The following dissertation examines the history of general hospitals in modern, central and western Canada. It follows extensive case studies of the Toronto, Winnipeg, Calgary, and Vancouver general hospitals. The last few decades have seen an expanded interest in hospitals by Canadian medical historians, but the overall literature is thin. Further, many of the extant histories focus on a particular constituent: the medical profession, administrators, or architects. In this dissertation I argue that these general hospitals were contested spaces, and that their organization and layout reflected negotiation between several parties. A further important vector is the role hospitals played in the social life of their communities. As these general hospitals grew, and began treating middle-class patients, they also required large sums of money from the public purse. Administrators had to account for the shape and use of medical space to the general public that helped finance it, as they did to the doctors who worked there. During the period 1880-1945 general hospitals moved from the periphery of medical care to the centre, but not without substantial growing pains. These institutions routinely lacked funds and space, and remained in operation as much through the efforts of medical professionals as by concerned citizens. After the Second World War the Federal Government shifted from a standoffish institution to one ready to release funds and administrative energies towards new ideals of social welfare. Funding increased dramatically for the building of new hospitals, and legislative developments such as Medicare transformed the social and political relationship between hospitals and patients. / Thesis / Doctor of Philosophy (PhD) / This dissertation began with the question: why do our general hospitals look the way that they do? It goes on to examine the ways in which multiple actors, including many non-medical ones such as local citizens, city councils, architects, and patients, interfaced with administrators and doctors to establish and build general hospitals in four Canadian cities. The core argument is that these were contested spaces, which reflected the communities in which they existed.
| Identifer | oai:union.ndltd.org:mcmaster.ca/oai:macsphere.mcmaster.ca:11375/21047 |
| Date | 06 1900 |
| Creators | Sweeney, Shay |
| Contributors | Weaver, John, History |
| Source Sets | McMaster University |
| Language | English |
| Detected Language | English |
| Type | Thesis |
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