HIST 249 Lecture Notes - Lecture 12: Nosology, Norman Jewson, Public Health
24 Oct 2016
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Document Summary
Medical knowledge and practice transformed by science. Instructional change-rise of large-scale research communities: medical schools transformed, hospitals transformed, rise of laboratories. Increased role of state: public health (starting in the 19th century, medical insurance (in the 20th century) Medical pluralism replaced by state-supported monopolies of certain activities: rise of alternative medicine. Health profile of west changes: decline of mortality, from infectious to chronic/degenerative diseases. Argument associated with british sociologist norman jewson. In the 17th and 18th century, patient was relatively dominant. Doctor must satisfy patients in his private practice. Patients have a huge choice of healers both regular and irregular. Key theme of medical history: reduce uncertainty by reducing subjectivity. Little change in therapeutics except for more activist therapy (bleedings, minerals) Creation of new medical schools; municipal hospital system. Large numbers of patients observed in life and after death. Provide untrammelled access to patients" bodies, alive and dead. Shift from nursing care of indigents to medical care and research.
