Suchergebnisse

Die Gründung der Georg-August-Universität Göttingen beruhte auf einem weitgehend neuen Konzept, das vom Geist der Aufklärung durchzogen auf Toleranz gründete und jeglichem Extremismus und Sekretierertum abhold war. Diesem Prinzip war auch die Medizinische Fakultät von Anfang an verpflichtet. Durch das von ihr vertretene Ausbildungsmodell des praktisch-klinischen Unterrichts am Krankenbett gelang es bereits in der Aufbauphase entscheidende Impulse zu setzen, die für die medizinische Ausbildung über Göttingen hinaus richtungsweisend wurden. Damit trug die Medizinische Fakultät wesentlich dazu bei, den internationalen Ruhm der Georgia-Augusta zu begründen. Der Abriss mit seiner vielschichtigen Realität vermittelt Einsichten in das Selbstverständnis, die Selbstwahrnehmung und die Selbstdarstellung der Medizinischen Fakultät in ihrer Geschichte. - Die Gründung der Georg-August-Universität Göttingen beruhte auf einem weitgehend neuen Konzept, das vom Geist der Aufklärung durchzogen auf Toleranz gründete und jeglichem Extremismus und Sekretierertum abhold war. Diesem Prinzip war auch die Medizinische Fakultät von Anfang an verpflichtet. Durch das von ihr vertretene Ausbildungsmodell des praktisch-klinischen Unterrichts am Krankenbett gelang es bereits in der Aufbauphase entscheidende Impulse zu setzen, die für die medizinische Ausbildung über Göttingen hinaus richtungsweisend wurden. Damit trug die Medizinische Fakultät wesentlich dazu bei, den internationalen Ruhm der Georgia-Augusta zu begründen. Der Abriss mit seiner vielschichtigen Realität vermittelt Einsichten in das Selbstverständnis, die Selbstwahrnehmung und die Selbstdarstellung der Medizinischen Fakultät in ihrer Geschichte.

Gegenstand der Arbeit ist die politische Beeinflussung des Faches Physik an der Universität Göttingen in den 1930er und 40er Jahren. Untersucht werden alle Physikinstitute in den Bereichen wissenschaftliches Personal, Studenten, Forschung und Lehre. Das Kapitel über das Personal zeigt, in welcher Weise die akademische Gemeinschaft bei Stellenbesetzungen wissenschaftliche Qualität, politische Einstellung und Charaktereigenschaften der betreffenden Personen geprüft hat. Zusätzlich zu deren individuellen Eigenschaften waren ihre kollegialen Verbindungen von großer Bedeutung. Die Arbeit rekonstruiert das kollegiale Netz der Physiker, dessen Struktur die teils eigenartigen Personalvorgänge verständlich macht. Dies zeigt auch deutlich die Analyse des gescheiterten Wiedergutmachungsfalles Kurt Hohenemser. Auch die Größe und Zusammensetzung der Studentenschaft unterlag politischer Beeinflussung. Zum Beispiel gab es die meisten weiblichen Physikstudentinnen zu Ende der NS-Zeit, in der Entnazifizierungszeit wurden sie radikal verdrängt. Die Forschungskontrolle der Nachkriegszeit hat zu einer Transformation der vorher von allen Physikinstituten durchgeführten Rüstungsforschung geführt. Manche militärisch relevante Forschung wurde semantisch in einen friedlichen Kontext gestellt und fortgeführt teils sogar unter alliierter Regie. Auch das Lehrangebot passte sich an die jeweiligen politischen Verhältnisse an. Lehrveranstaltungen zu Quantenmechanik und Relativitätstheorie waren in der NS-Zeit selten, die Nachkriegszeit brachte Neuerungen, die das Programm des studium generale um physikhistorische und -philosophische Veranstaltungen ergänzten. Darin fand vereinzelt auch eine Auseinandersetzung mit den Ereignissen der NS-Zeit statt. ; The dissertation examines the political influence on physics at the University of Göttingen in the 1930s and 40s. The examination of all physics institutes is divided into the realms of scientific personnel, students, research, and teaching. The chapter on the personnel shows how in the case of staffing the scientific community considered the scientific quality, the political attitude, and the character traits of the respective candidates. In addition to their individual characteristics the scientists collegial ties were of great importance. Thus the chapter reconstructs the physicists" collegial network whose structure could explain the to some extent strange changes in personnel. This is shown by the analysis of the unsuccessful rehabilitation case of Kurt Hohenemser. Also the quantity and composition of the student body was politically influenced. For instance at the end of the Third Reich the number of female physics students reached its maximum; during denazification the female students were pushed away radically. In the postwar period research control caused a transformation of armament research which had been conducted in all physic institutes before. Some of the military relevant research was continued by semantically putting it into a peaceful context partly even under allied control. Also the curricula were adjusted to the respective political circumstances. Lectures on quantum mechanics and relativity theory were seldom during the Third Reich. In the postwar period lectures on the history and philosophy of physics complemented the studium generale program. In single cases they also dealt with the Nazi past.

Abstract

SUMMARY
Drawing on the admission records, the medical casebooks and the publications of its director, this article explores how the University of Göttingen's maternity hospital achieved its three official goals: teaching medical students, training female midwives, and providing shelter for needy parturient women. Since educating medical men was the most important aim of the hospital, the paper particularly focuses on how the demands of instruction shaped day-to-day obstetrical practices, especially under the directorship of Professor Friedrich Benjamin Osiander (1792–1822). He was a keen advocate of the forceps, whereas the first director, Professor Johann Georg Roederer (1751–63), had taken a moderate, that is a much less interventionist, approach to obstetrics. Osiander avowedly was determined to subordinate the parturient women to the demands of the clinic and to treat them as 'living manikins'. In spite of that, there is evidence that the pregnant and parturient women, most of whom were unmarried and from the lower classes, made use of the lying-in hospital for their own purposes, and that sometimes they refused to play the role assigned to them. The link between the maternity hospital and the rise of the man-midwife and of 'scientific' obstetrics appears to have been particularly strong in the case of Göttingen and other German university hospitals, compared with lying-in hospitals in other countries where the link was more indirect.

Introduction. Today there is no doubt that mergers have permeated all sectors of society, including health care. Starting in the US, extensive waves of hospital mergers occurred at a record pace in the 1980's typically justified by promising dramatic financial and operational improvements. In the 1990's, the merger trend reached Europe and by the turn of the century "merger mania" had taken a strong hold within the UK. By the end of the 1990s, there had been a number of hospital mergers in Sweden. In 2004, Karolinska University Hospital was formed through the flagship merger between the Karolinska Hospital and the Huddinge University Hospital. In 2010, yet another prestigious merger of two university hospitals was announced with the formation of Skåne University Hospital. However, there has been almost no research on hospital mergers in Sweden. The aim of this thesis is to increase our understanding of the pitfalls and possibilities in merger processes by exploring the Karolinska University Hospital merger. The merger in brief. On 1 January 2004, the Karolinska Hospital and the Huddinge University Hospital merged to form the Karolinska University Hospital. Although the merger was controversial and far from obvious, the merger decision passed by a single vote in the Stockholm County Council on 9 December 2003. To achieve a balanced budget by the next political election in 2006, the new director of the merged hospital was told to reduce expenditures by €70 million over the next three years. The top management delegated identical assignments to all clinical managers: to reduce costs and to consolidate 125 clinical departments into 74 new departments each with a common management. Over the three-year period (2004 to 2006), the predicted cost savings for the merger were not achieved. Eventually the original implementation plan was withdrawn and the hospital director left the organization. Methodology and research questions. An embedded case study design was used to explore pre- and post-merger processes, in which data was collected by interviews, non-participant observation and extensive documents (allowing triangulation). Three studies addressing different organisational levels examined the following issues: how and why a merger decision that was considered "impossible" became possible (Study I); how and why top management's radical ambitions resulted in an unintended convergent process and dysfunctional outcomes (Study II); how and why considerably different outcomes in terms of clinical integration occurred at the clinical department level (Study III). Results. Spanning from the years 1995 to 2007, the three studies show that the merger processes evolved through a non-linear, undirected and complex interplay between external and internal actors. The process was mainly driven by the competing institutional logics of managerialism in a political and administrative arena, and professionalism in a scientific and professional arena. Means convergence and a politico-economic crisis led to the merger decision. The top management was overwhelmed by the "vertical clash" between managerialism and professionalism. On the clinical department level, managerial factors that hindered integration were a sole attention on the formal mandate from the top management, leadership based on one formal actor, and the use of a planned top-down approach to change. Managerial factors that facilitated integration were a dual attention to two majors stakeholders (top management and clinical staff), shared leadership between multiple actors, including an informal leader, and the use of an emergent, bottom-up management approach to change within the planned assignment. Discussion. The key finding is that the competing institutional logics between managerialism and professionalism seems to be the main driver of merger processes. This vertical conflict is probably the main explanation why intended outcomes were not achieved. While top management followed the merger literature's classic recommendation to focus on the horizontal tension and to take a planned linear top-down approach to change, the unanticipated challenge stemming from the competing institutional logics made it difficult for the management to handle the post-merger process. A true understanding of the intra- and inter dynamics inherent in a context with multiple layers of competing institutional logics, such as public sector health care, seems essential to produce functional organizational outcomes.

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.

[Abstract] 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.

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.

The story of Sunnybrook is one of battle and rebellion in the pursuit of excellence. With each battle endured, Sunnybrook Hospital forged new directions, becoming stronger and greater, often exceeding goals and beating significant odds. These very challenges enabled Sunnybrook to morph into the dynamic academic health sciences centre it is today

The purpose of the article is to structure and reflect the history of such medical institution as the Chernihiv Military Hospital on the basis of the studied materials (archive resources of SACR (State Archive of Chernihiv Region), Chernihiv Military Hospital, mass media, information provided by the respondents). Methodologically, the publication is based on analytical and statistical methods. The scientific novelty of this article is an attempt to cover the process of creation and operation of the Chernihiv Military Hospital from its inception to the present day. Also, the periods of change of localization of the medical institution on the territory of Chernihiv were traced, the key events were examined. Conclusions. The establishment of the Chernihiv Military Hospital in Chernihiv was happening in difficult conditions. The institution did not have its own premises, in key times for the history of Ukraine, it changed its location. Most of the buildings did not meet the proper conditions and were not equipped for medical needs, which to some extent affected the quality of service. However, this did not prevent from providing assistance to the military who took part in World War II in the post-war period. Overtime, the hospital received a renovated new building, deployed comprehensive assistance to the military with specialists, where it is located now. The authority stimulated the improvement of the quality of work by hold in socialist competitions, celebrating Soviet anniversaries, organizing annual military exercises etc. The change of managers of the institution helped to improve the professionalism of doctors by holding seminars on different topics, conferences, researches, equipment upgrades, etc. on the basis of the hospital and other institutions. Guarding the health of their defenders due to the beginning of military events in eastern Ukraine, thus confirming its necessity and significance.

During its early history, the Japanese hospital in Steveston, British Columbia transformed from a small Methodist Mission Hospital to a modern medical facility. Unlike many other hospitals targeting non-White groups in British Columbia, it was the Japanese community itself that was responsible for this transition. The Japanese fishermen organized a subscription system and leadership board to establish and operate a modern hospital. The development of this unique institution was driven by broader cultural and political factors that reflected recent changes that occurred in Japan during the Meiji Restoration. During this period, Japan revolutionized and began a campaign of modernization and militarization, with the goal of becoming an imperial power equal to that of Western nations. These ideas were also utilized abroad as Japanese populations faced racism and exclusion from communities that supported the dominance of White-European culture. The Japanese hospital became a symbol of resistance for the Japanese community, an example of the success of Japanese populations in Canada. The history of the Japanese hospital in Steveston demonstrates that hospital development in Canada was not only shaped by medical advancement, professionalization of health care occupations or by state-driven initiatives, but also by the communities that established and maintained health care services during Canada's early colonial history. Presented at Consortium for Nursing History Inquiry 2013 Symposium ; Applied Science, Faculty of ; Nursing, School of ; Unreviewed ; Graduate

In XIX century the modern hospital develops because of and by means of the scientific revolution in medicine, and, in particular, in clinics. In the new hospital the new hospital the hippocratic praxis and the models of experimental medicine combine, together with mechanistic epistemology and the new general theory of illness, health and disease. The new medicine, founding on an anthropological view of life and death, links with a renewed political attention towards social events; the new idea of health proposes a new model for hospitalization in which doctores and manuales ( specialists in surgery) meet. In Italy, the evolution of the hospital tipology develops throught the century. Key words: Ospedali - Assistenza - XIX secolo