Business History Of Hospitals In The 20th Century

This book offers a business history of modern hospitals in the 20th century. Presenting case studies from around the world, it examines the long-term institutional and historical evolution of hospital organization and management models, applying a business history approach to do so. Drawing on reports from international organizations and other historical data, it explores the evolution, path dependencies, actors and institutions that have shaped the diversity of hospital organization and management models. At the same time, it analyzes the historical origins of major problems faced by today’s hospitals, such as cost-inefficiencies, lack of specialized human capital, etc. The contributing authors cover topics such as the history of hospital finance and accounting, hospital price regulation, entrepreneurship models, hospital privatization, and hospital governance. The book will appeal to scholars and students of economic and business history, and to anyone interested in the history of hospitals.

The Emergence of Modern Hospital Management and Organisation in the World 1880s-1930s analyzes core themes from a business history perspective to reach a new understanding about the history of modern large scale healthcare institutions, from the United States to China, with particular attention to Spain.

Doyle examines the role of local and national politics on hospitals. Ultimately, Doyle argues that social and economic diversity created a number of models for future health care which rested on a combination of voluntary and municipal provision.

Excerpt from The American Hospital of the Twentieth Century: A Treatise on the Development of Medical Institutions, Both in Europe and in America, Since the Beginning of the Present Century It is in response to this demand that the writer has endeavored to collect plans and information concerning a few of the many good institutions recently finished or under construction, with the hope that interest in the publication of such works will grow and that this book will be only a forerunner of much more comprehensive treatises. It is not the writer's intention to criticise the plans of the institutions here shown, but to present them as various solutions of the great problems of housing and caring for the sick and to point out a few of the findings of his own experience in.the planning of more than fourscore hospitals and institutions. The field is so broad that it is impossible more than to touch upon the various points. If frequent mention is made of hospitals in Europe, it is for the purpose of comparison, with the hope that the study and comparison may interest the reader, as it did the writer in collecting the data. The chapters on the Ward Unit, the Surgical Unit, the Medical Unit, and the Equipment are taken largely from papers by the writer which were read before the American Medical Association and the American Hospital Association. About the Publisher Forgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.com This book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully; any imperfections that remain are intentionally left to preserve the state of such historical works.

No One Was Turned Away is a book about the importance of public hospitals to New York City. At a time when less and less value seems to be placed on public institutions, argues author Sandra Opdycke, it is both useful and prudent to consider what this particular set of public institutions has meant to this particular city over the last hundred years, and to ponder what its loss might mean as well. Opdycke suggests that if these public hospitals close or convert to private management--as is currently being discussed--then a vital element of the civic life of New York City will be irretrievably lost. The story is told primarily through the history of Bellevue Hospital, the largest public hospital in the city and the oldest in the nation. Following Bellevue through the twentieth century, Opdycke meticulously charts the fluctuating fortunes of the city's public hospital system. Readers will learn how medical technology, urban politics, changing immigration patterns, economic booms and busts, labor unions, health insurance, Medicaid, and managed care have interacted to shape both the social and professional environments of New York's public hospitals. Having entered the twentieth century with high hopes for a grand expansion, Bellevue now faces financial and political pressures so acute that its very future is in doubt. In order to give context to the Bellevue experience, Opdycke also tracks the history of a private facility over the same century: New York Hospital. By noting the points at which the paths of these two mighty institutions have overlapped--as well as the ways in which they have diverged--this book clearly and persuasively highlights the significance of public hospitals to the city. No One Was Turned Away shows that private facilities like New York Hospital have generally provided superb care for their patients, but that in every era they have also excluded certain groups. This exclusion has occurred for various reasons, such as patients' diagnoses, their social characteristics, behavior, or financial status--or simply because of a lack of unoccupied beds. Fortunately, however, year in and year out, Bellevue and its fellow public facilities have acted as the city's medical safety net. Opdycke's book maintains that public hospitals will be as essential in the future as they have been in the past. This is a thoughtful and well-written study that will appeal to anyone interested in the history of medicine, public policy, urban affairs, or the City of New York.

The Great Depression, however, finally exhausted the average patient's ability to pay and engendered a national health-care crisis. A public hospital insurance scheme was first achieved in Saskatchewan in 1947 and nationally in 1957. Universal accessibility without fear of the financial consequences of hospitalization reflected concern for both the medical health of Canadians unable to pay for hospital care, and the economic health of the paying 'patient of moderate means' threatened with medical pauperization. It also provided the resources necessary to address the modern epidemic of lifestyle diseases and to accommodate the demands of the post-war therapeutic revolution. Employing the historical records of selected individual hospitals, reports and data from all levels of government, a wide range of professional medical, nursing, hospital, and public health journals, and the international historiography of hospital history, David and Rosemary Gagan describe and account for the invention, rise, decline, and rebirth of the modern Canadian hospital between 1890 and 1950. They pay particular attention to the evolving interdependence of doctors and hospitals in the struggle to legitimate the social and cultural authority of scientific medicine, the evolution of hospital-based nursing, and the experiences of patients.

This book offers an analysis of the formation of contemporary hospital systems between the mid-19th century and the mid-20th century. Based on extensive archival material and a broad international literature review, it focuses on the case of the canton of Vaud, Switzerland, and uses a triple approach that discusses technological innovations, hospital management, and health policy. This research is a major contribution to the history of medicine which gives a unique overview of the formation of contemporary hospital systems.