sick poor to premier locations of cutting-edge medical treatment for all classes, and from low-rise decentralized facilities to high-rise centralized structures. Jeanne Kisacky reveals the changing role of the hospital within the city, the competing claims of doctors and architects for expertise in hospital design, and the influence of new medical theories and practices on established traditions. She traces the dilemma designers faced between creating an environment that could function as a therapy in and of itself and an environment that was essentially a tool for the facilitation of increasingly technologically assisted medical procedures. Heavily illustrated with floor plans, drawings, and photographs, this book considers the hospital building as both a cultural artifact, revelatory of external medical and social change, and a cultural determinant, actively shaping what could and did take place within hospitals.




Health Professions Education


Book Description

The Institute of Medicine study Crossing the Quality Chasm (2001) recommended that an interdisciplinary summit be held to further reform of health professions education in order to enhance quality and patient safety. Health Professions Education: A Bridge to Quality is the follow up to that summit, held in June 2002, where 150 participants across disciplines and occupations developed ideas about how to integrate a core set of competencies into health professions education. These core competencies include patient-centered care, interdisciplinary teams, evidence-based practice, quality improvement, and informatics. This book recommends a mix of approaches to health education improvement, including those related to oversight processes, the training environment, research, public reporting, and leadership. Educators, administrators, and health professionals can use this book to help achieve an approach to education that better prepares clinicians to meet both the needs of patients and the requirements of a changing health care system.




Cities, Texts and Social Networks, 400–1500


Book Description

Cities, Texts and Social Networks examines the experiences of urban life from late antiquity through the close of the fifteenth century, in regions ranging from late Imperial Rome to Muslim Syria, Iraq and al-Andalus, England, the territories of medieval Francia, Flanders, the Low Countries, Italy and Germany. Together, the volume's contributors move beyond attempts to define 'the city' in purely legal, economic or religious terms. Instead, they focus on modes of organisation, representation and identity formation that shaped the ways urban spaces were called into being, used and perceived. Their interdisciplinary analyses place narrative and archival sources in communication with topography, the built environment and evidence of sensory stimuli in order to capture sights, sounds, physical proximities and power structures. Paying close attention to the delineation of public and private spaces, and secular and sacred precincts, each chapter explores the workings of power and urban discourse and their effects on the making of meaning. The volume as a whole engages theoretical discussions of urban space - its production, consumption, memory and meaning - which too frequently misrepresent the evidence of the Middle Ages. It argues that the construction and use of medieval urban spaces could foster the emergence of medieval 'public spheres' that were fundamental components and by-products of pre-modern urban life. The resulting collection contributes to longstanding debates among historians while tackling fundamental questions regarding medieval society and the ways it is understood today. Many of these questions will resonate with scholars of postcolonial or 'non-Western' cultures whose sources and cities have been similarly marginalized in discussions of urban space and experience. And because these essays reflect a considerable geographical, temporal and methodological scope, they model approaches to the study of urban history that will interest a wide range of readers.




Encyclopedia of Health Services Research


Book Description

Today, as never before, healthcare has the ability to enhance the quality and duration of life. At the same time, healthcare has become so costly that it can easily bankrupt governments and impoverish individuals and families. Health services research is a highly multidisciplinary field, including such areas as health administration, health economics, medical sociology, medicine, , political science, public health, and public policy. The Encyclopedia of Health Services Research is the first single reference source to capture the diversity and complexity of the field. With more than 400 entries, these two volumes investigate the relationship between the factors of cost, quality, and access to healthcare and their impact upon medical outcomes such as death, disability, disease, discomfort, and dissatisfaction with care. Key Features Examines the growing healthcare crisis facing the United States Encompasses the structure, process, and outcomes of healthcare Aims to improve the equity, efficiency, effectiveness, and safety of healthcare by influencing and developing public policies Describes healthcare systems and issues from around the globe Key Themes Access to Care Accreditation, Associations, Foundations, and Research Organizations Biographies of Current and Past Leaders Cost of Care, Economics, Finance, and Payment Mechanisms Disease, Disability, Health, and Health Behavior Government and International Healthcare Organizations Health Insurance Health Professionals and Healthcare Organizations Health Services Research Laws, Regulations, and Ethics Measurement; Data Sources and Coding; and Research Methods Outcomes of Care Policy Issues, Healthcare Reform, and International Comparisons Public Health Quality and Safety of Care Special and Vulnerable Groups The Encyclopedia is designed to be an introduction to the various topics of health services research for an audience including undergraduate students, graduate students, andgeneral readers seeking non-technical descriptions of the field and its practices. It is also useful for healthcare practitioners wishing to stay abreast of the changes and updates in the field.




Accounting for health


Book Description

Whether in the Swiss countryside or in a doctor's office in Boston, in German, English or French hospitals or within multinational organizations, with early vaccinations or with new pharmaceuticals from Big Pharma today, or in early modern Saxon mining towns or in Prussian military healthcare – for at least 500 years, accounting has been an essential part of medical practice with significant moral, social and epistemological implications. Covering the period between 1500–2000, the book examines in short case studies the importance of calculative practices for medicine in very different contexts. Thus, Accounting for Health offers a synopsis of the extent to which accounting not only influenced medical practices over centuries, but shaped modern medicine as a whole.




New Approaches to Death in Cities during the Health Transition


Book Description

This book presents recent efforts and new approaches to improve our understanding of the evolution of health and mortality in urban environments in the long run, looking at transformation and adaptations during the process of rapid population growth. In a world characterized by large and rapidly evolving urban environments, the past and present challenges cities face is one of the key topics in our society. Cities are a world of differences and, consequently, of inequalities. At the same time cities remain, above all, the spaces of interactions among a variety of social groups, the places where poor, middle-class, and wealthy people, as well as elites, have coexisted in harmony or tension. Urban areas also form specific epidemiological environments since they are characterized by population concentration and density, and a high variety of social spaces from wealthy neighborhoods to slums. Inversely and coherently, cities develop answers in terms of sanitary policies and health infrastructures. This balance between risk and protective factors is, however, not at all constant across time and space and is especially endangered in periods of massive demographic growth, particularly periods of urbanization mainly led by immigration flows that transform both the socioeconomic and demographic composition of urban populations and the morphological nature of urban environments. Therefore this book is an unique contribution in which present day and past socio-demographic and health challenges confronted by big urban environments are combined.




The Oxford Handbook of Late Antiquity


Book Description

The Oxford Handbook of Late Antiquity offers an innovative overview of a period (c. 300-700 CE) that has become increasingly central to scholarly debates over the history of western and Middle Eastern civilizations. This volume covers such pivotal events as the fall of Rome, the rise of Christianity, the origins of Islam, and the early formation of Byzantium and the European Middle Ages. These events are set in the context of widespread literary, artistic, cultural, and religious change during the period. The geographical scope of this Handbook is unparalleled among comparable surveys of Late Antiquity; Arabia, Egypt, Central Asia, and the Balkans all receive dedicated treatments, while the scope extends to the western kingdoms, and North Africa in the West. Furthermore, from economic theory and slavery to Greek and Latin poetry, Syriac and Coptic literature, sites of religious devotion, and many others, this Handbook covers a wide range of topics that will appeal to scholars from a diverse array of disciplines. The Oxford Handbook of Late Antiquity engages the perennially valuable questions about the end of the ancient world and the beginning of the medieval, while providing a much-needed touchstone for the study of Late Antiquity itself.




Exploring the Evidence


Book Description

Of necessity, historians of the late Middle Ages have to rely on an eclectic mix of sources, ranging from the few remaining medieval buildings, monuments, illuminated manuscripts and miscellaneous artefacts, to a substantial but often uncatalogued body of documentary material, much of it born of the medieval administrator's penchant for record keeping. Exploring this evidence requires skills in lateral thinking and interpretation - qualities which are manifested in this volume. Employing the copious legal records kept by the English Crown, one essay reveals the thinking behind exceptions to pardons sold by successive kings, while another, using clerical taxation returns, adds colour to contemporary criticism of friars for betraying their vows of poverty. Case studies of the registers of two hospitals, one in London the other in Canterbury, lead to insights into the relations of their administrators with civic and spiritual authorities. A textual dissection of the epilogues in William Caxton's early printed works focuses on the universal desire for commemoration. Other essays about royal livery collars and the English coinage are nourished by material remains, and where contemporary records fail to survive, as in the listing of burials in parish churches, notes kept by sixteenth-century heralds and antiquaries provide clues for novel identifications. The book-ends are exemplars of the historian's craft: the one, taking as its starting point the will of Ralph, Lord Cromwell, explores in forensic detail how his executors coped with their enormous task in a time of civil war; the other, by examining research into the economy of fifteenth-century England undertaken since the 1880s, provides an over-view which scholars of the period will find invaluable. Contributors: Martin Allen, Christopher Dyer, David Harry, Susanne Jenks, Maureen Jurkowski, Simon Payling, Euan Roger, Christian Steer, Sheila Sweetinburgh, Matthew Ward.




Hospitals and Healing from Antiquity to the Later Middle Ages


Book Description

The first part of this collection brings together a selection of Peregrine Horden's papers on the history of hospitals and related institutions of welfare provision from their origins in Late Antiquity to their medieval flourishing in Byzantium and the Islamic lands as well as in western Europe. The hospital is seen in a variety of original contexts, from demography and family history to the history of music and the liturgy. The second part turns to the history of healing and medicine, outside the hospital as well as within it. These studies cover a period from Hippocratic times to the Renaissance, but with a particular focus on the Mediterranean region - Byzantine, Middle Eastern and Western - in the Middle Ages.